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The National Audit Office documents only failure in its ‘Reducing Emergency Admissions’ report On 1 March 2018, the National Audit Office published a damning report on successive failed initiatives to reduce emergency admissions at NHS hospitals in England. The National Audit Office scrutinises public spending and holds Parliament to account and improve public services. Apparently the Department of Health  wants elective and emergency admissions to be reduced to 1.5% (whatever that means). The NHS England mandate is however extremely weak in the admissions arena. – ‘…to achieve a measurable reduction in emergency admissions by 2020’. Cost is a big issue here […]
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Sustainability and Transformation Plans became Sustainability and Transformation Partnerships by dint of a statement in the March 2017 NHS England Five Year Forward View Next Steps document. As both terms reduce to STP acronyms it’s not all that helpful. For the sake of clarity I will use ‘STP’ in its original ‘plan’ definition in this submission. Accountable Care Systems  are a flavour of generic Accountable Care Organisations. NHS England  has chosen to define and name a range of Accountable Care Organisations which include ACSs, ACPs, MCPs, PACSs and PCHs. If and when these variants are up and running we will […]
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Failed attempts to integrate healthcare services and social care services go back a long way. The National Health Service Act 1977 under Jim Callaghan’s government encouraged Health Authorities and local authorities to co-operate. The Health Act 1999 allowed NHS bodies to pool budgets. Successive governments have again and again tried to pull NHS bodies and local authorities closer together. However, it’s been 40 years of failure. The House of Commons has been busy recently churning out extremely helpful and informative impartial briefing papers on various aspect of care. I’ve drawn heavily on one of these papers in this piece – ‘Health and […]
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The always excellent ‘Health Service Journal’ (HSJ) analysed potential care reforms under a future Conservative Government in its 30 May 2017 issue. At the time the HSJ article was written and published most observers predicted that the future Conservative Government as of 9 June 2017 would have a huge majority. This turned out not to be the case so some of the controversial reforms detailed and picked over below may be delayed or may not now come about. The article led on the fact that NHS England (NHSE) is preparing to announce the first set of the newly christened ‘Accountable […]
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