We’ve avoided the question of what a fair and just NHS should prioritise for far too long. In the absence of clarity, those with the greatest resources and loudest voices often prevail. Not just in the waiting room, but also in setting the agenda (1/4) >> - ThreadSky

sallygainsbury.bsky.social • 163 days ago

We’ve avoided the question of what a fair and just NHS should prioritise for far too long. In the absence of clarity, those with the greatest resources and loudest voices often prevail. Not just in the waiting room, but also in setting the agenda (1/4) >>

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sallygainsbury.bsky.social•163 days ago

Wes Streeting this week suggested that one priority for him was getting “sick Brits back to work”. Bevan similarly hoped the NHS could pay for itself and was sorely disappointed (2/4)>>

emmavardy2.bsky.social•146 days ago

What I don't understand is preventing conditions that stop people from working. Eg long covid. Why are working age people not included in vaccination group for COVID, Inc NHS workers.

sallygainsbury.bsky.social•163 days ago

We cant avoid these difficult questions about how to fairly allocate scarce resources by pretending we can instead just increase spending: no matter how much we do that, we will always want more from the NHS than it can provide (3/4) >>

sallygainsbury.bsky.social•163 days ago

The “big conversation” ministers plan around the NHS 10 year plan urgently needs to involve wide public involvement in setting out the values that should apply when prioritising resources and how competing values should be balanced. A blog from me here https://www.nuffieldtrust.org.uk/news-item/health-care-prioritisation-no-easy-answers-but-plenty-of-difficult-questions (4/4)

talentcoop.bsky.social•163 days ago

and a raft of grey areas....
Dentistry
Clarity in seeing Private Consultant, getting priority NHS treatment?
Reasonable treatment times?
Vanity treatments on NHS?
Could a degree of payment for services be appropriate. It's now far from service at inception
All pieces of jigsaw need
refit.

talentcoop.bsky.social•163 days ago

Such an important issue to define Health. For me:
1. Physical - from infection, to Maternity, to Emergency to Surgery & maintenance
2. Prevention - Self care diet, exercise, mental wellness, lifestyle
3. Disability support - Physical
4.Disability support - mental
(Not numbered by importance)

emmavardy2.bsky.social•146 days ago

Another issue is new treatments.
'Old' diseases v 'new'.
Eg medical conditions on medical exemption, drawn up in 1968.
Does not include genetic conditions but does include hormonal deficiencies.
A conversation that is much needed imo (disclaimer, daughter has pku)
https://www.nhsbsa.nhs.uk/check-if-you-have-nhs-exemption/medical-exemption-certificates

talentcoop.bsky.social•146 days ago

Yes very fair comment 💞

talentcoop.bsky.social•163 days ago

You'd imagine the priority would be getting
sick Brits back to health...
That being the foundation of living life and the springboard for being able to work.

clairedocdavies.bsky.social•146 days ago

We don’t seem to be able to have a grown up conversation about this as a country

jessiecunnett.bsky.social•163 days ago

Thanks for writing snd sharing. So much in there to consider and your challenge about where and how people are able to engage in their own health and care is very well made.

emmavardy2.bsky.social•146 days ago

And what precludes some from engaging including healthcare inequalities.

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