Tag Archives: Five Year Forward View

Thanks to South Tyneside SHA and Iain Malcolm for hosting this event, and for Sharon Hodgson and Emma Lewell Buck for taking the time to come. There was a full discussion, and the following points emerged. There have been drastic reductions on spending on social services and public health spending is set drop. Health inequalities, particularly with children, continue to widen. A recent report highlights this. Budgets for prevention should not be cut. This undermines the Five Year Forward View. Local Authorities need more power to implement effective public health measures. There is universal agreement that health and social care […]
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It is always assumed that Labour has a poll lead on the NHS whatever policies it actually has. Going into the 2015 election Labour’s policies around health and care had general approval (in terms of polling evidence). The policies had been through the party policy development process and had a high level of agreement, also passing unscathed through party conference. Whilst the public sort of liked the policies there was a lack of confidence in Labour to deliver anything, however desirable, as well as issues with Labour’s leadership. In terms of health there was a sceptical reaction from anyone within […]
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I am the only one fed up to the back teeth about the 5 Year Forward View and how everyone is supposed to spell out how they would fund it? To start with it is not a plan in any sense just a few principles that nobody other than possibly Lansley would disagree with.  It says much of what everyone else is saying and so in general there is a sense of agreement – but it’s superficial. Rightly Andy Burnham is cautious – saying that he agrees with the principles, like better investment towards prevention, but is not prepared to […]
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Foreword The historical and social significance of the National Health Service (NHS) Social change is now so rapid that it is hard to make sense of it let alone learn from it. The opening sentence of this report is a measure of that. The first words: ‘The NHS may be the proudest achievement of our modern society’, while seeming to assert the value of the NHS, fail to reflect its full significance. Our pride in it is beyond doubt – no ‘may be’ about it.  It is impossible to overstate the importance of the NHS: It needs to be spelled […]
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Simon Stevens, the new chief executive of NHS England, former President of global health at UnitedHealth, a large US health corporation, proposed the Five Year Forward View in October 2014. Five Year Forward View is written in code, to give the impression that it is in favour of sustaining the NHS according to its founding principles and merely wants to make it more financially sustainable. Closer scrutiny reveals a five year plan to impose “new care models” ( NCMs), inspired by the US health market. These would replace our current GP surgeries, District General Hospitals ( DGHs) and tertiary care. The plan […]
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We now have Labour’s Ten Year Plan but also St. Stevens Vision in the 5 Year Forward View.  (It’s a bit worrying that in the run up to the general election we have policy development by the bureaucrats.)  The Tories plan for the NHS is the poorly hidden continuing privatisation of services and a move to a regulatory market without political accountability.  The LibDems may have a plan but nobody cares. UKIP have a plan centred on the return of State Enrolled Nurses and charging migrants. Comparisons between 5 Year Forward View and Ten Year Plan [1] are superficial but […]
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The Stevens Five Year Forward Look for the NHS has had a generally favourable reaction for what it contained and some scepticism about what it didn’t.  We should welcome the clear signal that more funding is needed and support for the position that care funding has to rise faster than inflation just to maintain services; although “savings” of £22bn by 2020 are simply not credible.  There is little about the need to deal with huge issues around social care in order to make change in the NHS possible; but this is a plan for the NHS not a plan for […]
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The NHS Five Year Forward View– the Stevens Plan – is better than we feared but worse than we hoped for. Let’s start positive and say that much of the analysis sounds correct and highlighting the huge funding gap is right.  Equally some of the other barriers to change are identified.  Bringing flexibility into structures and stopping top down restructuring is good.  Thinking differently about what to do with GPs is good.  Care closer to home, using smaller hospitals, better use of technology (!!), integrated providers, investing in the workforce, investing in primary and community care is all good stuff.  […]
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