Recently back from the @CareQualityComm launch event for #StateOfCare 2018/19.
Full report is here: cqc.org.uk/publications/m…
But if you're short on time here's my take on the key points.
Sound the #thread klaxon /1
Full report is here: cqc.org.uk/publications/m…
But if you're short on time here's my take on the key points.
Sound the #thread klaxon /1
Most media coverage I've seen focused on A&E departments (see example below).
That's an important story (discussed below) but it doesn't feel radically new - we get a lot of data on A&E every month via @NHSEnglandStats /2
That's an important story (discussed below) but it doesn't feel radically new - we get a lot of data on A&E every month via @NHSEnglandStats /2
More people are going to A&E but that's largely been driven by attendances at minor injuries.
The bigger problem is the growth in emergency admissions, which suggests more patients with more severe or complex needs: health.org.uk/publications/e…
/3
The bigger problem is the growth in emergency admissions, which suggests more patients with more severe or complex needs: health.org.uk/publications/e…
/3
A&E performance often reflects pressures on the wider system: poor access = some people being in crisis before getting the help they need.
We have a lot of data showing hospitals are under massive pressure, but there's far more than that in #StateofCare. /4
We have a lot of data showing hospitals are under massive pressure, but there's far more than that in #StateofCare. /4
We see far less routine data about quality of care for people with severe mental health conditions, autism and learning disabilities.
This is arguably the big takeaway from #StateofCare. /5
This is arguably the big takeaway from #StateofCare. /5
The report is clear there is some superb practice in specialist inpatient care.
But too many people are being cared for in inappropriate settings, or are forced to travel miles from home to access inpatient services run by poorly trained staff. /6
But too many people are being cared for in inappropriate settings, or are forced to travel miles from home to access inpatient services run by poorly trained staff. /6
14 services rated inadequate in the last year suggests systemic failings, bigger than any single provider.
Urgent action is needed to address the national shortage of skilled staff, alongside better access to community services to support people to live more independently. /7
Urgent action is needed to address the national shortage of skilled staff, alongside better access to community services to support people to live more independently. /7
And there's an important (often missed) overlap with social care, which can make massive difference to the lives of working age adults not just older people.
The @CareQualityComm has been an important and consistent voice on the need for social care reform in recent years. /8
The @CareQualityComm has been an important and consistent voice on the need for social care reform in recent years. /8
I checked the last few #StateofCare reports:
- last 4 reports: highlighted fragility of social care
- last 3 reports: called for a long-term funding solution
Yesterday's Queen's speech promised 'substantive proposals'. We've been here before. /9
- last 4 reports: highlighted fragility of social care
- last 3 reports: called for a long-term funding solution
Yesterday's Queen's speech promised 'substantive proposals'. We've been here before. /9
Social care is one of the biggest public policy and political failures of our generation.
With the system at growing risk of collapse, here is how the government can and should act on #StateofCare now:
health.org.uk/news-and-comme…
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With the system at growing risk of collapse, here is how the government can and should act on #StateofCare now:
health.org.uk/news-and-comme…
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