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Some initial thoughts on the leaked NHS white paper: THREAD
The vision of a more accountable, patient-centric and financially sustainable NHS is obv right… which is probably why the current Gov isn’t the first to aim for it
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The vision of a more accountable, patient-centric and financially sustainable NHS is obv right… which is probably why the current Gov isn’t the first to aim for it
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ICSs are a promising model, & WP has some good enabling stuff around shared governance across primary & secondary care (joint committees and appointments). Duty to collaborate also good
BUT....
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BUT....
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still v dep'nt on ppl making this work– about culture. Long been a duty on agencies to share data relating to safeguarding yet not always done financial arrangements essential – primary, secondary & social care all have dif funding models, incentivising dif behaviour3/
Accountability: right that it's strengthened. Gov should be clear about vision for healthcare & to be able to deliver agenda
BUT: big dif btwn setting priorities (good) & taking operational decisions (bad). SoS shouldnt be making decisions about local hospital closures
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BUT: big dif btwn setting priorities (good) & taking operational decisions (bad). SoS shouldnt be making decisions about local hospital closures
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PLUS: what about local accountability? Who will drive the WP aspiration of more place-based care (central gov not well placed to do that)? Might greater devolution be more effective?
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Compet'n & bureaucracy: no brainer that needless/too frequent procurement shd be stripped out, BUT doesn’t mean no place for ind'nt sector providers
Lots of grt provision by not-for-profits & real concern that NHS will simply bring all in house– not nec best for patients
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Lots of grt provision by not-for-profits & real concern that NHS will simply bring all in house– not nec best for patients
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Oh, and WE NEED A PLAN FOR SOCIAL CARE. Not another promise that one is coming.
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7/7
