Neil Tester Profile picture
Feb 2 5 tweets 4 min read
Thread 🧵
Two months from today, I’ll be walking solo along the 26 miles of the London Marathon course to help @TrussellTrust in its #RaceAgainstHunger. Talk of #LevellingUp today, so I’ve been reflecting on links between food insecurity and health. 1/4
trusselltrust.enthuse.com/pf/neil-tester…
2/4 The UK Poverty 2022 report by @jrf_uk sets out the size and consequences of this problem. Strong resonance for me with the things I’ve worked on at @RichmondGroup14 in relation to health inequity and multiple long-term conditions.
jrf.org.uk/report/uk-pove…
3/4 The @jrf_uk report sets out really clearly what food insecurity does to people’s health and how it links to wider economic causes and effects. Food insecurity Why is this important? Food security is not Understanding Society data (Bramley et al, 2021) collected d
4/4 This section of the @jrf_uk report says it all. People need immediate practical help as well as policy change. @TrussellTrust works on both. That’s why I’m taking part in the #RaceAgainstHunger. It would be amazing if you could help. trusselltrust.enthuse.com/pf/neil-tester… What are the future prospects? The key factor in all of this
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More from @NTtweeting

Oct 22, 2021
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 Cover of CQC report: The state of health care and adult soci
2/15 Throughout #StateOfCare I can see signs of how closely @CareQualityComm has listened to what @RichmondGroup14 and other voluntary sector organisations have said consistently during the year. Also good to see insight from @ageukcampaigns @Rethink_ @RedCrossPolicy being used.
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. Text from State of Care foreword: “The alternative is thatText from State of Care foreword: “Increased stability in
Read 15 tweets
Sep 24, 2021
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
Read 7 tweets
Aug 10, 2021
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
Jul 28, 2021
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
Jun 16, 2021
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
Feb 11, 2021
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

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