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Tag Archives: Rising Expectations
NHS Reconfiguration + STPs = Cut-Backs?: Two Sides of Same Equation? (NHS England / King’s Fund / Nuffield Trust / BBC News)
Summary The “Keep calm and carry on”-style narrative from officialdom. Full Text Link Reference NHS England statement on Sustainability and Transformation Plans. [Online]: NHS England, August 26th 2016. Theoretical clarification concerning STPs, from the King’s Fund Full Text Link Reference … Continue reading
Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, King's Fund, Management of Condition, National, NHS, NHS England, NHS Improvement, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged 38 Degrees (Campaign Group), 5YFV: NHS Five Year Forward View, Accountability and Transparency, Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, £1.8 Billion One-Off NHS Trust Deficits Bailout, Better Care Fund (BCF), Better Care Together (BCT), Better Value, Better Value Healthcare, Better Value in the NHS, Challenges of Reconfiguration, Chorley and South Ribble Hospital, Chris Hopson: Chief Executive of NHS Providers, Collaboration, Collaboration for Coordinated Care, Collaboration: Working Across Boundaries, Councillor Izzi Seccombe: Local Government Association (LGA), County Hospital (Previously Stafford Hospital), David Pearson: Director of Adult Social Care of Nottinghamshire County Council - Nottinghamshire STP Footprint Lead, Deficits in the NHS 2016 (King’s Fund), Dr Clifford Mann: President of the College of Emergency Medicine, Economic Sustainability, Efficiency Opportunities, Efficiency Savings, Emergency Care Improvement Programme (ECIP), Emergency Preparedness Resilience and Response (EPRR), Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Incentives Across Local Health and Social Care Systems (Proposals), Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Five Year Forward View (NHS England), Frail Older People, Frail Older People With Complex Needs, Funding Challenges, Funding Deficits, Funding Gap in Secondary Care, General Hospitals, Grantham and District Hospital, Health and Social Care Configuration, Honesty and Transparency, Hospital Productivity, Hospital Reconfiguration, House of Commons Health Committee’s Inquiry Into Winter Pressures (2016), How Things Went £3.7 Billion Wrong, Implications of Sustainability and Transformation Plans (STPs): Inadequate Public Consultation (King’s Fund Allegation), Implications of Sustainability and Transformation Plans (STPs): Pre-Determined Solutions, Improving Patient Flow, Incipient Negativism, Integrated and Community-Based Care, Integrated Home and Community Care Services, Integration of Health and Social Care, Jeremy Taylor (Chief Executive of National Voices), Leeds Teaching Hospitals Trust, Leicester, Leicester Leicestershire and Rutland STP Footprint, LLR STP, Local Solutions: Place-Based Approaches, Medical Director of NHS England: Professor Sir Bruce Keogh, Midlands and East Commissioning Region, Midlands and East of England Commissioning Region, Multi-Agency Collaboration, Multisectoral Collaboration, NHS Challenges and New Solutions, NHS Efficiency Savings, NHS England Funding, NHS Expenditure, NHS Finances to 2020, NHS Financial Leadership, NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Midlands and East, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Providers, NHS Safe Staffing, NHS Service Reconfiguration, NHS Spending, NHS Sustainability, NHS Timebomb [sic], Openness and Collaboration, Optimism Bias (In the Face of Difficulties), Partnership and Collaboration, Performance Indicators, Performance Targets, Policy, Policy Context, Population Health, Population Health Systems, Population Healthcare, Productivity, Productivity in the NHS, RDEL, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Overuse Underuse and Misuse, Richard Murray: Director of Policy at the King’s Fund, Richard Taylor Effect [sic], Rising Expectations, Safe Staffing, Sir Bruce Keogh (Former Chief Executive of the NHS Commissioning Board; now NHS England), Stevens Challenge, STP Footprints, STP Process Timeline Summary, Sustainability, Sustainability and Transformation Fund (STF), Sustainability and Transformation Leaders, Sustainability and Transformation Plan, Sustainability and Transformation Plan (STP), Sustainability and Transformation Plans (STPs), Sustainability and Transformation Plans: Questions Over Opaque Development Practices, System Control Totals (Financial Targets), System Leadership, Thinking Like a Patient and Acting Like a Taxpayer, Toby Sanders: Accountable Officer of West Leicestershire CCG - Leicester of Leicestershire and Rutland STP Footprint Lead, Toby Sanders: Chief Officer at NHS West Leicestershire CCG, Top-Down Policy (Masquerading as Collaboration), Towards Excellence in Adult Social Care Programme (LGA), Transformation Footprints, Transformation Funding, Transparency, Transparency Versus The Richard Taylor Effect, Troubled NHS Foundation Trusts, Turning the Ship Around (Avoidance of NHS Unsustainability), Unit Costs Up + Activity Up = Commissioners Go Bust, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Weston Area Health NHS Trust, Weston General Hospital, Winter Pressures, Winter Pressures Beyond Winter (Winter Re-Defined?)
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Escalating NHS Trust Deficits: Not Unexpected (BBC News / Monitor)
Summary NHS Trusts in England have run-up a £930 million “worst for a generation” deficit in the first three months of this financial year. Regulators have also noted that performance measures on waiting times for access to hospital treatment and … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, In the News, National, National Audit Office, NHS, Quick Insights, Standards, Statistics, UK, Universal Interest
Tagged Achieving Better Value, Acute Care, Acute Hospital Care, Ageing Population, Ageing Society, Agency Overheads, Agency Staff, Agency Staff (Exorbitant Waste of NHS Funding), Agency Staff Spending Capped, Ambulance Response Times, Ambulance Response Times: NHS Performance Indicators, Bailouts and Rewards for Failure, Bank And Agency Staff, BBC Health News, Better Value in the NHS, Cancer Waiting Times, Chorley and South Ribble Hospital, Comparisons of NHS Spending With Health Spending Internationally (King's Fund 2016), Contract and Agency Staff, Cost-Effectiveness, Daily Mail, Diagnostic Waiting Times, EBITDA, EBITDA: Earnings Before Interest Tax Depreciation and Amortisation, Elective Waiting Times, EU Referendum Debate: BBC News Reality Check, European Union Referendum, European Union Referendum Debate: BBC Reality Check, Faustian Pact: Trading £8 Billion in Extra Funding For £22 Billion in Efficiency Savings, Financial Constraints, Financial Context, Financial Difficulties, Financial Performance, Financial Planning, Financial Position of NHS Trusts, Financial Pressure in the NHS, Financial Pressure on Hospitals, Financial Pressures, Financial Resilience, Financial Sustainability in the NHS, Funding Challenges, Funding Deficits, General Hospitals, Incentives Rewards and Sanctions, Key Performance Indicators, Management Consultants, Monitor, National Audit Office (NAO), NHS Expenditure, NHS Financial Leadership, NHS Foundation Trust Performance, NHS Foundation Trusts, NHS Foundation Trusts (NHSFTs), NHS Funding, NHS Funding Gap, NHS Performance, NHS Performance Indicators, NHS Productivity, NHS Safe Staffing, NHS Spending, NHS Timebomb [sic], NHS Trust Development Authority, NHS Trust Development Authority (NHS TDA), NHS Trust Financial Deficits, NHS Trusts’ and Foundation Trusts’ Income and Expenditure, NHS Waiting Times, Operational Performance, Operational Performance: Accident and Emergency, Operational Performance: Infection Control, Operational Performance: Mental Health, Performance Indicators, Performance Targets, Policy, Policy Context, Preparations for Winter, Productivity, Productivity in the NHS, RDEL, Reducing Drains on the NHS, Reducing Waste in the NHS, Reward Systems, Rewarding Failure, Rising Expectations, Safe Staffing, Seven-Day NHS Services, Seven-Day Opening, Seven-Day Services in Hospital, Staffing (Hospitals), Stevens Challenge, Taxpayers’ Alliance, Thinking Like a Patient and Acting Like a Taxpayer, Upward Spending Pressures, Waiting Time Standards, Waiting Time Target Breaches, Waiting Time Targets in the NHS in England, Waiting Times for Planned Treatments, Winter Pressures
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NHS Funding Shortage Forecast: Debate Proposed (BBC News / Times / House of Commons Health Select Committee / Nuffield Trust / Independent)
Summary Nine influential signatories to a letter published in the Times have asked for a national debate on how the NHS in England is funded. The authors of this letter assert that challenges from an ageing and growing population, plus … Continue reading
Posted in Acute Hospitals, Alzheimer's Society, BBC News, Charitable Bodies, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, National, NHS, NHS England, Nuffield Trust, Quick Insights, RCN, Royal College of Physicians, Standards, UK, Universal Interest
Tagged Accountable Care Organisations (ACOs), Ageing Policy in the UK, Ageing Population, Ageing Society, Agency Staff, Agency Staff (Exorbitant Waste of NHS Funding), Allyson Pollock: Queen Mary University of London, Any Qualified Provider (AQP), BBC Health News, BBC Radio 4, BBC Radio 4: More or Less Programme, Benefits of Integrated Care, BMJ, British Medical Journal (BMJ), Cancer Care Integraton in Staffordshire, Cancer Test Waiting Times, Care UK, Cathy Warwick: Chief Executive of Royal College of Midwives, CCGs in Staffordshire and Stoke-on-Trent, Centre for Primary Care and Public Health: Queen Mary University of London, Chris Hopson: Foundation Trust Network, Chris Hopson: Foundation Trust Network (FTN), Ciaran Devane: Chief Executive of Macmillan Cancer Support, Ciaran Devane: Macmillan Cancer Support, Clive Efford (Labour MP), Commissioners’ Income and Expenditure, Commissioning Private Sector Providers, Complex Care, Complex Chronic Conditions, Complex Needs, Conservative Conference (Birmingham: September 2014), Constrained Funding, Cost Pressures in Hospitals, Creeping Privatisation in NHS (sic), Cross-Boundary Care Pathway Redesign, Demand-Side Factors, Demographic Change and Public Services, Demographic Changes, Demographic Time-Bomb, Demographics, Derriford Hospital (Plymouth), Diabetes and Multiple Morbidities, Dr Dan Poulter (Former Health Minister), Dr David Richmond: President of Royal College of Obstetricians and Gynaecologists, Dr Hilary Cass: President of Royal College of Paediatrics and Child Health, Dr John Middleton: Acting President of Faculty of Public Health, Dr Mark Porter: Chair of Council at British Medical Association, Dr Maureen Baker: Chair of Royal College of General Practitioners, Dr Peter Carter: Chief Executive and General Secretary at Royal College of Nursing, Dr Peter Swinyard: GP Swindon and National Chairman of The Family Doctor Association, Faculty of Public Health (FPH), Financial Constraints, Financial Pressure on Hospitals, Financial Sustainability of NHS Bodies (PAC Report 2015), FOI: Freedom of information, Former Conservative Health Minister Dr Dan Poulter, Foundation Trust Network (FTN), Fragility of NHS Finances, Guardian, Health Leaders' Panel (Nuffield Trust), Health Policy, Health Policy Conversation, Henny Braund: Chief Executive of Anthony Nolan, Hinchingbrooke Hospital (Privatisation), House of Care Model, House of Commons Health Select Committee, House of Commons Health Select Committee (HSC), Independent Commission on Whole Person Care, Integrated Care and Support, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Jean-Pierre van Besouw: Royal College of Anaesthetists, Jeremy Hughes (Alzheimer’s Society Chief Executive), Lesley Anne Alexander: Chief Executive of Royal National Institute of Blind People, Long-Term Care (LTC), Long-Term Conditions (LTCs), Long-Term Conditions and The Mandate, Lord Adebowale: Turning Point, Macmillan Cancer Support, Managing Care of People With Long-Term Conditions, Margaret Hodge, Maureen Baker: Royal College of GPs, McKesson, Michelle Mitchell: Chief Executive of the MS Society, Moira Auchterlonie: Chief Executive of Family Doctor Association, More or Less Programme (BBC Radio 4), Multimorbidities and Long-Term Conditions, Multimorbidity, National Health Policy Conversation, National Strategy for Long Term Conditions, NHS Budget Spent on Commissioning Private Sector Providers, NHS Cannock Chase CCG, NHS Challenges and New Solutions, NHS Charges: Politics and History, NHS Continuing Healthcare, NHS Expenditure, NHS Funding Gap, NHS North Staffordshire CCG, NHS Privatisation Debate (sic), NHS Reform, NHS Reinstatement Bill (2015), NHS Resource Spending in England, NHS Spending, NHS Stafford and Surrounds CCG, NHS Timebomb [sic], NHS Trusts’ and Foundation Trusts’ Income and Expenditure, Nicholson Challenge, Nuffield Trust: Health Leaders' Panel, Numbers of the Year 2014: BBC Radio 4; More or Less Programme, One-Week Target for All Urgent Diagnostic Tests Waiting Times, Outsourcing, Over-Reliance on Agency Staff, Parity of Esteem, Payday Loans Attitude to Workforce Planning, Peninsula Treatment Centre (Care UK), Peter Carter: Royal College of Nursing, Peter Roderick: Queen Mary University of London, Plymouth Hospitals NHS Trust, Policy, Policy Context, Policy Development, Policy Innovation, Political Posturing, Population Change, Private Finance Initiative (PFI) Schemes, Private Finance Initiative Payments, Private Profits Cap (Labour Proposal), Private Sector Providers, Privatisation (Backdoor), Privatisation (Debate), Proactive Care Programme, Professor Caroline MacEwen: President of Royal College of Ophthalmologists, Professor Jane Dacre: President of Royal College of Physicians, Public Accounts Committee, Public Accounts Committee (PAC), Public Attitudes and Expectations, Purchaser-Provider Split in the NHS, Redesigning Care Pathways, Redesigning Services, Reducing Drains on the NHS, Reducing Waste in the NHS, Rising Expectations, Royal College of General Practitioners (RCGP), Royal College of Nursing (RCN), Rt Hon. Andy Burnham MP, Rt Hon. Professor the Lord Darzi, Rt Hon. Stephen Dorrell MP, Sarah Wollaston: Chair of the House of Commons Health Select Committee, Siobhan Dunn: Chief Executive of Teenage Cancer Trust, Sir John Oldham: Independent Commission on Whole Person Care, Sir Richard Thompson: Royal College of Physicians, Stephen Hawking, Turning Point, Uncontrolled Profligacy in Workforce Planning (RCN Survey), UnitingCare Partnership, University Hospitals Plymouth Trust, Waiting Times Target for All Urgent Diagnostics, Weaponising the NHS (Labour: Attributed Phrase), Year of Care Approach, Year of Care Funding Model, Year of Care Partnerships, Year of Care Tariff
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NHS’s Potential £30bn Funding Gap by 2020-21 (BBC News / NHS England)
Summary A report from NHS England has warned of a further £30bn gap by 2020-21 between NHS funding versus costs and demands, in addition to the estimated £20bn of savings the health service is required to achieve by 2014/15. An open and honest debate is required about the future … Continue reading
Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS England, Personalisation, Quick Insights, Standards, UK, Universal Interest
Tagged Ageing Population, Ageing Society, Burden of Disease, Challenges of Reconfiguration, Chronic Diseases, Control, Costs, Cross-Boundary Care Pathway Redesign, Dementia Challenge, Diagnosis and Referral, e-Intensive Care, e-Intensive Care Unit (ICU), eICU: e-Intensive Care Unit, Extra Care Housing, FFT: Friends and Family Test, Financial Issues, Financial Pressures, Funding Gap (NHS), Guy's and St Thomas' NHS Foundation Trust, Health Care Reform, Health Funding, Health Inequalities, Health Inequalities in England, Health: Financing, Hospital Reconfiguration, Housing With Care, In Control, Increasing NHS Costs, Inner North West London Integrated Care Pilot, Long-Term Care (LTC), Long-Term Conditions (LTCs), Manchester Royal Infirmary, National Engagement: Future of the NHS, NHS £30bn Funding Gap by 2020-21, NHS Belongs to the People, NHS Budget, NHS Funding, NHS Funding Gap, NHS Projected Resource vs. Projected Spending Requirements, NHS Reform, NHS Service Reconfiguration, Nicholson Challenge, Patient Choice, Patient Control, Patient Experience, Patient Safety, Preventative Care, Prevention, Preventive Care, Prime Minister’s Dementia Challenge, Productivity Improvements, Rapid Diagnosis and Referral, Redesigning Care Pathways, Redesigning Services, Reform, Retirement Villages, Rising Expectations, Service Redesign, Sheltered Housing Schemes, Sir David Nicholson, Standards, Timely Diagnosis, Transformational Technologies, Transparency, Transparency and Accountability
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