how should @sajidjavid spend his first 100 days? My suggestions and spoiler alert: get out of the office and see for yourself the realities of health and social care
first, spend time with carers to learn about the vital and undervalued work they do for people with disabilities and many others in the 'informal' but essential care system
second, observe a primary care team respond to rapidly rising demand from patients and listen to their views on what needs to be done to improve care
third, shadow a mental health team supporting people in crisis and struggling to access the specialist care and support needed
fourth, join an ambulance team on a night shift to learn about the role of paramedics and the pressures they often face at the front door of hospitals
fifth, spend time in ED which you will find exceptionally busy and where delivering waiting time standards is well night impossible
sixth, join a meeting of operational managers in an acute hospital to see how they juggle competing demands on beds and often struggle to discharge patients in a timely way
seventh, join a community nurse on her visits to patients in their homes and learn about the expertise she brings to bear to support people remain independent
eighth, observe how public health teams in councils and PHE are working to contain the rise in infections and increase vaccination uptake - before you take decisions on the relaxation of the rules
ninth, visit a care home and spend time with domiciliary carers to understand the pressures they are under and hear their views on the state of social care
last but not least, wherever you go please take every opportunity to speak with patients and family members and listen to their lived experiences of the creaking health and care system
repeat the above dose on a regular basis to keep in touch with the services on which we all depend but which currently face unprecedented and worrying challenges

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More from @profchrisham

11 Feb
the government's plans to establish integrated care systems as statutory bodies and to end the legacy of 30 years of market reforms to the NHS are welcome and feel different from previous reorganisations (1)
every previous reorganisation I've worked through has been imposed by politicians. This time the main changes have been in development for 5 years and the law is catching up with work led locally by the NHS and its partners (2)
the response to Covid has depended on collaboration within the NHS and between the NHS, councils, the VCS and many others. Formalising collaboration in ICSs should make this easier in future (3)
Read 7 tweets
2 Feb
There are many lessons - positive and negative - on the response to the pandemic and we need to learn them now to be more effective in future
newlocal.org.uk/articles/covid…
Let's start with three positives: partnership working at a local level through local resilience forums and integrated care systems enabled public services to use resources more effectively with focus on place and community @NHS_RobW
The voluntary and community sector made a huge contribution in meeting needs working alongside public services and providing distinctive capabilities and support @GrapevineCEO @Voa1234
Read 14 tweets
11 Nov 20
take home points from yesterday' session with @CommonsSTC @CommonsHealth led by @GregClarkMP @Jeremy_Hunt
my evidence and that of others underlined need for contact tracing to be led locally and for councils to have the resources to do this effectively @Jeanelleuk
@BWDDPH gave a compelling and detailed account of how he and colleagues are doing this and achieving high levels of success in reaching contacts
Read 15 tweets
3 Nov 20
the govt must use the next 4 weeks to sort out test, trace and isolate. Here are the priorities @Jeremy_Hunt @GregClarkMP @JonAshworth @leicesterliz @didoharding @MattHancock @AndyBurnhamGM
weekly testing of asymptomatic NHS staff in all settings should be routine
weekly testing of care home staff and monthly testing of residents should be routine
Read 12 tweets
18 Jun 20
Just explained @BBCEngland that test and trace has picked up 10K new cases in last 2 weeks which is minority of new cases as reported by @ONS. National tracers have reached 10,000 out of 87,000 reported contacts thru 25,000 staff
Remaining 77,000 contacts (complex cases) have been reached by @PHE_uk and council led local health protection teams who have been brought into test and trace late in the day
Balance of work to date raises question of whether 25,000 staff are needed at national level and why govt has preferred outsourcing to private companies instead of building from public sector expertise
Read 9 tweets
12 Jun 20
A tale of English exceptionalism - or how not to manage a pandemic like C-19
Lockdown later than other countries thereby resulting in many avoidable deaths (ref Edmund and Ferguson among others)
Don't control entry via airports and ports until way too late and fail to introduce quarantine like many other countries
Read 13 tweets

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