Helen Morgan from @libdems.org.uk reflecting on the challenge of balancing revenue spend which paradoxically gets in the way of long term investment which would reduce revenue spend over time (I might say it would reduce growth in spend, takes a LOT to bend the curve right down). #HospitalToHome)
Hearing from @sallygainsbury.bsky.social now on the challenge of shifting resources out of hospitals, or at least putting the balance of new £ into communities. Headlines & political point scoring focus on hospitals. Need a clearer narrative on WHY the #HospitalToHome shift is needed.
Would it help to have a minimum investment target? As sarcasm is the lowest form of wit, investment targets are the lowest form of target - focus on spend because it's hard to measure activity or outcomes. And can't set an outcome target without that clear narrative. #HospitalToHome
And now @nigel-edwards.bsky.social making the same points about savings - better investment in community services can enable savings against counterfactuals of more spend in hospitals, can enable hospitals to be more productive, but only make actual savings if hospitals close. #HospitalToHome
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