2/8. Good to see the guidance discussing the links with cancer alliances and other clinical networks. @RichmondGroup14 members have been keen to stress throughout the ICS development process how important these networks are for a range of conditions incl stroke and respiratory.
3/8. Good to see a focus on a range of issues that could make outcomes and experience better for people living with multiple conditions.
4/8. Right that the capabilities section reminds collaboratively about people and communities informing plans for service change (not being asked to approve them afterwards).
5/8. The theme about people and communities follows through into the enablers section. I like the breadth of the thinking about how to bring people’s insights to bear. Obviously a gold star answer would also have included voluntary and community sector organisations.
6/8. This bit is like the curate’s egg: parts of it are excellent. Good to see voluntary sector in there but it misses the potential of big players like @RichmondGroup14 members to contribute at multi-system, regional and national levels, incl role of major research charities.
7/8. Good to see this section recognising the value added by the voluntary sector at *both* local and national levels. The more system leaders understand this dual dynamic, the better.
The annual @CareQualityComm#StateOfCare report’s out today, just in time to focus minds as decisions are made about future health and care funding. Here’s my thread, picking out some of the nuggets that have got me thinking. 🧵 1/10 cqc.org.uk/publication/st…
2/10 Overall #StateOfCare message: gridlocked care, growing risks of harm and a need to tackle inequalities. Summarised here in the foreword. Stresses need for workforce investment at system level. Rightly says need to understand people’s experiences overall not in isolation.
3/10 Good to see this reminder in #StateOfCare that ICSs need to use insights from local people to drive and track improvement. Key role for #Healthwatch and #VCSFE organisations there, I’d say. Very relevant to the need for shared learning described in section on collaboration.
Last big #RaceAgainstHunger training walk today, b4 solo walk of full Marathon course on 2/4 for @TrussellTrust. Today doing 2nd half of course from Tower Hill, East around Docks then West to The Mall. Add on 2 miles to Baker Street and that’s 16-17 miles. trusselltrust.enthuse.com/pf/neil-tester…
Old meets new(ish) as I approach Westferry from Limehouse via Narrow Street. First of these training walks when I haven’t had to wear a big coat.
About to put these on for a @TrussellTrust#RaceAgainstHunger training walk, chosen in my Twitter poll. Before the 12 miles from the Marathon course start on Blackheath to the Shard via Woolwich, I’ll do 8 miles from Euston to Blackheath. Bring on 2 April. trusselltrust.enthuse.com/pf/neil-tester…
It felt rude to take a photo so you’ll just have to believe me when I say I hadn’t got very far south of Euston when I saw possibly the most British thing ever: a town crier in full regalia and carrying a Waitrose bag. Stay tuned for more exciting megawalk updates…
So the actual White Paper has now appeared: gov.uk/government/pub…. I’ll leave the experts to ponder the vagaries of what it might really mean for pooled budgets, single accountability etc, but here are some instant-ish thoughts. 🧵 1/10
2/10 Overall, don’t think anyone will disagree with most of the ambitions but I can’t see many people saying that this is the clear, funded, holistic plan that’s needed to realise the vision. I’d rather have a light shone on these issues than not. But solid action’s better.
3/10 The national priorities in this shared outcomes framework need to articulate what will improve for people with multiple conditions, at the sharp end of inequality. And when local leaders agree their local outcomes, that has to be *with* communities, not just *for* them.
🧵 1/6 The Integration White Paper arrives today. We’re in the limbo of being told by this @DHSCgovuk press release what it’s going to do, while having to wait until this afternoon to see how it says it’s actually going to do it. I’ll be looking out for… gov.uk/government/new…
2/6 Agree with Paul Najsarek of @Solace_UK that the voluntary and community sector is a key part of this vision. @NHSEngland ICS design framework recognises that takes funding. Will @DHSCgovuk@luhc act accordingly? Hope so. Not holding my breath. Surprise me!
3/6 I’ve spent years banging the drum about the multiple conditions challenge, so I’m glad the press release aspires to tackle it. Hope White Paper puts meat on bones. Great examples of how to think differently in @RichmondGroup14 Guidebook and update: richmondgroupofcharities.org.uk/sites/default/…
Thread 🧵 1/5
It’s never reassuring when people’s health needs have to wait in a queue behind political considerations. What’s trailed here will help but fundamentally people need the money unlocked so the NHS can move lists forward with the wider plans. thetimes.co.uk/article/2a4afd…
3/5 Tackling waiting lists quickly and well must be central for the NHS. An end to the physical and mental pain so many people suffer while waiting for treatment can’t come too soon. We’re being told today that “the grown-ups are in charge” of government. A chance to prove it.