Five Priorities for NHS and Social Care in 2017 (King’s Fund / BBC News / BMJ / Nuffield Trust)

Summary

2017 is going to be challenging for the NHS and social care, as the demand for care outstrips the supply of funding / resources. A King’s Fund briefing identifies five main priorities for the year ahead:

  1. Supporting new care models centred on the needs of patients.
  2. Strengthening and implementing sustainability and transformation plans (STPs).
  3. Improving productivity and delivering better value.
  4. Leadership development.
  5. Securing sustainable funding for health and social care.

Full Text Link

Reference

Priorities for the NHS and social care in 2017. [Online]: King’s Fund, January 1st 2017.

NHS in Worst State Ever?

Rhetoric or reality? Possibly of interest:

Full Text Link

Reference

Triggle, N. (2016). Is the NHS going to break in 2017?. London: BBC Health News, December 29th 2016.

Simon Stevens disagreed with the Prime Minister’s position on NHS stretched-funding:

Full Text Link

Reference

NHS England chief contradicts May over spending. London: BBC Politics News / BBC Health News, January 11th 2017.

The Royal College of Nursing (RCN) and Royal College of Physicians (RCP) comment:

Full Text Link

Reference

NHS conditions worst ever, say leading nurses. London: BBC Health News, January 11th 2017.

Modest improvements:

Full Text Link

Reference

Cook, C. (2017). NHS England makes slight improvement. London: BBC Newsnight / BBC Health News, January 16th 2017.

A Cross-Party Solution Suggested (Again)

Renewed calls for a cross-party review to find a sustainable ways to fund social care:

Full Text Link

Reference

Social care funding: MPs urge ‘swift’ cross-party review. London: BBC Politics News / BBC Health News, January 6th 2017.

BMJ Series on the NHS in 2017

A BMJ series of articles on the challenges facing the NHS:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Iacobucci, G. (2017). NHS in 2017: A service under pressure. British Medical Journal (BMJ). January 3rd 2017; 356: i6691.

The impact of recent social trends:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Iacobucci, G. (2017). NHS in 2017: Keeping pace with society. British Medical Journal (BMJ). January 5th 2017; 356: i6738.

On government policy and spending:

Full Text Link (Note: This article may require a suitable Athens password, a journal subscription or payment for access).

Reference

Iacobucci, G. (2017). NHS in 2017: the long arm of government. British Medical Journal (BMJ). January 5th 2017; 356: j41.

“The UK spent 9.8% of its gross domestic product (GDP) on healthcare in 2015, just below the EU weighted average of 9.9%”.

There is an excellent BMJ infographic on financial flows in the NHS and social care; where the width of arrows is proportional to annual budgets.

Viewpoints on what needs to be done:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Iacobucci, G. (2017). NHS in 2017: Where next? British Medical Journal (BMJ). January 24th 2017. 356: j331.

Operational Pressures Escalation Levels

A third of hospital trusts in England recently issued Levels 3 or 4 Operational Pressures Escalation alerts, concerning their need for urgent action to cope with pressures arising from rising patient numbers.

Full Text Link

Reference

Hawkins, R. (2017). Hospitals warn over pressure of patient numbers. London: BBC Radio 4 Today / BBC Politics News / BBC Health News, January 6th 2017.

Further details:

Full Text Link

Reference

Edwards, N. (2017). Black alert? Or many shades of OPEL. [Online]: Nuffield Trust, January 6th 2017.

Talk of a Humanitarian Crisis in NHS Hospitals and Ambulance Services?

The British Red Cross has claimed there is a “humanitarian crisis” in NHS hospitals in England, but commentators from NHS England and the Royal College of Emergency Medicine have cautioned against over-exaggerating the level of crisis. Doom-laden allegations, made in good faith, are prone to be seized-upon eagerly by political opportunists never shy of weaponising the NHS and more recently social care.

Full Text Link

Reference

NHS rejects claims of ‘humanitarian crisis’ in England’s hospitals. London: BBC Health News, January 7th 2017.

Crowd-sourcing of insights?

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Reference

The NHS in 2017: What are your experiences? London: BBC Health News, January 24th 2017.

Unresolved arguments about why performance appears to be deteriorating when so much of the nation’s GDP is ploughed into the NHS:

Full Text Link

Reference

Pym, H. (2017). Turmoil inflames tensions at top of NHS. London: BBC Health News, January 11th 2017.

Local Difficulties

Healthwatch Worcestershire has called for an investigation into the deaths of two people waiting for treatment in corridors at Worcestershire Royal Hospital:

Full Text Link

Reference

Worcestershire Royal Hospital A&E corridor deaths inquiry call. London: BBC News: Hereford and Worcester / BBC Health News, January 6th 2017.

Local Rationing or Indications of a More Widespread Trend?

Three Clinical Commissioning Groups in Worcestershire have plans only to treat the more severe cases among  people requiring hip and knee replacements.

Full Text Link

Reference

Cuts planned to Worcestershire hip and knee operations. London: BBC News: Hereford and Worcester / BBC Health News, January 27th 2017.

Steps to Protect the Four Hour A&E Performance Target?

Jeremy Hunt MP has hinted that patients attending A&E units with less serious problems may no longer be guaranteed to be seen within four hours:

Full Text Link

Reference

Triggle, N. (2017). Jeremy Hunt casts doubt on NHS’s four-hour A&E target. London: BBC Health News, January 9th 2017.

Almost a quarter of patients waited longer than four hours in A&E in early 2017, with 18,000 trolley-waits of four hours plus.

Full Text Link

Reference

Kirkland, F. [and] Triggle, N. (2017). Leak shows full extent of NHS winter crisis. London: BBC Health News, January 10th 2017.

Further BBC analysis:

Full Text Link

Reference

Pym, H. (2017). Fewer beds, higher patient demand – NHS pressure mounts. London: BBC Health News, January 20th 2017.

Major Alerts Increase Under Media Scrutiny: a Reverse-Direction Hawthorne Effect?

More than 40% hospitals (66 out of 152 trusts) in England declared a major alert in the first week of 2017; reflecting mounting pressures regarding bed shortages, with high numbers of patients enduring trolley waits and delays in A&E. Meanwhile, other nations in Europe experiencing much harsher winter conditions appear to announce no such crises.

Full Text Link

Reference

Triggle, N. (2017). Major alerts ‘at many hospitals’. London: BBC Health News, January 13th 2017.

Cancelled / Delayed Operations

The Royal College of Surgeons has expressed concern about the number of cancer patients having their operations cancelled due to the NHS’s current bout of Winter pressures.

Full Text Link

Reference

Doctors warn over cancer op cancellations amid NHS “pressure”. London: BBC Health News, January 15th 2017.

Waiting Time Target Breaches for Non-Emergency Operations / Routine Treatments

The number of patients waiting longer than 18 weeks for non-emergency operations and treatments has increased by 163% rise since 2012.

Full Text Link

Reference

Triggle, N. (2017). Hospital operation ‘long waiters’ rise by 163%. London: BBC Health News, February 5th 2017.

Staffing Levels

Concerning the persistent problem of NHS staffing under-estimates and shortages:

Full Text Link

Reference

Mundasad, S. (2017). NHS staff shortages: why so persistent? London: BBC Health News, January 19th 2017.

Heroic make-do?:

Full Text Link

Reference

Triggle, N. (2017). Why the NHS is performing miracles. London: BBC Health News, January 18th 2017.

An Unexpected Reversal of Standards Regarding Mixed-Sex Hospital Accommodation?

Increasing numbers of patients have been treated on mixed-sex wards. In England, this phenomenon has risen by almost 70%; with 7,163 patients being affected in 2016, compared to 4,248 in 2015.

Full Text Link

Reference

More patients placed in mixed-sex wards in England. London: BBC Health News, January 31st 2017.

Protesters on the #OurNHS March

The more well-intentioned people who march, the more right the cause?

Full Text Link

Reference

NHS protest: Tens of thousands march against ‘hospital cuts’. London: BBC Health News, March 4th 2017.

Increasing Frequency of Ambulance Diversions (“Diverts”)

There has been a record high in the number of times A&Es in England have closed their doors to ambulances. Five hospital trusts accounted for nearly half of these diverts:

  1. Pennine Acute Hospitals (89).
  2. Worcestershire Acute Hospitals (62).
  3. Northumbria Healthcare (43).
  4. County Durham and Darlington (38).
  5. South Tyneside (34).

Full Text Link

Reference

Triggle, N. (2017). Sharp rise in A&Es turning away ambulances. London: BBC Health News, April 7th 2017.

After the Storm?

Answers to the name “Lucky”… Retrospection on the “worst” Winter on record:

Full Text Link

Reference

Pym, H. (2017). ‘Lucky’ NHS struggles through the winter. London: BBC Health News, April 13th 2017.

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About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Local Interest, National, NHS, Nuffield Trust, Quick Insights, RCN, Royal College of Psychiatrists, Standards, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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