Chris Hopson Profile picture
CEO @NHSProviders. West Ham fan. Husband. Dad. Wine. Good Food. Theatre. Books. Walking. Travel. The Lake District. Not necessarily in that order.
Dame Chris🌟🇺🇦😷 #RejoinEU #FBPE #GTTO🔶️ Profile picture Graham Phillips: The Pharmacist Who Gave Up Drugs Profile picture Charlie Helps FRSA 🖤💙💛 Profile picture Paddy Boocock #JohnsonOut Profile picture Peter English #FBPE Profile picture 17 added to My Authors
Apr 17 25 tweets 6 min read
1/25 NEW THREAD. Where's NHS up to? Flat out, doing its best for patients, as ever. But struggling with covid and impact of long term fault lines. Concerning pressure, despite front line effort. Sits alongside interview today with @thesundaytimes : bit.ly/3jIXNIy 2/25 At last week’s @NHSProviders Board, 20 experienced chairs & CEOs from all NHS geographies & sectors universally agreed this was longest and most sustained period of NHS pressure they had seen in their careers. Incredibly grateful, yet again, for commitment of staff but...
Feb 13 24 tweets 6 min read
There’s been a lot of discussion this week on the potential future size of the NHS elective waiting list, the link to extra NHS investment and what are legitimate and realistic expectations of the NHS, given the context. A new thread from an NHS perspective. 1/24 Two quick starter points. This mustn’t just be about elective backlogs – the backlogs in mental health and community services are just as important and need focus and attention too. Trust leaders also very clear about need to clear backlogs as fast as possible…2/24
Feb 7 25 tweets 6 min read
Lots of media today on NHS elective recovery plan. New thread on what NHS trusts need to tackle care backlogs across all services. Why elective plan is important but some details taking time to finalise. How much NHS is doing to tackle backlogs and prioritise this work. 1/25 Key starting place is, as ever, the patient. Despite trusts’ best efforts NHS now has record care backlogs due to covid disruption. NHS regularly reports, in detail, on surgical/cancer waits. But significant and important care backlogs in community and mental health too. 2/25
Jan 8 19 tweets 5 min read
NEW, largely data led, thread for 8 Jan. @NHSProviders we particularly concentrate on the daily covid-19 hospital inpatient data: england.nhs.uk/statistics/sta…. It’s the key public, daily, up to date, source of relevant data on “what does hospital demand pressure look like?” 1/19 Lots of caveats. Only hospital data, when pressure is across whole health & care system. Just looks at covid caseload, which is only part of hospital pressure. Only national/regional level data - very aggregate, top level, data points. Only looks at demand side of equation…2/19
Jan 5 24 tweets 5 min read
NEW thread 5 Jan. SUMMARY. NHS stretched like never before. London still showing lower hospitalisation growth. But growing concerns that the assumption the rest of country will match London pattern may be wrong. Also must recognise impact of pressure on patients & staff. 1/24 Thread covers today’s data (5 Jan '22) and important intel gathered in last 24 hours from CEOs outside London. Looks at how to best describe and calibrate NHS pressure. Also why we need to be open, clear and transparent on how serious current pressure is and its impact… 2/24
Jan 3 25 tweets 5 min read
Another, NEW, update thread for Mon Jan 3, given fast moving NHS situation. Looks at NHS pressures incl staff absences, covid caseload & what trusts are doing to meet pressure. Particular emphasis on latest hospitalisation data and why trusts may declare critical incidents. 1/25 When, in past, NHS has got pressured, it’s often been difficult to calibrate how serious / widespread the pressure is. There’s understandable, and important, focus on trusts that are under particular pressure and difficult individual frontline staff and patient testimony. 2/25
Jan 1 25 tweets 5 min read
Another, new, update thread on where the NHS is up to, given fast moving situation. Draws on latest performance and covid data and recent intelligence from trust CEOs. Also looks at staff absences, access to tests and NHS work to create extra surge capacity. Happy New Year! 1/25 COVID INFECTIONS AND HOSPITALISATIONS. Latest infection data shows rapid increase in community infections. Now turning, as expected, into increasing numbers of hospital admissions. 31st Dec data shows fifth day in a row of c1,000 extra new patients with covid in hospitals 2/25
Dec 30, 2021 11 tweets 2 min read
Short🧵on NHS covid surge capacity and how it would be staffed as this seems to be one of the NHS media topics of the day. It is important to understand the purpose and context in which NHS trusts will use extra covid surge capacity as this is linked to the staffing model. 1/11 As English NHS trusts demonstrated in January this year, when treating 34,000 simultaneously hospitalised covid patients, each trust has a well established surge plan. This uses wards usually occupied by planned care patients and, for more seriously ill patients... 2/11
Dec 30, 2021 19 tweets 4 min read
Covid-19 keeps throwing up policy decisions requiring difficult judgements between competing objectives. Reducing covid isolation from 7 days to 5 is another one of these. There is often no “obvious single right answer” to these complex decisions, whatever some argue…1/19 They are judgement calls where Government and their advisers need to weigh up very different, often incomplete / uncertain and sometimes contradictory forms of evidence. New thread setting out the factors from an NHS perspective to try to inform public debate here...2/19
Dec 27, 2021 19 tweets 4 min read
How's NHS doing at moment in relation to omicron and other pressures? New thread based on latest data. Note that we prefer to use numbers of covid-19 patients in hospital, rather than new admissions, as two days more up to date and better represents whole picture...1/19 Trust leaders looking at data very carefully. Number of patients with covid-19 in English hospitals is definitely rising, but not precipitately so. Numbers across country as a whole have risen by 27% in a week - comparing figures for 27 December (released today) to 20 Dec...2/19
Dec 22, 2021 10 tweets 2 min read
We need to give proportionate focus to daily London hospital admissions data. The data is important as it should give the earliest clinical evidence, and a good sense, of likely severity of omicron and hospitalisation/mortality rates for the specific UK context...1/10 But we also need to take a much broader view of NHS pressure. All demand - non covid as well as covid care. Level of staff supply, including level of staff absences. And recognise that the NHS isn't just about hospitals - health and care is an interconnected system...2/10
Dec 18, 2021 6 tweets 1 min read
London NHS pressure mounting rapidly. Hospitalised covid patients up 30% in week vs national 4%. At 1,534 yesterday (vs 8k in Jan'21 peak). Covid linked staff absences up 140% from 1,900 Sunday to 4,700 Thurs. Some trusts now having to postpone non essential activity 🧵..1/6 Trusts beyond full stretch doing three things at once, each of which is a massive task by itself. Cope with huge pressure in non-covid care (e.g. urgent care and care backlogs). Exponentially expand booster vaccination campaign, at top speed, working with local govt partners..2/6
Dec 14, 2021 26 tweets 5 min read
Will NHS meet the end December booster challenge? Incredibly stretching & ambitious target. Huge logistical issues that are much more complex than many realise. But vital to protect the nation’s health given what's coming. So NHS will do everything we can to meet it. New🧵1/25 Thread sets out 1. Why this scale of ambition is so vital. 2. What NHS is currently doing, at pace, to meet this ambition. 3. Elements of mission NHS leaders think will be most difficult to deliver. 4. Best current guess on likelihood of meeting target. 5. Advice for public. 2/25
Dec 12, 2021 25 tweets 4 min read
How’s NHS? Staff completely flat out & beyond full stretch. Busier than ever before at this time of year. Major workforce/demand challenges. Before full impact of winter/omicron. Worrying. But as committed as ever to providing outstanding patient care to all who need it!🧵. 1/25 Five features of current pressures, each explored below. 1. NHS staff working very hard delivering high levels of activity despite context/constraints. 2. Pressure universal across entire health & care system. 3. Pattern of pressure very different to this time last year...2/25
Nov 14, 2021 25 tweets 6 min read
1/25 New report from @AACE_org on the impact of ambulance handovers on patients. @Independent story here:
independent.co.uk/news/health/am…. Thread below on the broader context and why everyone in the NHS needs to help rebalance current levels of risk to protect patients. 2/25 In the words of one senior national NHS leader last week “we have all become used to the ambulance service being the brilliant bedrock of the urgent and emergency care pathway. Always providing a fantastic, rapid, quality of care whatever the level of pressure”.
Nov 2, 2021 14 tweets 5 min read
1/14 Brilliant visit to @SurreyDownsHC, part of @SurreyHeartland ICS today. Very impressed with the excellent progress they have made in actually integrating services on the ground, delivering better care and improving outcomes. Thread below with what particularly impressed me. 2/14 Impressed with the way that the @SurreyDownsHC’s vision for integration starts with concrete action to improve services. Of course governance, finances and structures are important. But they start with a data driven understanding of the needs of their population…
Nov 1, 2021 5 tweets 1 min read
1/5 Thanks for everyone's responses to my thread / your contributions to this important debate. They show how complex this issue is and how there are strong views here, understandably. Three quick thoughts in response to some of the comments that have been made. 2/5 A. The patient perspective is, of course, vital. There will be many patients who will feel very strongly that they have a right to be treated by staff who have been vaccinated. Equally, there are some staff who feel very strongly it is their right not to be vaccinated...
Nov 1, 2021 13 tweets 3 min read
1/13 Possible Government will announce approach on mandatory NHS staff vaccination this week. Consultation has now closed. A complex issue. Tweet thread follows, based on conversations with, and intelligence from, trust leaders. There are differing views in trust sector… 2/13 Our intelligence suggests c2/3 of senior trust leaders - hospitals, mental health, community & ambulance - favour mandation & 1/3 don't. Everyone agrees there are two risks to manage here, not one. Not just the risk of covid/flu cross infection from unvaccinated NHS staff….
Sep 2, 2021 19 tweets 7 min read
1/19 Media reports suggest Govt now finalising health & care part of spending review and we're heading for a potential £5 billion NHS funding gap next year. We've issued a new report today with @NHSConfed showing why frontline NHS needs £10bn extra next year. New thread follows. 2/19 Bit of background context first. The NHS budget for five years, including next year and the year after, was set in June 2018, before covid. Over the last two years the Government has suspended those plans and given the NHS the extra money it needed to deal with covid…
Aug 12, 2021 10 tweets 4 min read
1/10 Important new joint report with @AACE_org on ambulance services released today.

Report: nhsproviders.org/media/691897/r…

Blog by @daren_mochrie & me here: hsj.co.uk/quality-and-pe…

News story by ever wonderful @AliJaneMoore here: hsj.co.uk/service-design…

Quick ( 🤣) thread follows. 2/10 It’s a very good time to talk about ambulance services given the unprecedented pressure they have been under for the last two months. This is a clear warning sign that we have to address the underlying demand / capacity mismatch ambulance services face. Risks increasing..
Aug 11, 2021 12 tweets 2 min read
1/12 NHS monthly stats due out tomorrow. Although the number of covid hospital cases is significantly lower than many were predicting/fearing, the NHS is still under huge pressure due to a combination of six factors. Stats will show this tomorrow. Shorter thread (🤣) follows! 2/12 Particularly important to understand that every part of NHS is under pressure. Hospitals, ambulance, community & mental health services and general practice / primary care. Many CEOs saying that although the shape of the pressure is different, it feels as busy as Jan/Feb…