Today’s #StateOfCare report from @CareQualityComm assesses impact of the pandemic and the challenges for health/care integration. cqc.org.uk/publications/m…
Highlights issues CQC will need to focus on in its new ICS oversight role. Here’s a thread of what leaps out at me 🧵👇 1/15
3/15 Strong message in #StateOfCare about unmet need (a key issue we’ve highlighted) and risk that failure to address social care workforce issues would turn ripple of knock-on effects into a “tsunami”. Good to see call for further discharge funding, noting role of VCSE here.
6/15 This bit of #StateOfCare needs to ring in the ears of ICS decision-makers. It can’t be remotely acceptable that “tackling inequalities was often not a main priority”. I know hearts and minds have been captured but systems need to follow the lead from @BolaOwolabi8 and *act*.
7/15 Glad to see from this section of #StateOfCare how clearly @CareQualityComm has heard what we’ve said about the need to guard against political pressure focusing recovery efforts just on headline waiting list numbers to the exclusion of people’s needs for personalised care.
8/15 Strong focus in #StateOfCare on rising mental health need. These figures on how many more people needed support from @RichmondGroup14 member @Rethink_ paint a clear picture. This isn’t about the stresses everyone has felt. It’s a serious escalation of severe mental illness.
9/15 #StateOfCare rightly highlights huge pressures health and care staff have faced and what that implies for the future. National/ICS leaders must maintain focus on this and Govt must fund necessary workforce development. @RichmondGroup14 members keen to help relieve pressure.
10/15 The section in #StateOfCare looking at flexible responses to the pandemic paints an even starker picture of the breadth and depth of the continuing challenges than last year’s report did. We’re nowhere near normal, and @CareQualityComm has role in maintaining transparency.
11/15 Amidst the overwhelmingly gloomy picture #StateOfCare paints, @CareQualityComm has been careful to find examples of how people have done things well. I love this example of how consistent domiciliary care has supported someone with multiple conditions.
12/15 This example in #StateOfCare about how a GP practice maintained and improved the important proactive care that people with long-term and multiple conditions need shows that it can be done, even in extreme circumstances.
14/15 @CareQualityComm sets out a clear to-do list for ICSs in #StateOfCare. New system oversight role presents a big opportunity to help systems get a grip on issues like the need to tackle inequalities and population health management by using a multiple conditions lens.
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…
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:
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.
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
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
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…
2/9. I particularly like numbers 5 and 6 in the list of partnership principles for ICS Partnerships.
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.
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.
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.
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…
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.
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.