Discover and read the best of Twitter Threads about #NHSLongTermPlan

Most recents (15)

Today’s #EQUIP #Perinatalmentalhealth training @MaudsleyNHS @ORTUSevents is about smoking cessation and helping people to quit smoking delivered by our amazing colleagues @MaryYatesSLaM #smokefreenhs #QuitSMOKING @HelenGalley @DrHKhalifeh @SWMH_IoPPN @TrudiSene1
Polycyclic hydrocarbons in cigarette increases metabolism of many psychotropic medication including clozapine
Smoking increases risk of anxiety and depression.
Read 23 tweets
THREAD: Last couple of days to comment on the #primarycarenetworks services specs. Lots of feedback to date that tells us we need to make changes. We are committed to doing just that @NikkiKF @NHSEngland. You can help us with feedback: engage.england.nhs.uk/survey/primary… 1/9
There are some really important points about this work:

These are draft and this is a proper, comprehensive and dynamic engagement exercise, being conducted "at scale". The feedback that we get will influence the final versions that we negotiate. 2/9
We cannot afford to make them over-ambitious: we would like PCNs to welcome the final versions as sensible expressions of ambition. CDs and #generalpractice teams should feel the final versions are deliverable and that they are aimed at the right areas 3/9
Read 9 tweets
Such a mixed piece – I'll leave some factual errors to thinktanks for chapter & verse. “What we talk about when we talk about privatisation & the NHS” – a thread [1/10]
John Furse in the #LRB: lrb.co.uk/v41/n21/john-f… via @LRB
@LRB Some chronologies suggest coherence, lending credence to conspiracy theories - “secret plans” to “privatise” NHS. But incremental changes have been haphazard: what we have lived through, & continue to live through, is series of convoluted & complicated compromises re NHS [2/10]
@LRB 3 diverse strands identifiable – knitted together to varying degrees, and varying degrees of success. [3/10]
Read 13 tweets
I’ve been through today’s @CareQualityComm #StateOfCare report so you don’t miss the bits that matter but don’t make the headlines. Here’s a link to the report.
cqc.org.uk/publications/m…
Buckle up for my annual thread. 1/11 Front cover of CQC report on the state of health care and adult social care in England 2018/19.
2/11 #StateOfCare identifies the challenges faced by people with multiple needs and describes people and their families needing to chase services to get the right care. @RichmondGroup14 work on multiple conditions has also found people feeling exhausted and overwhelmed. Page 15 of CQC report.Page 18 of CQC report.
3/11 #StateOfCare shares a story from @RichmondGroup14 member @age_uk that shows how people can sometimes be viewed by professionals with a narrow focus, especially outside obvious moments of transition. Page 19 of CQC report.
Read 12 tweets
Having read and mulled over the "NHS’s recommendations to Government and Parliament for an NHS Bill" supporting the #NHSlongtermplan [england.nhs.uk/wp-content/upl…], I think a specific passage of para 96 (in blue) evidences two major misunderstandings 1/
First, there is an improper characterisation of the rules in the Public Contracts Regulations 2015 as exceedingly rigid and as preventing procurement of NHS services on the basis of quality and patient experience considerations over price or cost 2/
This flies in the face of reg 67 PCR2015, which explicitly allows for trade-offs between price/cost and quality considerations in the award of *any type* of public contract, as the contracting authority is free to determine what is best value / most economically advantageous 3/
Read 10 tweets
A new perspective on the old question of “does competition law apply to the NHS?” from @NHSEngland @NHSImprovement #NHSLongTermPlan proposal to remove @CMAgovUK and @NHSImprovement concurrent powers (=parallel jurisdiction) [a thread] (1/7)
@NHSEngland @NHSImprovement @CMAgovUK “…NHS Improvement would no longer have general competition law powers to enforce the Competition Act 1998, or to conduct market studies or make market investigation references under the Enterprise Act 2002”(para 54, bit.ly/2lTLYFk). First CA98, then EA02 (2/7)
@NHSEngland @NHSImprovement @CMAgovUK @CMAgovUK power to use CA98 to cases involving NHS is already curtailed by Regs 5 & 8 Competition Act 1998 (Concurrency) Regulations 2014, so only @NHSImprovement appears able to intervene. (3/7)
Read 7 tweets
British Social Attitudes #NHS + #SocialCare satisfaction data analysis by @TheKingsFund @NuffieldTrust @RuthRobbo @jappleby123 @HarryAEvans @NinaHemmings92 is out. Won’t rehearse content but thread gives view from @HealthwatchE perspective. @danwellings @jacoblant #HealthForCare
Here’s the link. And my subsequent comments on the #NHS figures are made against the background context that although there’s a statistically significant decline in overall satisfaction, which is concerning, it’s still quite high for individual aspects.
kingsfund.org.uk/publications/p…
Top 5 things causing #NHS dissatisfaction are all at the heart of what the #NHSLongTermPlan focuses on - so getting local/regional plans right is vital and the @HealthwatchE network’s current engagement work in partnership with @NHSEngland is so important.
healthwatch.co.uk/news/2019-03-0…
Read 7 tweets
Wide press coverage this morning about @NHSEngland plans for the 4-hour A&E target, with @NHSEnglandNMD quoted on how @HealthwatchE and others are informing this work. We’ve been saying for a long time that there needs to be a new approach to targets. This short thread says why.
When @HealthwatchE fed 85,000 people’s experiences into #NHSLongTermPlan development, this included 6,500 experiences of A&E. We gave our analysis to @CommonsHealth for its inquiry on LTP. The select committee has now published our evidence. Here’s a link.
data.parliament.uk/writtenevidenc…
Here are 4 screenshots of the bits of the @HealthwatchE #NHSLongTermPlan evidence to @CommonsHealth that concern A&E experiences, including on waiting times. Text from document linked in previous tweet in thread.Text from document linked in previous tweet in thread.Text from document linked in previous tweet in thread.Text from document linked in previous tweet in thread.
Read 4 tweets
To end the week here's a round-up of a set of excellent blogs on #NHSLongTermPlan in relation to people and communities. (thread)
There's strong welcome for the person centred care (personalisation) commitments in the #NHSLongTermPlan which could be a real step forwards. Here's long-time advocate @acpatient in @bmj_latest go.shr.lc/2D2eRom
We agree with Angela and here are my reflections on what personalised care in the #NHSLongTermPlan might mean and how to enable it (paywalled) hsj.co.uk/policy-and-reg…
Read 9 tweets
I cant summon the will to live to write a blog on my thoughts on the #NHSLongTermPlan

hopefully this thread will suffice

1/
2
Much to welcome content wise

but ….

And big but… insular,

seemingly focused on NHS can sort its own problems out, disconnected list of
issues, sense of engagement with communities seems missing.
3

Any sense of radical redesign missing.

there IS a need to keep the baby. the NHS is 1) spectacularly valuable and 2) does amazing things. but some change is needed..... if we always do what we always did etc....
Read 43 tweets
As we begin 2019, I want to give a shout-out to our great NHS - and all the inspiring staff that keep it running during the holidays and throughout the year. Last year the NHS turned 70. We must fight to secure its future for the next 70 years and beyond. (1/)

#NHSLongTermPlan
The Tories have wrecked and ravaged our vital health and social care services for 9 years. Their ‘10-year plan’ is a sham. All the numbers add up to is disaster - insufficient funds, inadequate staffing and lack of foresight.

The Tories just can’t be trusted with our NHS. (2/)
It has taken a government obsessed with slashing budgets and cutting corners, a government hell-bent on imposing deadly and devastating levels of austerity, a government slammed by the UN for its unfounded cruelty, for cracks to appear in our mighty NHS. (3/)
Read 9 tweets
"THE GOVERNMENT MADE ME PREJUDICED!", cried Sarah.

I was in Clacton, in a living room with Sarah, brother Sam & daughter Linda, small children & a few pets. All three adults voted Leave & UKIP.

This #TuesdayThoughts, I want to share bits of their story with you.

#phdchat
How did that happen? I asked Sarah.

"There are so many English families living in one room, yet they're letting all these in and they're housing them, having houses built for them!", said Sarah.

Who is being housed, I ask? Have you been waiting for a long time?
Brother Sam cannot walk after an accident and is unable to work. Sarah has a lung disease and also has been out of work for a few years. It's only Linda who works in the household, who has two small children and no qualifications. She's working on a vocational qualification now.
Read 17 tweets
Lots of good stuff in the #NHSLongTermPlan, especially if you're a student of the history of personalised care
Personalised care is up front, in chapter one: "People will get more control over their own health and more personalised care when they need it" #NHSLongTermPlan
Personal health budgets continue to be the significant, transformational change led by people themselves: we will go from over 32,000 now to 200,000 by 23/24 (para 1.41) #NHSLongTermPlan
Read 9 tweets
Today, and all this week, you're going to hear a lot of talk about the Government's incredibly amazing 10-year Long Term Plan for the NHS...

... but not a peep about how Brexit will come along and rip its guts out on 29 March, like a lion taking down a gazelle.

#NHSLongTermPlan
If you're in any doubt as to Brexit's ripping power, take a look at this...
And a lot of the money is going to be snatched back very, very directly...
Read 3 tweets
Your doctors, nurses, midwives and GPs are all telling you Brexit is bad for your health.
Which do you love more? Brexit or the NHS?
#NHSLongTermPlan
If you love the NHS more, how do we best protect it?
We can protect it as an EU member. Brexit makes it vulnerable to people like Trump.
#NHSLongTermPlan
But they're saying more money is coming to the NHS. Do the numbers add up?
#NHSLongTermPlan
Read 3 tweets

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