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20 Jan 2021

Immigration policy, particularly after the United. This is a. result of medical advances and a shift in policy towards providing treatment and care outside hospital. Staffing is the number one issue on the King’s Fund list; 55,000 of the 1.3 million NHS workforce and 80,000 of the 1.3 million workers in adult social care are from countries within the EU. Trusts will be supported to collaborate to improve services (for example, through provider groups) and, where appropriate, formal mergers will be green-lighted. Do you think C.C.Gs and STP should be trained on how to integrate with voluntary and support groups like ours? At the same time, the plan promises that local implementation will be led by clinicians and leaders who are directly accountable for patient care. The cost of running a virtual conference is similar to that of a physical event. What is a 'population health' approach? Taken together, these commitments signal a welcome continuation of the direction of travel set out in the Forward View, with ICSs playing an increasingly important role in planning and managing services. Tackling the growing crisis in the NHS The King’s Fund, April 2016 This report draws on a lecture delivered by Chris Ham at the Cambridge Whitehall Group in December 2015. This explainer sets out how general practices are contracted and paid in England, looking at the services they. View Course. In this explainer, we set out the main commitments in the plan and provide our view of what they might mean, highlighting the opportunities and challenges for the health and care system as it moves to put the plan into practice. Community services play a key role in keeping people well, treating and managing acute illness and long-term conditions. Our events are a key source of income, and this income enables us to continue with our charitable objectives. As part of this, every NHS organisation will set a target for black, Asian and minority ethnic (BAME) representation across its leadership team and workforce by 2021/22, aiming to ensure that senior teams more closely represent the diversity of the communities they serve. Taken together, this adds up to an ambitious agenda for change that could provide significant benefits for patients. Here’s my take on the top five things you need to know. We analyse NHS activity pre-Covid-19 and explore some of the underlying trends that lie behind these headline statistics. answer some of the most frequently asked questions we receive about health and social care. This. More accessible routes into nursing will also be introduced, including a new online nursing degree linked to guaranteed clinical placements and continued investment to support an expansion of apprenticeships, with new nursing associates starting in 2019. Access to social prescribing will be extended, with more than 1,000 trained link workers in place by the end of 2020/21. In adult services, the plan signals an extension of commitments in the Five year forward view for mental health beyond 2020/21 to 2023/24. This report from the King’s Fund provides an overview of the factors that have led to the NHS going into deficit and describes strategies being employed to restore financial balance. explainer looks at the number of critical care beds, how critical care units work and how they are staffed. Transform means to change. Sustainability and transformation plans (STPs) explained, STPs outline how health and care services will work in partnership across 44 areas of England. This is not the way forward. In addition to the focus on maternity and neonatal services, specific commitments are included to improve outcomes for children with cancer, increase support for children with learning disabilities and autism and improve children and young people’s mental health services (see below). Share this post. The plan is consistent with recent policy in signalling continued change for acute services. Work in this area should encourage bottom-up approaches that empower staff and connect the service with communities. We explored how a wide range of organisations – across local government, the voluntary sector, the private sector and local communities – have it within their power to improve people’s health. Put simply, the NHS will not be able to achieve its ambitions if it does not have the number and type of staff that it needs. There is also an ambition to shift the balance from specialised to generalist roles in line with the needs of patients with multiple long-term conditions. What is commissioning and how is it changing? These infographics illustrate some of the key statistics when it comes to leadership in today's NHS. But what are they? The second is to redesign core community mental health services by 2023/24, reinforcing components such as psychological therapies, physical health care and employment support, as well as introducing personalised care and restoring substance misuse support within NHS mental health services. This explainer looks at the community pharmacy sector in England, explaining how pharmacies are contracted and funded, the types of services they provide and future trends in the sector. Although on current forecasts the NHS as a whole is expected to be in balance in 2018/19, many individual providers and commissioners are struggling to eliminate deficits. It was done by uniting everyone for a common purpose and putting patients and patient safety at the heart. This content is taken from The King's Fund online course. A series of diagrams explaining how funding flows in the NHS and how providers are regulated and commissioned. In the meantime, however, workforce shortages remain a key risk and the plan is a missed opportunity to have taken urgent action to address this – for example on international recruitment of nurses. The role of communities in improving population health is receiving increasing, and long overdue, attention in health policy. The long-term plan marks a significant step forward in setting the NHS on a sustainable course for the next decade. Without good governance and accountability nothing will change. Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England, NHS England has recently changed the name of accountable care systems to integrated care systems. Overall, the plan’s commitments on digital and data largely confirm the existing direction of travel set in 2016 by the Wachter Review and updated in 2018 by the Future of Healthcare strategy. The King’s Fund has published an explanatory report, Fit for the Future, that sets out the main commitments in the plan. The move towards a more interconnected NHS will be supported by a ‘duty to collaborate’ on providers and commissioners, while NHS England and NHS Improvement will continue efforts to streamline their functions. National NHS bodies have not been overly prescriptive and the plan leaves welcome flexibility for local sensitivity in implementing ICSs, as well as commitments to support areas that are further behind. The NHS is mainly funded from general taxation and National Insurance contributions. When the Prime Minister announced the new funding settlement, she was clear that, over time, all NHS organisations should get back into balance. The amount of capital investment into the NHS has increased in recent years but hasn’t kept pace with. This long read sets out five priorities to help guide the approach to renewal across health and care. the state? The plan confirms the shift towards integrated care and place-based systems which has been a defining feature of recent NHS policy. and outlines seven key issues for the new standards that have been proposed for emergency departments. They include changes to the payment system to support a shift away from activity-based payments to population-based payments, although this will need to fit with ‘ring-fenced’ funding set aside for primary and community care and mental health services. Unlike some previous NHS strategies, the long-term plan does not assume that moves to strengthen primary and community care will reduce demand for inpatient hospital care. We explain how the process works and what it involves. It also recognises that NHS organisations will need to work in partnership with local authorities, the voluntary sector and other local partners to improve population health. The report explores public satisfaction with specific services including; GPs, dentistry, social care, inpatient, outpatient and A&E. The forthcoming workforce implementation plan will outline new national arrangements to support NHS organisations with overseas recruitment and explore the potential to expand the Medical Training Initiative. A 6 month wait to have a social worker visit where is this myth of person centred care. ICSs will have a key role in helping to deliver these programmes and in working with local authorities, the voluntary sector and other local partners to improve population health and tackle the wider determinants of ill health. To avoid the difficulties associated with STPs, ICSs will need to prioritise engagement with local partners, including local authorities and the voluntary sector, and involve patients and communities. Delivery on many of the plan’s flagship commitments will depend on closer integration between health and social care, but the plan says relatively little about how NHS bodies and local authorities will work together to achieve this. A short history of social care funding reform in England: Adult social care in England –unlike health care – is not free at the point of use. The King's Fund found evidence that more work is being “deflected” to nurses in GP surgeries, hospices and carers, and warned that patients are … Alongside primary care networks, the plan commits to developing ‘fully integrated community-based health care’. Watch our animation for a whistle-stop tour of how the NHS works in 2017 and how it’s changing. This is the 23rd report and aims to take stock of what has happened over the past quarter and to assess the state of the health and care system. When I was the Medical Director of Wrightington, Wigan and Leigh FT, we reduced harm to patients by 90% simply by transforming culture of bullying, racism and closed culture to an open culture, duty of candour and putting patient safety and staff happiness at the heart of everything we did. The NHS explained: how the health system in England really works | The King's Fund The commitment of the NHS to play its part in improving prevention and reducing health inequalities should be applauded but these aims cannot be achieved by the NHS in isolation. Further detail on how the commitments in the long-term plan will be implemented will be set out in a national implementation framework, due to be published in spring 2019. Illustrated infographic slides exploring the connections between housing, social care, health and wellbeing. This begins with funding: the plan reaffirms that mental health funding – provided through a ring-fenced investment fund – will outstrip total NHS spending growth in each year between 2019/20 and 2023/24 so that by the end of the period, mental health investment will be at least £2.3 billion higher in real terms. It provides a view of what they might mean, highlighting the opportunities and challenges for the system as it moves to put the plan into practice. Over the past 10 years, it has often been stated that the NHS treats more than a million. The other point is about digitalization in care. The King's Fund - On Christmas Eve 2020 a new EU-UK trade and co-operation deal was agreed. However, these are a long way from existing in the form or on the scale envisaged. A key part of the NHS long-term plan, primary care networks (PCNs) will bring general practices together to. On 7 January, the NHS long-term plan (formerly known as the 10-year plan) was published setting out key ambitions for the service over the next 10 years. More than 1,900 delegates have attended Health and care explained, ranging from chief executives of charities to NHS leaders, students and representatives from government bodies. I appreciate the size of the task for the NHS cohort, but if things are to start improving and working well again in this country we need to approach challenges like we mean business as it is obtainable in other progressive, none- English speaking European nations where they really contemplate problems critically and come up with workable solutions instead of just mere posturing and waiting for a pat on the shoulders for fair attempt. This is not because the placement is hard but because it has been made unpleasant due to the attitude of qualified staff and leadership in the ward hence students fail or quit the profession altogether. How are they funded and held accountable? It is a plan with great prospect. International recruitment in adult social care, The social care sector would struggle to function without its international workforce. While the funding settlement is a significant improvement on the constraints of recent years, it is not a panacea. With changes to legislation unlikely to take place in the short term, the immediate priority for ICSs will be to continue making as much progress as possible within the existing legislative framework. More than 1,900 delegates have attended Health and care explained, ranging from chief executives of charities to NHS leaders, students and representatives from government bodies. The plan also proposes changes to the ‘market forces factor’ (an adjustment made to the tariff to reflect the costs of delivering services in different areas), to be phased in over the next five years. There are also plans to introduce new programmes for specific diseases and conditions, and to scale up existing ones. So, as 2021 begins Siva Anandaciva looks back at the key. How Covid-19 has magnified some of social care’s key problems, The Covid-19 pandemic has not changed the fundamental problems facing social care, but it has exacerbated some of, Critical care services in the English NHS, Critical care capacity has been described as ‘the number to watch’ during the Covid-19 (coronavirus) outbreak. Richard Murray, Chief Executive of The King’s Fund, will chair the event and he will be joined on the panel by: Suzie Bailey, Director of Leadership and Organisational Development, The King’s Fund It also needs good governance and accountability for managers and leaders and also to each and every staff. For example, the number of places on the Diabetes Prevention Programme will double over the next five years. First, delivery is dependent on additional funding given that the current technology funding settlement ends in 2021. In 2015/16 the total spend on health in the UK was £140.6bn, nearly 11 times more than when it was established in 1948, in real terms. Partnerships between the NHS and local government will be key to delivering improvements in population health. An alternative guide to mental health care in England. This explainer looks at the community pharmacy sector in England, explaining how pharmacies are contracted and funded, the types of services they provide and future trends in the sector. If staff feel valued and their working conditions are satisfactory they will be recruited and retained. Significantly, the plan indicates that the NHS and government will consider whether the NHS should have a ‘stronger role’ in commissioning sexual health services, health visitors and school nurses (currently commissioned by local government). In this video Sally Warren, Director of Policy at The King’s Fund, provides an overview on how the COVID-19 will impact the NHS in the long-term. We're doing it now, over half of episodes now starting digitally. Delivering it will require skilful leadership and a concerted effort to involve patients and communities. The plan pushes health inequalities firmly up the agenda. As part of this shift, the plan focuses on personalisation. People with multiple long term conditions are not getting the support they need is it any wonder why they turn to the hospitals for help and why our hospitals are under pressure and can’t cope. National bodies have an important role in removing barriers to local implementation. Local areas will need to set out how they will achieve this, drawing on a menu of evidence-based interventions developed by NHS England, Public Health England and others. This content relates to the following topics: One of our organisational goals is to be a valued source of information and insight. This content relates to the following topics: On 7 January, the NHS long-term plan (formerly known as the 10-year plan) was published setting out key ambitions for the service over the next 10 years. Overall, the long-term plan amounts to an ambitious set of commitments within the constraints of the funding available. There will also be a review of the Better Care Fund. clocking in at a weighty 120 pages. What's the NHS annual budget? The NHS app will act as a gateway for people to access services and information; by 2020/21, people will be able to use it to access their care plan and communications from health professionals. We'll tell them for nothing if they ask. The plan signals changes to the configuration of hospital services. Accident and emergency (A&E) waiting times are one of the most high-profile indicators of how hospitals are performing. For nearly a decade, the NHS has experienced a significant slowdown in funding growth, while demand for services – and the cost of delivering those services – has grown rapidly. In contrast to the Forward View, the plan is relatively silent on how the NHS will work with communities and engage patients and the public in shaping services. For example, NHS Digital’s latest estates publication tells us that two NHS hospitals still use coal-fired boilers; the occupied floor area of Addenbrooke’s Hospital would cover 58 football pitches; and Barts Health NHS Trust spent £13.9 million on inpatient food in 2019/20. Most of these actions will take time to deliver and much is left to the new national workforce group and forthcoming workforce implementation plan to address. The NHS would not be able to function without its international workforce, who account for 1 in every, On a like-for-like basis, spending on public health will actually fall by 5.2 per cent, from £2.6 billion, Adult social care funding and eligibility. created in 2013 as part of sweeping reforms aimed at improving services by increasing competition What's the NHS annual budget? There are also high expectations on primary care networks as the key mechanism for delivering the expansion in primary and community services outlined in the plan. The King's Fund response to the NHS long-term plan. Potential benefits include: fewer handoffs and referrals for patients receiving care in the community; more NHS support for people in care homes; better access to services spanning mental health, general practice and community crisis response teams; fewer trips to outpatient appointments; more services and information available online; and more opportunities for people to make decisions about their own care. The King's Fund - On Christmas Eve 2020 a new EU-UK trade and co-operation deal was agreed. This updated. There is also a focus on ‘getting the most out of taxpayers’ investment’ in the NHS – to be delivered in part through productivity growth of at least 1.1 per cent a year for the next five years. Appropriate support the mere dissemination of information comment the plan signals continuity rather than change an... Working out who is responsible for what – improving care for patients their own often fail deliver. 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