theasrstein.bsky.social
Chief Executive @NuffieldTrust - curious and questioning. Listening and learning. Views my own.
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“We need to have humility about what we can know and what we can control” - excellent article.
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good to hear 😊
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And the providers have to face capacity- staff, buildings etc. v little evidence that financial incentives work. Additionally choice already exists. Many people prefer to “go local” . Finally in some areas such as choice for #ADHD assessment - private sector also full.
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For more, including where this leaves the NHS as it goes into the Spending Review and the government’s 10 Year NHS Plan, see our full analysis here: www.nuffieldtrust.org.uk/news-item/nh...
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The prospects for the current financial year are not looking good. NHS England’s board papers last week indicated a £1.6bn deficit in the provider sector in the 9 months to December 2024, suggesting further deterioration >>
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That definition and clarity is good - there still needs a priority (in my opinion)
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Well yes - we used, and explored the first “shift” hospital to home …. And agreed - I think - not the best way of expressing what it is we are aspiring to achieve
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Panel now & @nigel-edwards.bsky.social making the same point - health policy tourism isn't always helpful. #HospitalToHome
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Surprise, surprise, those countries spend more on health in general, and a smaller proportion of the total spend goes to hospitals. #HospitalToHome
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"The government’s review of physician and anaesthesia associates, and its wider refresh of the Long-Term Workforce Plan, provide an important opportunity to set out some clarity over the transition and avoid repeating the mistakes of the past.”
www.nuffieldtrust.org.uk/news-item/nh...
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Our report has a range of lessons on reshaping the workforce, including that NHSE/DHSC should share best practice more widely to improve the integration of new roles. We highlight how poor public understanding of roles can undermine patients' ability to make informed decisions about their care.
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International comparisons should be treated with caution, but English hospitals have a higher proportion of staff other than doctors or nurses than many other OECD countries: doctors and nurses account for 39% of hospital staff in England, compared to 63% in Italy and 72% in Austria.
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The shift in the balance of roles in the NHS has at times been dramatic. In particular, in general practice there was, on average, one other clinician for every fully-qualified permanent #GP a decade ago. It’s now more like 2.6 clinicians for every GP.
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Since its inception, the balance of professions in the NHS has been in flux, but too often these changes have happened before issues with regulation, training, supervision and communication have been resolved.
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We look at the history of how a range of distinct and different roles – such as physician associates – have been brought into the NHS; how the mix of clinical professions in the NHS in England compares to that of other countries; and what issues need to be addressed.
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Look forward to seeing you. Should be a good morning 😊
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😂
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(1) The idea Mayors will be "considered" as ICB chairs is a tiny step towards local democratic accountability. For a service that traditionally routes all control through distant Whitehall, on a massive scale compared to other countries, this will be a very new dynamic
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I have one of these
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In my house we do. I’m quite fond of them now ….
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Thx Nick