Ten steps towards a new plan for the NHS in England

Ten steps towards a new plan for the NHS in England | NHS Confederation

The Confederation is calling for a national conversation about what we want and can expect from the health service in England over the next ten years.   It proposes ten actions which would underpin specific priorities for a new plan.

Full document: Ten steps towards a new plan for the NHS in England

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Image source: http://www.nhsconfed.org
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Better health and care for all

Better health and care for all: A 10-point plan for the 2020s. The final report of the Lord Darzi Review of Health and Care.| Institute for Public Policy Research

A previous report concluded that a bold long-term funding and reform plan is needed to secure the future of the NHS and social care. This final report of the Lord Darzi Review puts forward a ten-point plan to achieve this, as well as a ten-point offer to the public which sets out what the health and care system will be able to offer if this plan for investment and reform is adopted. 

Full report: Better health and care for all: A 10-point plan for the 2020s.

Summary available here

Facing the Facts, Shaping the Future

Health Education England has worked with NHS England, NHS Improvement, Public Health England and the Department of Health to develop the NHS Workforce Report “Facing the Facts, Shaping the Future” – a draft health and care workforce strategy for England to 2027.

facing the facts
Image Source: http://www.hee.nhs.uk

 

The report describes the nature and scale of these challenges and sets out proposals for the management of workforce issues at both local and national level.
The document is open for consultation until 23 March 2018.

To  read the report and have your say visit 

The Sustainability And Transformation Plans: A Critical Assessment

This report assesses the published drafts for STP plans and it raises concerns around the credibility of the implementation measures outlined in the plans | Centre for Health and the Public Interest (CHPI)

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Image source: CHPI

Many members of the public, and even some politicians, are only just becoming aware of Sustainability and Transformation Plans, which were imposed in a policy directive from NHS England just 3 days before Christmas in 2015 as part of a major shake-up of the NHS. 1 The dramatic reorganisation of England’s NHS into 44 ‘footprint’ areas, and the requirement for all NHS bodies to collaborate with local government social service agencies on these new 5-year plans, seemed like NHS England’s best hope of balancing its budgets by 2020-21. But the variegated and inconsistent series of 44 documents that have been published since the end of October have clearly fallen far short of NHS England chief executive Simon Stevens’ hopes a year ago.

Read the full report here

Sustainable development guidance

The sustainable development unit has published revised guidance on writing management plans for sustainable development. The guidance, which is for use by providers of any size and commissioning groups has been updated in line with the current NHS standard contract. 

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The guidance is intended to support organisations to understand the key elements that make up a Sustainable Development Management Plan (SDMP). It also provides some advice on how organisations can develop their organisation’s SDMP.

Having a board approved Sustainable Development Management Plan (SDMP) is one of the cornerstones of the Sustainable Development Strategy and it is also an indicator in the Public Health Outcomes Framework.

Developing an SDMP (or equivalent) will help organisations to:

• Meet minimum legislative, contractual and mandatory requirements related to SD
• Save money through increased efficiency and resilience
• Ensure that health and wellbeing in the UK and beyond is protected and enhanced.
• Improve the environment in which care, or the functions of your organisation are        delivered, for service users and staff
• Have robust governance arrangements in place to monitor progress
• Demonstrate a good corporate reputation for sustainability
• Align SD requirements with the strategic objectives of your organisation.

Read the updated guidance here.

Doing justice to mental health in STPs

Claire Murdoch, the national director for mental health in England, recently argued that some sustainability and transformation plans (STPs) are failing to do ‘justice’ to mental health | Chris Naylor – The King’s Fund Blog

B0005916 The brain and Prozac
Image source: Rowena Dugdale – Wellcome Images // CC BY-NC-ND 4.0

Ignoring the psychological aspects of health and wellbeing leads to some of the grossest inefficiencies in the health and care system. For example, we have estimated that in England, poor mental health drives up the annual cost of long-term physical health conditions by between £8 billion and £13 billion. The fact is – and it should hardly surprise us – that when people are struggling to deal with the social and emotional pressures in their lives, their physical health often deteriorates – and the impact of that is felt strongly in general practice, A&E and elsewhere. And yet all too often we act as if these issues should be of concern only to mental health professionals.

Leaders in some parts of the country are using the process of developing STPs as an opportunity to rethink the approach taken to mental health and wellbeing across their local systems, and are embedding mental health in every strand of their work. Those who haven’t yet done this risk missing a significant opportunity to use STPs to deliver better population health and better value.

Read the full blog post here

The latest news and publications on STPs

1.The King’s Fund – Sustainability and transformation plans in the NHS: How are they being developed in practice?

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Image source: The King’s Fund

Sustainability and transformation plans (STPs) have been developed by NHS and local government leaders in 44 parts of England. The plans offer a chance for health and social care leaders to work together to improve care and manage limited resources. But will they succeed where other initiatives have failed?

Read the full report here


2. The Guardian – Patients and staff shut out of NHS transformation plans

NHS plans that could lead to hospital and A&E closures have been kept secret from the public and barely involved frontline staff, a thinktank has said. NHS England has told local health leaders not to reveal the plans to the public or the media until they are finalised and have been approved by their own officials first, according to published documents and a new analysis by the King’s Fund.

Read the full news story here


3. GP Online – STPs ‘far from perfect’ but NHS has no plan B

Although the plans are ‘far from perfect’, they represent the only chance the NHS has to improve health and care services in the face of an ‘unpredecented slowdown in funding’, according to a King’s Fund report.

Read the article here


4. The King’s Fund Blog – Will STPs deliver the changes we wish see in our health and care services?

Sustainability and transformation plans (STPs) are based on the notion that collective action is needed to address the significant pressures now facing health and care services in England. Thelogic of this is sound – but developing the plans has been far from easy, and implementing them will require leaders and organisations across a local STP footprint to work together in new ways. In our new report, Sustainability and transformation plans in the NHS, we make a number of recommendations as to how leaders and organisations might do this.

Read the blog post here