1/7 21 days before the start of the new financial year, and still no agreement on the NHS’s 21/22 budget. We've written to @MelJStride, asking him to raise 3 key questions with @RishiSunak when he gives evidence to @CommonsTreasury at 2.30pm tomorrow. See thread for details.
2/7 We are seeking assurances from @RishiSunak that he will honour his commitment to give NHS "whatever it needs" to meet extra COVID costs. Trust leaders fear they'll have to start planning cuts to services / letting staff go unless negotiations conclude this week.
3/7 We're also asking @CommonsTreasury to press @RishiSunak on decision to abandon previous affordability assumption of at least a 2.1% pay rise for NHS staff. Despite this being built into NHS Long Term Plan Implementation Framework & required £ built into NHS Funding Act 2020.
4/7 Following Sir Simon Stevens raising these concerns with @CommonsHealth yesterday, we have therefore suggested three questions for @CommonsTreasury : Q1. Will @RishiSunak honour his Budget 2020 commitment to “give the NHS whatever it needs” to cover COVID-19 costs in 2021/22?
5/7 Q2. How will @RishiSunak ensure negotiations on the NHS’s 2021/21 budget with @hmtreasury are concluded this week? This would then allow NHS leaders to plan their services for the next financial year, which starts in just 21 days time. This negotiation is taking far too long!
6/7 Q3. Why is @RishiSunak refusing to honour the 2.1% pay rise assumption that was agreed by the NHS and Government? This followed the NHS revenue settlement announced by Theresa May in June 2018 and enshrined in a formal act of parliament, the NHS Funding Act 2020.
7/7 This is the perfect opportunity for @RishiSunak to equip the NHS to do its job in 2021/22. We are asking him to make good on his promise to meet all COVID costs, confirm negotiations will be completed by this week and honour at least a 2.1% pay rise for deserving NHS staff.
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1/20 Front page of @thetimes features our story that, with just 24 days until the start of the new financial year, there is still no agreed NHS budget. Trusts facing a £7-8 billion gap for the first half of the financial year. Thread with detail below. thetimes.co.uk/article/cuttin…
2/20 NHS trusts are concerned that there is still no agreement on the NHS’s 2021/22 budget, just 24 days before the new financial year starts. This is despite the Chancellor and Prime Minister’s assurances that that the NHS would get what it needs to fight COVID-19.
3/20 Trusts now worried that they may have to start planning cuts to frontline services from April 1 unless negotiations are concluded satisfactorily this week. Last week's Treasury Red Book shows NHS funding gap for first half of 2021/22 could be as large as £7-8 billion.
1/20 Government lockdown exit roadmap due next week. NHS trust leaders clear, as they’ve been throughout the pandemic, that we need to be cautious. With a strong focus on data, not dates, they think there are four tests to meet before lifting restrictions. New thread below.
2/20 The four tests to pass are COVID case numbers; NHS capacity; progress of vaccination campaign; and protection against new variants. Spoiler alert – the evidence on all four tests shows that there’s a long way to go before we can relax restrictions safely.
3/20 TEST ONE is that COVID case numbers and the R number must drop significantly so infections don’t surge again as soon as restrictions are eased. There are currently around 9,500 daily cases of COVID but when restrictions were eased last year, they were at 1,000 a day….
1/23 We haven't had a lot to celebrate during this pandemic. But achieving the milestone of offering vaccine to the over 70s, health and care workers and the most clinically vulnerable just before target date is a huge cause for celebration, given the scale of the achievement.
2/23 When Margaret Keenan got her first jab in Coventry on December 8th last year, who’d have thought that, by Valentine’s Day, we’d have vaccinated over fourteen million people across the UK in just ten short weeks? Amazing, extraordinary and truly, really, world class!
3/23 I’ve been struck by how much joy and relief has been brought to those doing the vaccinations and those receiving them. A GP told me yesterday that nothing had given him greater pleasure in his long career. And that the patient's relief was sometimes overwhelming.
1/5 Lots of talk today about “being over the peak” and what that means for how quickly we can relax restrictions on social contact. But there are still 26,000 covid-19 patients in hospitals. That's 40% more than the peak in the first phase of covid last April…
2/5 ..The NHS is currently running at 170% of last year's ICU capacity and trusts were still having to create new extra ICU surge capacity last week. The ICU numbers are coming down very slowly. Hospital, community, ambulance and mental health services are still at full stretch..
3/5 ...There’s another national cold snap forecast next week which will increase demand for NHS services, as it always does. NHS staff are deeply exhausted & fatigued having worked at fever pitch intensity for many weeks. So, if we want to use mountain analogies (peaks etc)...
1/22 It is deeply worrying that some are already arguing for plans to rapidly relax restrictions on social contact when the NHS is still under such intense pressure. My new comment piece for @ObserverUK on the many reasons to be cautious: theguardian.com/commentisfree/…. Thread below.
2/22 Until we can vaccinate population, restrictions on social contact are only way to prevent unnecessary deaths, reduce patient harm & give NHS the best chance to treat all patients it needs to. Trust leaders are therefore very worried about relaxing restrictions too quickly.
3/22 These must be decisions for elected politicians as only they can balance the complex and difficult trade offs required, using the evidence and advice they receive. But NHS trust leaders believe that there are seven reasons to be very cautious at this point.
1/42 Good to see yesterday’s @thetimes editorial attacking the pandemic of covid misinformation. Here’s my twitter contribution to fighting it, as suggested. Lockdown and covid sceptics continue to consistently misuse cherry picked data to argue NHS not unusually busy.
2/42 NHS trust leaders believe this disinformation is profoundly disrespectful to staff and risks reducing vital compliance with restrictions on social contact. Below is a long two part thread answering the main "NHS not unusually busy" and other NHS related disinformation.
3/42 Much of the disinformation comes from simplistic year on year percentage comparisons of data. Some types of NHS demand are flat or lower year on year. But it’s a huge distortion to argue that these individual statistics mean the NHS is not unusually busy.