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24 Sep, 7 tweets, 6 min read
These reports on NHS leaders’ perceptions from @NHSConfed are always enlightening. Today’s Manifesto For Recovery takes a wide look at recovery issues, with a strong inequalities focus. A quick thread on the bits that jumped out at me. 1/7
nhsconfed.org/publications/m…
2/7 Obviously I’m reading everything @NHSConfed’s published today from the standpoint of the multiple conditions challenge. The framing here speaks to the issues @RichmondGroup14’s recent #YouOnlyHadToAsk report highlighted. richmondgroupofcharities.org.uk/sites/default/… NHS leaders want to make sure that inequalities are not exac
3/7 Our #YouOnlyHadToAsk report stressed need to close the trust gap between people and services and to work across sectors to tackle inequity, so good to see @NHSConfed saying this: Action is also required to ensure effective community engage
4/7 Stark picture in today’s @NHSConfed report of the huge risk that the care backlog and existing inequity will reinforce and accelerate each other. nequalities are now becoming evident in the backlog, with ev
5/7 Good to see this case study from @WYHpartnership of how to turn “frank conversations” about “managing expectations” into genuine interaction that delivers shared understanding and positive improvement. Case study: Seeking patients’ views on elective recovery W
6/7 That case study highlights how people value VCS support, so good to see @NHSConfed reporting leaders wanting a relationship of equal partners, as I argued in this blog a while back: nhsconfed.org/articles/nhs-r…. Lots of themes I flagged then are picked up in today’s report. One of the most important themes for panel members was arounThere is also broad support among our leaders panel for the
7/7 Strong sense from today’s @NHSConfed report that leaders are hearing, and concerned about, what @RichmondGroup14 @BritainThinks research has highlighted: hsj.co.uk/service-design… In terms of managing public expectations, more than four in

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Neil Tester Profile picture
10 Aug
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
Read 8 tweets
Neil Tester Profile picture
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
Neil Tester Profile picture
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
Neil Tester Profile picture
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
Neil Tester Profile picture
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
Neil Tester Profile picture
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

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