Thread by @NTtweeting

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

https://twitter.com/nttweeting/status/1491324063192850432

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.

4/10 Hallelujah! Needs of people with multiple conditions at the centre of the discussion of what makes for good outcomes. Now let’s lock that in, please.

5/10 This bit sounds good but, to paraphrase Keith Waterhouse, tells you nothing other than that someone sat at a keyboard and typed those words. Imagine anyone ever saying the opposite? No, I thought not. Much more clarity needed on *how* and *when*.

6/10 This section is a good, clear articulation of the problems as people experience them. Good to see it ranging beyond health and social care into housing, for example. It really feels like someone’s read @RichmondGroup14’s #YouOnlyHadToAsk report: richmondgroupofcharities.org.uk/sites/default/…

7/10 This is right. So @DHSCgovuk @NHSEngland @CareQualityComm need to apply the multiple conditions lens across these initiatives as recommended in @RichmondGroup14 response to #YouOnlyHadToAsk: richmondgroupofcharities.org.uk/sites/default/…

8/10 It would be fair to say that the White Papers reads in several places as though it was brought forward to be part of this week’s announcement-fest and didn’t get a complete proof-read. But I think this bit is trying to recognise that VCS are part of the workforce picture.

9/10 Digital aspirations form a key plan of the White Paper, and progress on this front would help a lot. But I recognise lots of this from the National Information Board vision for *2020* that I led on writing at @HealthwatchE in 2017. Momentum, please.
healthwatch.co.uk/report/2017-10…

10/10 Finally, it goes without saying that, as with everything else, the workforce bit needs a funded plan rather than just some musings on approaches.

@threadreaderapp unroll, please

*plank*

I see my tweet also needed better proof-reading.