I know you’ve all been waiting for my thread on today’s @DHSCgovuk White Paper gov.uk/government/pub…
and the accompanying recommendations from @NHSEngland england.nhs.uk/wp-content/upl… Wait no longer 😀 1/9 Cover of DHSC White PaperCover of NHS England recommendations document
2/9 I’m not trying to cover everything in the documents but here are some thoughts on things others might not focus on so much. Good to see consistent messages about the strategic roles of the voluntary sector and local government. Detailed work needed to bring that alive. It’s about population health: using the collective resourcIn this paper we refer to health and care partners for breviA key responsibility for these systems will be to support pl
3/9 Very pleased to see issues core to @RichmondGroup14 priorities at the centre of the challenges the White Paper aims to address: namely the growing needs of people with long-term and multiple conditions, the role of mental health in that mix and the impact of Covid on that. Not only is our population growing in size, people are also
4/9 White Paper rightly acknowledges that a new legal framework is a necessary but not a sufficient condition for integration and improvement. Culture, behaviour, relationships and leadership will be what make the most difference, though a better governance platform will help. Legislative change can bring real benefits when it helps to As we set out in chapter one, legislation is best seen as an
5/9 Important clarity in both the White Paper and @NHSEngland FAQs document that voluntary sector provision retains a key role as part of the planned changes to competition and procurement. We anticipate that there will continue to be an important roHow will the voluntary sector be involved? • The voluntary
6/9 Provision for joint committees intends to include scope for voluntary sector and local authority membership. Our ICS NHS body provisions go most of the way to increasing
7/9 Lots of stakeholder concerns expressed about scrutiny in relation to transfer of functions/closure of Arms’ Length Bodies. It’ll be interesting to see what people - especially Noble ones - think about the proposed approach. It is important that when needed, we can support our ALBs toThere is no immediate plan to use this power. Use of this po
8/9 Having spent a few years working with @jacoblant to develop @HealthwatchE role in relation to the Mandate into an effective transmission mechanism for people’s views and experiences, I’m glad that’s entrenched in the White Paper proposals, even if only @Davewwest notices 😀 This proposal will not impact on Parliament’s ability to s
9/9 Also well worth reading @NHSEngland document for more flavour about implementation and a good overview of how other organisations responded to their consultation. Reflects the nuances of consultees’ positions, including that of @RichmondGroup14.
england.nhs.uk/wp-content/upl…
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More from @NTtweeting

30 Jul 20
Unusually, I didn’t live tweet from @MattHancock’s Future of Healthcare speech this morning. I wanted to think about the text afterwards, and the novelty of being IN A ROOM WITH PEOPLE made me want to pay real attention. A thread of my reactions. 1/11.
gov.uk/government/spe… Matt Hancock speaking at podium in front of background slide
2/11. This is all true but we need to acknowledge how little the system really knows about how people have experienced and are experiencing it. Nor can we make a final judgement on performance until we see the long-term impact of the needs that have been hidden and unmet. We’ve discovered things about our system that we could not
3/11. Again, true overall. But I worry that there’s inevitably been a 4th cultural shift, away from the advances we’d just started to make and the LTP planned to take further around patient and public voice and involvement, and the true personalisation of care. Need to refocus. Coronavirus has catalysed deep structural shifts in healthca
Read 12 tweets
11 Apr 20
Thread. 1/7

My walk in the park and woods today generated 7 haiku.

1.
Butterfly shadow
On my daily exercise
Announces it’s Spring. Trees by a winding river.
2/7

2.
A green parakeet.
An invisible virus.
Our world is so small. Plants growing in a stream in front of a willow tree.
3/7

3.
First came the blossom.
Then small, green buds extended
And now there are leaves. New leaves on a tree branch, in front of trees covered in white and pink blossom.
Read 8 tweets
15 Oct 19
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
3 Jun 19
Good to see @didoharding @julianhartley1 work emerging today with the publication of @NHSEngland @NHSImprovement @NHS_HealthEdEng Interim People Plan. Thread shows where things that matter to people are covered in plan. #OurNHSPeople @HealthwatchE 1/7
link.medium.com/E5wR40HvdX
Here’s a link to the plan: longtermplan.nhs.uk/wp-content/upl…
The introduction (pages 2 and 3) puts what people consistently tell @HealthwatchE about the need for joined-up staff in joined-up services at the heart of the plan. #OurNHSPeople 2/7 Pages 2-3 of Interim People Plan.
Important commitment that @NHS_HealthEdEng will ask people what we need from future doctors, to inform planning by royal colleges and @gmcuk. Of course, this ought to apply to all professional education across health and care, but it’s a good start. #OurNHSPeople 3/7 Page 15 of Interim People Plan.
Read 8 tweets
21 May 19
Morning, Twitter. I’ve got some good news and some bad news. Good news: this week @HealthwatchE will start recruiting its first Director of Communications, Insight and Campaigns to transform these activities and make even more difference in health + care. Now the bad news... 1/5
2/5 We don’t have the money to have one of those and one of me. So today I’m coming out as a proud member of the redundant community. I’ll be around for a while yet but will be starting to hand things over to colleagues. If you’ve been meaning to ask me something, now’s the time.
3/5 I’m really going to miss my fantastic @HealthwatchE colleagues and the people who work so hard to such effect in our network across England. I’ve had a great 4 years and I know they’ll all go from strength to strength.
Read 6 tweets
7 Mar 19
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

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