1/9. The @NHSEngland design framework for ICSs has been out for under an hour, so this thread is what leaps out at me and I may gulp when I’ve read it in detail. But thanks to @DavidsonRoger for listening to what @RichmondGroup14 and others have fed in. england.nhs.uk/publication/in…
2/9. I particularly like numbers 5 and 6 in the list of partnership principles for ICS Partnerships.
3/9. Section on NHS ICS Bodies’ responsibilities to arrange care provision provides a useful framing of the relationship with local government and voluntary sector in relation to people’s needs.
4/9. These bits are good news. I’ve been saying to @NHSEngland since I arrived at @RichmondGroup14 in 2019 that workforce development thinking needs to stretch not just to social care but to the voluntary sector too. This is the strongest statement they’ve ever made about that…
5/9. …and - Hallelujah - here’s the bit that highlights the need for ICSs to invest in community organisations and infrastructure. Sure @navca@sccoalition will be pleased. This is central to getting the right support for people with multiple conditions and tackling inequity.
6/9. Good to see recognition of what @RichmondGroup14 has been saying about need to ensure we don’t lose benefits of cancer alliances or stroke and other networks that will cut across ICS borders.
7/9. Clear statement about embedding VCSE sector in governance and across all work. Good to see my call for a new strategic partnership (lgcplus.com/services/healt…) echoing back.
8/9. Good to see a substantial section on this.
9.9. Maybe they should have this conclusion put onto T-shirts.
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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.
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.
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…
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.
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.
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
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.
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
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
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.