1/6 This is an excellent, important, new report on how providers are collaborating to provide better care: nhsproviders.org/media/691546/d…. It marks start of a major new work programme for @NHSProviders, working with @NHSEngland, to support providers to collaborate even more effectively.
2/6 The report gives examples of all types of provider – hospital, community, mental health and ambulance trusts, primary care, social care and the voluntary sector – collaborating effectively to improve care. And on different footprints - in places, within ICSs and across ICSs.
3/6 What’s particularly striking is the incredibly diverse range of collaboration. This brings important lessons for national policy makers. As we set out in the report, any national policy framework on provider collaboration needs to be strongly facilitative and enabling…
4/6 …It needs to recognise local providers are best placed to work out what forms of collaboration are needed to improve care and outcomes in their area. Any national policy framework must avoid trying to impose a single, one size fits all, tight, strait jacket approach.
5/6 The report also points to the critical success factors in enabling effective collaboration. Building strong relationships, ensuring senior leader buy in and alignment and those senior leaders role modelling collaborative ways of working and behaviours are all key.
6/6 There's also an excellent, linked, blog in @HSJnews from @Saffron_Policy: hsj.co.uk/service-design…. Particularly striking how the last 15 months and the pandemic have led to much greater levels, and an acceleration, of all types of provider collaboration.
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1/25 New update thread with latest on covid-19 infections and hospital admissions and what these might mean for June 21 decision on easing lockdown measures in England. Quick reminder: @NHSProviders is the voice of English NHS trusts: nhsproviders.org/news-blogs/pre…
2/25 Community infection rates rising steadily as Delta variant spreads and becomes dominant strain. In areas where community infections rates are increasing, hospital COVID-19 admission rates rising, but not alarmingly. Trust leaders telling us there are 3 consistent features.
3/25 First. Number of hospital COVID-19 admissions consistently a lot lower than in previous waves. Second. Patients admitted are, on average, younger with less requirement for critical care, more treatment in general & acute beds, lower acuity and lower mortality rates.
1/25 Update thread on where NHS hospitals are at the moment, concentrating on 3 things: a) hotspot hospital admission rates. b) overall pressure. c) what this may mean for easing lockdown measures (spoiler alert - we will need a full, evidence based, debate given trade offs!)
2/25 Having spoken to NHS trust CEOs in hotspot areas in last 48 hours, central message remains broadly the same. Namely A. Covid-19 hospital admission rates not increasingly rapidly. They vary between climbing slowly, plateau-ing or, interestingly, starting to reduce.
3/25 E.G. In one key hotspot trust 47 covid-19 inpatients yesterday vs 49 day before. Stark contrast to c170 peak last Nov and c150 peak in Jan/Feb. B. Patients significantly younger than previous peak and this generally means less need for critical care than in previous peaks.
1/11 Just done @TimesRadio interview this morning on current state of play in trusts particularly affected by variant that originated in India. Member feedback suggests the following. Hospitalisations increasing steadily but not precipitately. The next week or so will be key.
2/11 Early signs that the rate of community infections is beginning to peak in some places. Example of increases / estimates of hospitalisations from one hospital: 20 last week, 40 this week, predicted 60 next week and this hopefully being peak, assuming infection peak reached.
3/11 But trust CEOs are clear that modelling of future hospitalisations feels very uncertain given number of variables and unreliability of modelling in previous waves. They want to see what happens over the next seven days which they are describing as "the crucial week".
1/25 Trusts were asked in NHS March Planning Guidance to start planning on how to recover care backlogs. Early work now starting to show the scale of the problem. One of my long tweet threads follows on the detail of what's emerging. See p13 of @thesundaytimes and @SkyNews too!
2/25 Important to remember this isn't just about elective surgery and cancer backlogs in acute hospitals, though this is where the media and political focus is. There are serious backlogs in mental health and community services too that are just as important for their patients.
3/25 Also important to note trusts did a really good job recovering services last Summer/Autumn, after the first phase of COVID, meeting targets they were set. They were also able to provide more non covid care in Dec-Feb than in the first phase despite much higher covid demand.
1/7 NHS 1H 2021/22 budget now settled. Hurrah. At last! Trust leaders will be relieved that NHS budget for first half of next year has now been finalised. But it is extraordinary that this has been left to just 13 days before the beginning of the new financial year.
2/7 “As we've been publicly highlighting for weeks, trusts have been incredibly frustrated by the delays. This has disrupted planning for another tough year as trusts seek to deal with care backlogs alongside the ongoing challenge from COVID-19.
3/7 "The last thing trust leaders needed was their attention being unnecessarily diverted from the urgent tasks in hand. When we discussed this risk with Government months ago, they promised NHS budgets would be finalised well in advance of the start of the financial year.
1/9 We've been talking publicly about the clinical prioritisation of elective surgery cases in the next phase which has been picked up in the media today. EG @BBCr4today headlines. The tweet thread below sets out our comments in full as there is significant nuance here!
2/9 "We can’t say with certainty how long it will take to tackle the backlog of planned operations because we don’t really know how big that backlog will end up being. The NHS will obviously go as fast as it can, as we always do.
3/9 "But it's already apparent that clearing the entire backlog will take years rather than months. However, it’s important to keep this in perspective. Suggestions we’ve seen that the waiting list will hit 10 million by April are simply not going to happen.