The NHS Ten
The waiting is over – a mere month after proposed
publication – we have the NHS 10 Year Plan. The plan, billed as the key
to unlocking the additional 5-year funding settlement announced last
summer, sets out the ambitions for health over the next 10 years.
The plan reinforces the three themes, which have
received detailed focus from the Secretary of State, Matt Hancock: Workforce,
Prevention and Early Diagnosis to focus on ageing population and the
widespread adoption of Technology.
Alongside this, Theresa May outlined
three other priorities including reducing variation so that World Class
Care is available for all, more integrated health system viewing health
holistically and parity of esteem for mental health.
Simon Stevens was unabashed in his recognition that the
NHS is the largest single employer of skilled professionals in the world.
Therefore, the majority of the 20.5 billion will be used to fund the
staff needed to support our changing population. Although, it is of note
that the Workforce Development plan, which will be central to the
implementation of these plans is not due until later in the year, the
detail and appropriate funding of which will be critical.
The plan itself is 136 pages long, and will take more
time to digest than this quick blog allows – however, you can pick up
your copy of it here.
In addition, if you are interested in more accessible breakdowns of it,
the plan has its own website, and blogs and focus on sections can be
Finally, you can watch in full the launch of the plan
There is, of course, a well-trailed and welcome steer
in the plan towards communities that is reflected in responses from Local
Government, where it is noted for the first time the funding for
primary, community and mental health services will grow faster than those
for hospital services.
However, whilst we are in the green shoots of the New
Year, we are not seeing the Green Paper for Social Care. Many of you will
remember one of the rationales for the delay in the Green Paper
publication was its need to fall in line with the timeframe for the NHS
Ten Year Plan. Without it – the potential for this NHS plan to create the
ambitious step change from acute to community – will fail.
Even in response to questions raised by journalists at
the launch, the key opportunity Theresa May identified for ‘reducing
waste’ was to get patients out of hospital – an ambition we can all share.
But it can only be achieved by providing the long term future of social
care with the same level of focus and priority as has been awarded
for No Deal Brexit and Brexit Vote
Not sure what your post bag looked like over Xmas, but
there is a real risk any missive that dropped into your inbox on the 21
December might have got overlooked…..
Well that was the day that DHSC decided to send out its
guidance for providers on preparation for a No Deal Brexit. So, just in
case it got buried under a sea of more upbeat Xmas messages, here is the
information again – as this is absolutely urgent and critical information
for all to receive.
As noted, on the 21 December 2018, the government published
guidance for Adult Social Care providers and commissioners on No Deal
Brexit. There are some key messages in here about actions you can be
taking now, and more detail on the EU Settled Status Scheme, and a key
request to ensure you are providing up-to-date information to NMDS on a
more regular basis to keep the data on the sector as current as possible.
We will of course be following up on this guidance with the
government, and bringing you the latest news on this as information comes
available. Please refer to the two documents here.
The issue of contingency planning raised in these
documents is absolutely critical, and in an earlier blog
in December, we touched on the need to connect up with local
authorities. Unfortunately, the guidance issued by DHSC in December
around contingency planning does not adequately talk to the needs of
individual social care providers, meaning that organisations will not be
approaching their own planning with the same rigour and focus.
We hope to be working with DHSC as a matter of urgency
to address this, and asking members to send us news of what they have
been exploring, or have in place as it is key that this issue receives
The Vote on the Withdrawal Agreement has been
scheduled for the 15 January, with Parliament sitting again today, and
the debate on the agreement restarting in preparation for the vote. The
state of planning for the alternatives, including No Deal, will undoubtedly be playing on the mind
of many of us as we move forward to the vote.
Therefore, it is imperative that as we talk of contingencies - we don't revert to organisational silos - battening down our individual contingency hatches to the undoubted detriment of the people who will most need integrated health and care.....