🆕 Q&A: With the new 10 Year Plan for the #NHS featuring a central role for neighbourhood health teams, we spoke to @theasrstein.bsky.social about what they are and what needs to happen for them to be successful. www.nuffieldtrust.org.uk/news-item/ne...

Neighbourhood health teams: a Q&A with Thea Stein

With the new 10 Year Plan for the NHS featuring a central role for neighbourhood health teams, we spoke to Thea Stein about what they are and what needs to happen for them to be successful.

nuffieldtrust.org.uk

In both print and online versions of today’s @financialtimes.com, our Chief Executive @theasrstein.bsky.social says the vision behind the 10 Year Health Plan is the right one. The ambition for England’s NHS is clear, but it will be harder to achieve. www.ft.com/content/eeff...

NHS plan is long on the ‘what’ and short on the ‘how’

The vision of community healthcare is right but marred by the belief it will save money

ft.com

I wrote on linkelfin about one of the “leaks” on the 10yp www.linkedin.com/posts/thea-s...

Yesterday I did three radio/TV interviews about leaked proposals from the 10YP. | Thea Stein

Yesterday I did three radio/TV interviews about leaked proposals from the 10YP. I was asked in all three for my view on the withholding of money from hospital payment when a patient says they are diss...

linkedin.com

Through #QualityWatch, we're tracking over 200 indicators to find out whether the quality of health and social care in England is getting better or worse. The latest indicator updates cover A&E waiting times, NHS dental services and cancer screening, among others 👇

Indicators

nuffieldtrust.org.uk

NEW: The latest analysis from our #QualityWatch programme with @nuffieldtrust.org.uk​ explores a range of factors affecting working-age women’s health. Read more ⬇️

Silence, sexism and stigma: The state of working-age women’s health in England

Women spend more years of their life living in poor health than men, including through their working years. This QualityWatch data story shows how the burden of disease affects working-age women and men differently. It considers the health conditions and societal issues behind some of these differen...

bit.ly

The latest data on #NHS performance is now available to view on our #QualityWatch dashboard, updated each month. Includes performance against key targets in A&E and access to planned treatment. View the dashboard: buff.ly/5xIF5sK

📢 Calling all ICS strategic staff at #NHSConfedExpo working on community-based care, inequalities, or support for older people 🏘️ Take part in our survey for the CQC and inform this year's State of Care report 📋 Survey link 👇 forms.office.com/Pages/Respon... Deadline 25 June

He articulated clearly that the only way to turn things around in the ailing health service is by working collaboratively. We saw none of the previous language of “blockers and checkers” or implication that the health service was anti reform. In fact the opposite.

He gave a flavour of what’s to come in the forthcoming 10 year health plan - and in many ways it’s back to the 2000s (but without the money): a greater role for NHS regional tier, Foundation Trusts, financial incentives.

The diagnosis that sits behind this is that bureaucracy and top down control are at the heart of the NHS’s problems. There is no doubt that looking upwards and numerous onerous reporting requirements have not always served the NHS and its patients well.

But there is little evidence that simply changing structures leads to better health outcomes. This will be something to watch when the 10YP is finally published. Are structural solutions expected to do the heavy lifting for what is essentially a huge cultural shift in how the health service works?

Also interesting remarks from Streeting in the Q&A about how he has worked to improve relations between the DHSC, NHS and HMT. Tensions between these Depts have undoubtedly had a big impact in the past as the excellent @markgdayan.bsky.social has argued www.nuffieldtrust.org.uk/news-item/nh...

It will be an interesting few months. And thanks to @danielreynolds.bsky.social @confedmatt.bsky.social and the wider Confed team for a v impressive conference.

It will be interesting to see if this more collaborative and friendly tone from SofS sticks when the rubber hits the road in the face of continued financial pressures. Will the language of blockers and reactionaries return when difficult things are revealed to be difficult?

So what are the takeaways from @rthonwesstreeting.bsky.social address to @nhsconfed.org today? 1) a significantly more partnership-based approach to the leadership & staff of the #NHS. Good. They are crucial to delivery of any plan

So what are the takeaways from @rthonwesstreeting.bsky.social address to @nhsconfed.org today? 1) a significantly more partnership-based approach to the leadership & staff of the #NHS. Good. They are crucial to delivery of any plan

Proud of our small but mighty think tank @nuffieldtrust.org.uk today. Our remarks on the SR were put to Rachel Reeves on the Today programme today. And Wes Streeting starts his speech at #NHSConfedExpo by referencing our analysis with @thekingsfund of British Social Attitudes

Which parts of England are worst affected by poor child dental health? Find out about our new analysis here. 👇🦷 @stutibagri.bsky.social #dentistry #oralhealth www.the-dentist.co.uk/content/news...

Child dental decay rates highest in London and northern England - The Dentist

The Nuffield Trust has published a new analysis on the state of child dental health across different regions of England.

the-dentist.co.uk

This is really excellent. Too many pertinent points to pull individual quotes out, but should be read by anyone and everyone working on the 10 year plan for the NHS. Change isn't driven by structures, it's led by people.

James Plunkett@jamestplunkett.bsky.social · last yr.

Some thoughts sparked by a great event in Leeds yesterday on neighbourhood health and the UK government's Test, Learn and Grow intiative. How do we make neighbourhoods engines of change? medium.com/@jamestplunk...

Please read this thread q out the terms of reference on the casey review from my colleagues,too important to overlook on a sunny friday afternoon …. bsky.app/profile/cami...

Camille Oung@camille-oung.bsky.social · last yr.

The terms of reference for the Casey Review have been launched today, with a focus on building consensus over tangible recommendations to improve adult social care over the next ten years. A few takes from me and @cglobont.bsky.social .social & @natashacurry.bsky.social: www.gov.uk/government/p...

Phase 2 (long-term recommendations) of the commission is only mentioned briefly. This gives Baroness Casey more freedom to set the direction it will take as evidence is gathered by the team. Given the urgent need for reform, we hope to see firm plans, not just options for consideration, by 2028.

The commission will sit under the Cabinet Office, which should support its independence – acknowledging also the role of govt departments beyond DHSC: the Treasury, MHCLG & DWP. Strong & decisive leadership will be key to develop a coherent implementation plan recognising these interdependencies.

There are risks that financial pressures in the sector will escalate as the commission begins work. It’s too early to understand the impact of the new Employer National Insurance regime, but it could have potentially devastating implications for providers www.nuffieldtrust.org.uk/news-item/wi...

Will the Autumn Budget push the social care sector beyond breaking point?

While the recent budget brought better news for hard-pressed public services, social care was not so lucky. With many organisations fearing that changes to the Employer National Insurance Contribution...

nuffieldtrust.org.uk

It’s good to see the TORs include the interactions between the Fair Pay Agreement & Employment Rights Bill. We also note the mention of the interface between health &social care – watch out for our work on CHC highlighting the existing and oft ignored challenges that urgently need to be addressed

But there are risks that the narrow ‘focus to support the health mission’ - esp on elective care waiting lists & delayed discharges - means social care once more being lost to NHS priorities. It will be difficult to see results when social care is only one part of the puzzle: shorturl.at/oQSdR

Delayed discharges from hospital

We look at the number of patients experiencing delayed discharges from acute hospitals, their reasons for delay and where bottlenecks are most apparent.

nuffieldtrust.org.uk

It’s good to see the TORs allude to giving more power to people and their carers. While a positive broad intention, we hope that the commission also doesn’t lose sight of what adult social care is meant to achieve: supporting people and their carers to live independent and fulfilling lives.

...The financial envelope will need to offer enough scope to truly enable change, not just redirect existing financial flows.

A national conversation is welcome to raise the visibility and awareness of social care among the public. But reaching consensus may prove ambitious, particularly when recommendations will need to be set within the constraints of the spending review...

The terms of reference for the Casey Review have been launched today, with a focus on building consensus over tangible recommendations to improve adult social care over the next ten years. A few takes from me and @cglobont.bsky.social .social & @natashacurry.bsky.social: www.gov.uk/government/p...

Independent commission into adult social care: terms of reference

gov.uk

What do Bob Dylan and Taylor Swift have to say about NHS reorganisations? Join our webinar with @theasrstein.bsky.social to find out, and for insights on why some change programmes succeed and others struggle. 28 April, 12-1pm. Sign up: www.kscopehealth.org.uk/event/track-...

Track changes: notes for change that works - Kaleidoscope Health and Care

If the NHS was on Desert Island Discs, our bet is that songs about ‘change’ would feature heavily. You can hear it now, as Sam Cooke tells us it’s gonna come, Dylan tells us it’s happening while Bowie...

kscopehealth.org.uk