NHS Confederation sets out steps towards new plan for NHS in England

02 July 2018 – NHS Confederation

On the eve of the 70th birthday of the NHS last week, the NHS Confederation is setting out 10 steps towards a new plan for the NHS in England.

Niall Dickson, Chief Executive of the NHS Confederation said:

“We have welcomed the long-term funding settlement outlined by the Prime Minister and the extra money it will mean for the NHS and now the focus must be that it is put to the best possible use.

“This cannot simply be by propping up current ways of working but must mean extra funding is spent transforming the system, integrating health and social care and developing better support for people living with long-term conditions in the community.”

10 steps towards a new plan for the NHS in England  
The NHS Confederation wants a national conversation about what the UK wants and can expect from the health service in England over the next 10 years. Crucially this needs to involve those who use and those who work for the service. We propose 10 actions which would underpin specific priorities for a new plan. The plan itself would set clear outcomes for patients and for the NHS over the next decade.

1. Healthcare to be patient-centred, with more focus on primary care, community health services and social care, all of which can assist with keeping people in their own homes

2. To invest in new models of care in the community which can reduce the pressure on hospitals, rather than using extra funds to support the existing system which will not be able to cope with rising demand.
3. To must devise national and local strategies to recruit – and just as importantly – retain essential staff. That means flexibility in recruiting from at home and abroad – a relentless focus on retention and investment in professional development.

4. To wage a war on unwarranted variation and streamline administrative support and back office services. To identify what works and share ideas and innovation across the service.

5. We must update legislation to create simpler structures that enable organisations to work together for patients. Patients want to understand who is responsible for local services and how they can be held to account. The current system is a patchwork of confusion.

6. To put mental health on an equal footing with physical health by investing so that more people with mental health problems, including children and young people, are treated quickly and effectively.

7. To invest in social care and integrate health and social care services. The levels of unmet need in social care cause suffering and increased demand on the NHS.

8. To have a national settlement with local government for commissioning properly integrated local services – knocking down barriers and shaking off the silo working of the last 70 years.

9. To help manage demand for healthcare by investing more and more effectively in public health interventions that promote health and prevent illness.

10. The public have to be consulted and clinical staff must be involved in points 1-9, shaping the NHS long-term plan and transforming the services they deliver.


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