mightydredd.bsky.social
Freelance research, policy advice, project delivery on person centred care, patient engagement, NHS policy, voluntary sector, coproduction, coordinated care. Former policy director, National Voices. Luna the setter is my helper.
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Patients’ groups and charities have told NHS leadership many times over decades what they want coordinated care to be like. Leaders have even adopted their goals and narratives. But the NHS is simply incapable of reorganising in response to expressed demand.
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Is that really a part time role?
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Eventually called by a nurse after 70 minutes and shown into a cubicle. Where we’ve since waited another 30minutes
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Given that the family came from Rwanda after the genocide of up to 1 million people, you have to wonder about the impact of generational trauma
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Puskas
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Ducatti
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Is it possible *both* to 'deliver a monumental increase in NHS activity' *and* fundamentally to change the way care is delivered?
Can the NHS change to the Universal Personalised Care model outlined in the Ten Year Plan while its leaders scramble to avoid shaming for missing waiting times targets?
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The NHS one is deeply disappointing - an amelioration in the perennial tension of demand vs supply. If Wes Streeting's emphasis on #prevention was really the mission, then the objective would be a healthier, happier population
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In some households, it's still 1978 (the year I was beaten up by skinheads while waiting to get into a The Beat gig)
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*too*
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I don't see that changing, since for the most part the VCSE sector doesn't compete to provide like for like replacement services but wants to do things differently; while NHS procurement is about rationing to try to maintain services that are in top short supply
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Most of the 'good things' that have happened with the VCSE sector are done through grants and partnership funding, cf the Wigan experiment
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So-called commissioning has failed in most of the things it was supposed to produce, but especially in creating partnerships with non-NHS orgs.
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Which, among other things, is why the hospice sector is so underfunded - NHS pays for some beds but wants to squeeze more value each time the contract comes up, rather than ever 'recommissioning' palliative care in a system
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All NHS commissioning and procurement orgs are required to have a 'social value' policy but less than 15% make proactive use of it, and then for relatively small contracts. Most 'commissioning' in the NHS actually consists of merely tweaking & rolling forward existing contracts