Monday, 11 June 2018

Government and NHS must improve communication of health and care reforms

The Health and Social Care Committee say the Government and the NHS must improve how they communicate NHS reforms to the public in their report on Integrated care.
(Report published today, 11th June 2018 - links at end of this report)
NHS and social care services are looking after a population which is living longer and with increasingly complex health and care needs, including multiple long-term conditions.

Services need to change 

Services need to change to reflect that and to be better organised around patients. Rising demand and costs for health and care are taking place alongside an unprecedented and prolonged squeeze on resources.

Integrated care 

There are many examples of NHS and care services coming together to deliver better care and this kind of integration has been happening at local level for some time. However, further integration of services, and the organisations planning and delivering them, is too often hampered by current legislation.

Government and national bodies have yet to explain the case for change

  • The Government and national bodies have yet to explain the case for change clearly and persuasively. 
  • There has also been a failure to consistently engage with local leaders in the design of service changes. 
  • Overuse of jargon and poor communication confuses both health professionals and the public alike. 
  • Changing acronyms, titles and terminology have allowed misunderstanding to fester and suspicion of the underlying purpose of reform.

Debate on NHS reform is often polarising. This has been true in the case of sustainability and transformation partnerships, STPs, and, more recently, accountable care organisations, ACOs, – forms of healthcare services that share their name with but are essentially different to models from the US.
Rather than threatening the integrity of the NHS, reforms to better join-up the organisation of services, including health and social care, present an opportunity to row back the NHS-internal market. 
However, the litmus test must be whether these changes (ACOs, STPs and integrated care systems) improve the care, outcomes, and experience of patients. 

Potential benefits of further integration

The Committee recognises the potential benefits of further integration and calls on the Government to bring forward legislation to remove legal barriers imposed by the Health and Social Care Act 2012. Many of the necessary changes require primary legislation. To rebuild the trust that previous and repeated top-down reorganisations have eroded, the Committee recommends representatives from the health and care community – the NHS, local government, professional bodies, patient groups and the voluntary sector – lead on the development of new legislative proposals for the Government to lay before the House in draft and present to the Health and Social Care Committee for pre-legislative scrutiny. 
If a decision is taken, following a careful evaluation of pilots, to extend the use of ACOs in the English NHS then the Committee recommends that these should be introduced in primary legislation as NHS bodies. The Committee does not believe that the introduction of ACOs in England threatens the founding principles of the NHS or that they are likely in practice to be private sector led, but recommend establishing these as public bodies would reassure on that point.
The Government’s announcement of a long-term funding settlement is welcome. This will be essential not only to alleviate immediate pressures on health and social care services, but to facilitate the transition to more integrated care. In particular, the Government must recognise the importance of adequate transformation and capital funding to effective service change.

Chair's comment 

Dr Sarah Wollaston MP, Chair of the Health and Social Care Committee, said: 
"It is the triumph of our age that more people are living longer, but as MPs we too often see our constituents, their families and their carers grapple with local services that may be poorly organised around their needs and struggling to cope with the rising demand for care. 
As the NHS approaches its 70th birthday national leaders, and politicians from across the political spectrum at national and local level, must help to make the case for change to the public. Any effort to transform care will flounder and lose support unless it can demonstrate that patients and their families will benefit."

Saturday, 9 June 2018

Redlands Public Surgery - Saturday 9 June

Cllrs David Absolom, Jan Gavin and Tony Jones will be holding their regular Labour Councillors' Ward Public Surgery for residents at Hexham Road Community Centre, Bamburgh Close, RG2 7UD, between 10.30am and noon today.

No appointment is necessary and discussions are strictly confidential.

Ward surgeries are held on the second Saturday of each month, alternating between St Lukes Parish Hall, Erleigh Road (RG1 5LR) and the Hexham Road Community Centre (RG2 7UD).

David, Jan and Tony also undertake "street surgeries" on other Saturdays and weekdays - so watch out for the window poster coming through your letter-box!

Saturday, 2 June 2018

Whiteknights Studio Trail - 9 & 10 June

Take 36 individual artists, a Fine Art degree show and 22 venues shake them up and what do you get? A cocktail of some of the best art in Britain right on our doorstep in Redlands! 
Yes, its the annual Whiteknights Studio Trail. Now in its 18 year this is where to see some wonderful glass, hand-made furniture, jewellery, photography, ceramics, printing, painting and drawing and so much more.
All venues will be open between 11am and 6pm on two consecutive days, Saturday 9 and Sunday 10 June. Our friends at the University of Reading will exhibit their Fine Art Degree final show and The Museum of English Rural Life has again invited us to exhibit, so this is a wonderful chance to not only see outstanding world class art but also some very interesting venues and interiors in this fabulous Whiteknights area of Reading.
But the Studio Trail isn't limited to just the University - venues also include Redlands School, St Luke's Hall and private homes in Denmark Road, Elmhurst Road, New Road and at The Mount.
Find a map and a full programme of all the artist exhibitors here.