🧵 1/6 The Integration White Paper arrives today. We’re in the limbo of being told by this @DHSCgovuk press release what it’s going to do, while having to wait until this afternoon to see how it says it’s actually going to do it. I’ll be looking out for… gov.uk/government/new…
2/6 Agree with Paul Najsarek of @Solace_UK that the voluntary and community sector is a key part of this vision. @NHSEngland ICS design framework recognises that takes funding. Will @DHSCgovuk@luhc act accordingly? Hope so. Not holding my breath. Surprise me!
3/6 I’ve spent years banging the drum about the multiple conditions challenge, so I’m glad the press release aspires to tackle it. Hope White Paper puts meat on bones. Great examples of how to think differently in @RichmondGroup14 Guidebook and update: richmondgroupofcharities.org.uk/sites/default/…
4/6 Good to see the teaser release picking up on the burden shouldered by people with multiple conditions and on the challenges staff currently face. So I’ll be looking out for substance on this in the White Paper.
5/6 This idea about single accountability has been floated before so it will be interesting to see in the White Paper how it’s expected to work in practice and whether it works with the grain of ICS development or lobs in a grenade.
6/6 Let’s see what this afternoon brings. There are lots of positive things in the vision in the press release. But it uses the word “could” too often for my liking. Much of the content consists of thinking and work that’s been going on for years. Real action today or more words?
So the actual White Paper has now appeared: gov.uk/government/pub…. I’ll leave the experts to ponder the vagaries of what it might really mean for pooled budgets, single accountability etc, but here are some instant-ish thoughts. 🧵 1/10
2/10 Overall, don’t think anyone will disagree with most of the ambitions but I can’t see many people saying that this is the clear, funded, holistic plan that’s needed to realise the vision. I’d rather have a light shone on these issues than not. But solid action’s better.
3/10 The national priorities in this shared outcomes framework need to articulate what will improve for people with multiple conditions, at the sharp end of inequality. And when local leaders agree their local outcomes, that has to be *with* communities, not just *for* them.
Thread 🧵 1/5
It’s never reassuring when people’s health needs have to wait in a queue behind political considerations. What’s trailed here will help but fundamentally people need the money unlocked so the NHS can move lists forward with the wider plans. thetimes.co.uk/article/2a4afd…
3/5 Tackling waiting lists quickly and well must be central for the NHS. An end to the physical and mental pain so many people suffer while waiting for treatment can’t come too soon. We’re being told today that “the grown-ups are in charge” of government. A chance to prove it.
2/4 Local population data on people with multiple conditions could provide a useful proxy to generate the focus Charlotte writes about. Resonates with @RichmondGroup14 work in this webinar series: and this report: richmondgroupofcharities.org.uk/sites/default/…
3/4 Yes, workforce issues, but much boils down to how general practice frames its approach. This e.g. from @RichmondGroup14 update of Multiple Conditions Guidebook shows how @padsbigsis + colleagues continued Year of Care work virtually during pandemic: richmondgroupofcharities.org.uk/sites/default/…
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.
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.
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: