Thread: here’s what’s jumped out at me from a first read of today’s new @NHSEngland guidance on provider collaboratives. 1/8.
england.nhs.uk/publication/in… Document  Working together at scale: Guidance on Provider Co
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. Provider collaboratives work across a range of programmes an
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. Reductions in health inequalities: Provider collaboratives hClinical services, which may include: - standardising protocClinical support services, which may include: - sharing phar
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). Programme delivery: Agree a set of programmes that are deliv
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. People and communities Provider collaboratives should always
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. Fig 1 from page 16 of guidance.
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. Working with the voluntary sector, primary care and social c
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More from @NTtweeting

28 Jul
1/18 I know you love a thread, so here’s one about today’s new report #YouOnlyHadToAsk from the Taskforce on Multiple Conditions, led by @RichmondGroup14 and @ImpUrbanHealth. Hear the voices of people living where multiple conditions meet health inequity. richmondgroupofcharities.org.uk/taskforce-mult… Image of report cover. ‘You only had to ask: what people w
2/18 My foreword highlights how rarely voices like these are *really* listened to. Yesterday Lord Stevens, in his farewell to @NHSEngland staff, said that the NHS is at its best when it listens hardest. If that’s the case, it needs to be all ears now. We all do. #YouOnlyHadToAsk Foreword. There are crucial decisions ahead for health and s
3/18 This bit of the foreword is about the power of the voices that don’t shout the loudest. That can be just as true of frontline professionals as it is of the people who told us about deeply personal, sometimes traumatic experiences. Thanks to all of them. #YouOnlyHadToAsk Very little is as deeply powerful as a clear, quiet human vo
Read 19 tweets
16 Jun
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… Cover of design framework.
2/9. I particularly like numbers 5 and 6 in the list of partnership principles for ICS Partnerships. Text from p10 of document linked in first tweet.
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. Text from p13 of document linked in first tweet.
Read 9 tweets
11 Feb
I know you’ve all been waiting for my thread on today’s @DHSCgovuk White Paper gov.uk/government/pub…
and the accompanying recommendations from @NHSEngland england.nhs.uk/wp-content/upl… Wait no longer 😀 1/9 Cover of DHSC White PaperCover of NHS England recommendations document
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. It’s about population health: using the collective resourcIn this paper we refer to health and care partners for breviA key responsibility for these systems will be to support pl
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. Not only is our population growing in size, people are also
Read 10 tweets
30 Jul 20
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… Matt Hancock speaking at podium in front of background slide
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. We’ve discovered things about our system that we could not
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. Coronavirus has catalysed deep structural shifts in healthca
Read 12 tweets
11 Apr 20
Thread. 1/7

My walk in the park and woods today generated 7 haiku.

1.
Butterfly shadow
On my daily exercise
Announces it’s Spring. Trees by a winding river.
2/7

2.
A green parakeet.
An invisible virus.
Our world is so small. Plants growing in a stream in front of a willow tree.
3/7

3.
First came the blossom.
Then small, green buds extended
And now there are leaves. New leaves on a tree branch, in front of trees covered in white and pink blossom.
Read 8 tweets
15 Oct 19
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 Front cover of CQC report on the state of health care and adult social care in England 2018/19.
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. Page 15 of CQC report.Page 18 of CQC report.
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. Page 19 of CQC report.
Read 12 tweets

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