Discover and read the best of Twitter Threads about #nhslongtermplan
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Today's urgent and emergency care recovery plan - a quickš§µ
TLDR: Pragmatic set of measures to improve flow and ease UEC pressures, but underpowered and too focused on finding short-term fixes for long-term problems
TLDR: Pragmatic set of measures to improve flow and ease UEC pressures, but underpowered and too focused on finding short-term fixes for long-term problems
Ambulance services and A&E departments are under huge pressure, leading to longer response times, delayed handovers and long waits.
Behind the numbers are patients left in pain, enduring unnecessary suffering and, in some cases, lives tragically lost.
Behind the numbers are patients left in pain, enduring unnecessary suffering and, in some cases, lives tragically lost.
Fundamentally, UEC performance is about patient flow into, through and out of hospital - not just what happens in ambulances or A&E
šin response times, trolley waits and delayed discharges all point to problems with flow
health.org.uk/publications/tā¦
šin response times, trolley waits and delayed discharges all point to problems with flow
health.org.uk/publications/tā¦
What can we learn from #NHSAnchors action during #COVID19? ā ā
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Our latest from @HealthFdn explores 9 key lessons for anchors action in light of COVID-19:
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health.org.uk/publications/lā¦
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š§µ šš¼
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Our latest from @HealthFdn explores 9 key lessons for anchors action in light of COVID-19:
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health.org.uk/publications/lā¦
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š§µ šš¼
What makes the NHS an ā ?
1ļøā£Employer Ā
2ļøā£Purchaser for social value Ā
3ļøā£Buildings & spaces Ā
4ļøā£Environmental impact Ā
5ļøā£Partner Ā
Ā
We looked at how #COVID19 galvanised anchor action - to improve health, tackle inequalities, contribute to communities
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What we learnt šš¼
1ļøā£Employer Ā
2ļøā£Purchaser for social value Ā
3ļøā£Buildings & spaces Ā
4ļøā£Environmental impact Ā
5ļøā£Partner Ā
Ā
We looked at how #COVID19 galvanised anchor action - to improve health, tackle inequalities, contribute to communities
Ā
What we learnt šš¼
1ļøā£ Tackling inequalities is at the ā¤ļø Ā of ā action.
Ā
How to overcome āmagical thinkingā?
Ā
@NHSBartsHealth uses inequalities dimensions in its employment measures. @AAttfield @Ian_Bas
You need qual & quant data to understand gaps in Ā£Ā£, digital exclusion, race inequalities
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How to overcome āmagical thinkingā?
Ā
@NHSBartsHealth uses inequalities dimensions in its employment measures. @AAttfield @Ian_Bas
You need qual & quant data to understand gaps in Ā£Ā£, digital exclusion, race inequalities
Granted this is not the most exciting of reading, but essential for anyone who may:
š find themselves, or a member of their family in a NHS (England) hospital from 1st September
šbe responsible for supporting discharge
(Thread)
gov.uk/government/colā¦
š find themselves, or a member of their family in a NHS (England) hospital from 1st September
šbe responsible for supporting discharge
(Thread)
gov.uk/government/colā¦
Few things to note in this:
Emphasis is heavily on rapid discharge & community assessment: moves most assessment post acute care into communities-piling pressure onto local authorities & CCGs
Free support available on discharge up to 6 weeks š
Emphasis is heavily on rapid discharge & community assessment: moves most assessment post acute care into communities-piling pressure onto local authorities & CCGs
Free support available on discharge up to 6 weeks š
The 6 week cut off in communities will become the new point of critical failure in system flow while agreements are reached about who
For people with complex needs this has been a historic battle ground of dispute and delay with inadequate CHC assessment capacity š
For people with complex needs this has been a historic battle ground of dispute and delay with inadequate CHC assessment capacity š
Todayās #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.
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/primaryā¦ 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
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
Such a mixed piece ā I'll leave some factual errors to thinktanks for chapter & verse. āWhat we talk about when we talk about privatisation & the NHSā ā a thread [1/10]
John Furse in the #LRB: lrb.co.uk/v41/n21/john-fā¦ via @LRB
John Furse in the #LRB: lrb.co.uk/v41/n21/john-fā¦ via @LRB
@LRB Some chronologies suggest coherence, lending credence to conspiracy theories - āsecret plansā to āprivatiseā 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 ā knitted together to varying degrees, and varying degrees of success. [3/10]
Iāve been through todayās @CareQualityComm #StateOfCare report so you donāt miss the bits that matter but donāt make the headlines. Hereās a link to the report.
cqc.org.uk/publications/mā¦
Buckle up for my annual thread. 1/11
cqc.org.uk/publications/mā¦
Buckle up for my annual thread. 1/11
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.
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.
A new perspective on the old question of ādoes competition law apply to the NHS?ā from @NHSEngland @NHSImprovement #NHSLongTermPlan proposal to remove @CMAgovUK and @NHSImprovement concurrent powers (=parallel jurisdiction) [a thread] (1/7)
@NHSEngland @NHSImprovement @CMAgovUK āā¦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 2002ā(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)
Today is the start of Dietitians weeks 2019! We have a large team of Dietitians working across the Trust improving the nutrition of our patients. To find out #WhatDietitiansDo visit bda.uk.com/improvinghealtā¦
Here are the teamā¦ @StGDietitians #WhatDietitiansDo #Dietitiansweek
Here are the teamā¦ @StGDietitians #WhatDietitiansDo #Dietitiansweek
Dietitians help people lose and gain weight! Did you know 25-34% patients admitted to hospital are at risk of malnutrition? #Malnutrition can cause patients to get more infections and be at higher risk of developing complications @StGDietitians #WhatDietitiansDo #Dietitiansweek
#malnutrition cost the country Ā£19.6billion in 2015 and obesity costs the NHS Ā£6.1billion. Nutritional screening as part of the #NHSLongTermPlan is key to ensure at-risk patients are referred early for dietetic intervention #WhatDietitiansDo #Dietitiansweek
British Social Attitudes #NHS + #SocialCare satisfaction data analysis by @TheKingsFund @NuffieldTrust @RuthRobbo @jappleby123 @HarryAEvans @NinaHemmings92 is out. Wonāt rehearse content but thread gives view from @HealthwatchE perspective. @danwellings @jacoblant #HealthForCare
Hereās the link. And my subsequent comments on the #NHS figures are made against the background context that although thereās a statistically significant decline in overall satisfaction, which is concerning, itās still quite high for individual aspects.
kingsfund.org.uk/publications/pā¦
kingsfund.org.uk/publications/pā¦
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 networkās current engagement work in partnership with @NHSEngland is so important.
healthwatch.co.uk/news/2019-03-0ā¦
healthwatch.co.uk/news/2019-03-0ā¦
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. Weāve 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 peopleās 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. Hereās a link.
data.parliament.uk/writtenevidencā¦
data.parliament.uk/writtenevidencā¦
Here are 4 screenshots of the bits of the @HealthwatchE #NHSLongTermPlan evidence to @CommonsHealth that concern A&E experiences, including on waiting times.
So some interesting stuff coming out of @NHSEngland's board meeting today (well, interesting for those of us with a passion for procurement......). Seems like the beginning of a move by against outsourcing in the #nhs to accompany the #NHSLongTermPlan /1
"We are concerned that the comparative weight that current legislation gives to competition will act as a drag on efforts to improve collaboration between NHS bodies and provide integrated care" #NHS #reformhealth bit.ly/2Vqizyn /2
Then goes on to call for the removal of article 75 Health and Social Care Act (which gives the CMA a role in observing NHS transactions) and removing NHS commissioning from the Public Contracts Regulations - all in efforts to make #NHSLongTermPlan feasible /3
Mini-thread on bullying & an even bigger problem. I wrote this on bullying in the NHS & #metoo for @NuffieldTrust reflecting on last year's #ntsummit. nuffieldtrust.org.uk/news-item/viewā¦
Two parts to the argument: bullying way too high, and not sufficiently part of the mainstream policy conversation. Idea was whether we could learn from #metoo in terms of calling out woefully unacceptable behaviour.
Where are we a year on? Not great. From #NHSStaffSurvey bullying metrics ā¬ļø across the board. Not massive, but against a backdrop of everyone thinking they were too high to start with, that's not good. nhsstaffsurveys.com/Caches/Files/Sā¦
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-regā¦
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
#NHSLongTermPlan
The Tories have wrecked and ravaged our vital health and social care services for 9 years. Their ā10-year planā is a sham. All the numbers add up to is disaster - insufficient funds, inadequate staffing and lack of foresight.
The Tories just canāt be trusted with our NHS. (2/)
The Tories just canāt 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/)
"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
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?
"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.
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
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
... 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...
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
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
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
#NHSLongTermPlan
