I attended an NHS board meeting yesterday where we discussed the massive pressures facing health and social care
these pressures include record attendances at ED, ambulances waiting outside hospitals with patients, bed shortages, and difficulties in discharging patients when they no longer need to be in hospital
we also heard about work on elective recovery and herculean efforts to cut waiting lists and waiting times, while still caring for Covid patients
outside our hospitals general practices are dealing with record numbers of patients and social care is struggling with staffing shortages and other pressures
all of this continues to take its toll on our staff and we are still seeking to fill vacancies and deal with sickness absences that put even more pressure on staff who are at work
at the end of our board meeting I heard @sajidjavid tell the country that the NHS is coping and no further measures are needed. One of us is living in a parallel universe
last but not least, it is only October and winter pressures from flu, respiratory conditions, and more Covid will grow. what am I missing here?
what's happening in my trust is happening everywhere. Let's get real, be honest and tell it like it is

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More from @profchrisham

23 Oct
it saddens me to write this piece but the NHS is falling over with extreme stress in general practices, hospitals, the ambulance service, etc bmj.com/content/375/bm…
stress is the result of rising demand for care colliding with constrained capacity of all kinds but especially staffing
staff in the NHS and social care face a Sisyphean task in responding to current pressures - the backlog created by covid, record numbers of patients seeking care and support, and covid itself, ahead of winter
Read 8 tweets
12 Oct
today's report from @CommonsHealth @CommonsSTC sets out clearly and convincingly the strengths and many weaknesses of the govt's response to covid (1) blogs.bmj.com/bmj/2021/10/12…
there are however two significant omissions: first, the UK's response was among the most centralised in the world, and better decisions would have been made by involving devolved administrations, regional mayors and councils (2)
second and most importantly, the committees should have given more emphasis to the PM's role: absent initially, slow to realise seriousness of covid, and in charge of chaotic and dysfunctional processes in govt (3)
Read 6 tweets
28 Jun
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
Read 12 tweets
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

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