The seven main national health bodies (namely NHS England, Monitor, the NHS Trust Development Authority (TDA), the Care Quality Commission (CQC), Public Health England, the National Institute for Health and Care Excellence (NICE) and Health Education England) jointly published the “Five Year Forward View: Time to Deliver” report at last week’s NHS Confederation Conference.
This report is a tool for NHS managers to help assess progress towards delivering the NHS Five Year Forward View. The challenges of implementing the Five Year Forward View involve improving three performance gaps:
- Closing the care and quality gap.
- Closing the health and wellbeing gap.
- Closing the funding and efficiency gap.
The recent Queen’s Speech specified:
“In England, my Government will secure the future of the NHS by implementing NHS’s own Five Year Forward View, by increasing the health budget, integrating health care and social care and ensuring the NHS works on a seven day basis. Measures will be taken to increase access to General Practitioners and to Mental Health care”.
Five Year Forward View: Time to Deliver. London: NHS England, June 4th 2105.
There has been no shortage of analyses of this document, and related announcements.
NHS facing ‘very, very big challenge’. London: BBC Health News, June 4th 2015.
Pym, H. (2015). Money, money, money – those NHS finances. London: BBC Health News, June 4th 2015.
Patterson, J. (2015). Virtuous but not yet. London [Online]: NHSNetworks, June 5th 2015.
Prevention: Social Prescribing and Upstream Interventions?
The prevention agenda requires the NHS to work with local partners, particularly councils and the voluntary sector, to improve public health and general wellbeing, to support people with multiple long-term conditions and avoid their conditions worsening. The overall aim is to minimise the most expensive outcomes in the health and care sectors, namely avoidable hospitalisations and care home admissions. For example, it has been estimated that cold, damp and otherwise dangerous homes cost the NHS £2.5 billion per year. Similarly, befriending services offer a potential solution for tackling social isolation among the elderly. Delivering on the Five Year Forward View may involve thinking outside of the box.
Triggle, N. (2015). Why the NHS could soon prescribe home improvements and knitting. London: BBC Health News, June 6th 2015.
Possibly also of interest, on beneficial experiences of nature in improving mental well-being:
Briggs, H. (2015). Can you prescribe nature? London: BBC Science and Environment News / BBC Health News, July 8th 2015.
This relates to:
Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).
Bratman, GN. Hamilton, JP. [and] Hahn, KS. [et al] (2015). Nature experience reduces rumination and subgenual prefrontal cortex activation. Proceedings of the National Academy of Sciences of the United States of America. June 29th 2015. (Click here to view the PubMed abstract).
More on Efficiency Measures
Jeremy Hunt, Secretary of State for Health’s, speech at the NHS Confederation; about the need for culture change, efficiency measures and a continued patient safety focus in the NHS to deliver safer and more effective care / services.
Safety and efficiency in the NHS. London: Department of Health and The Rt Hon Jeremy Hunt MP, June 4th 2015 [June 4th 2015].
Who Would Have Thought It?
There have since been suggestions that the basic 5YFV financial projections may have been amended (downwards), early on, by interventions from Downing Street:
Pym, H. (2016). The curious tale of £22bn NHS efficiency savings. London: BBC Health News, March 20th 2016.