The UK government has developed a long -awaited plan for 10 years in England for the troubled NHS.
the 168 pages chart For change, select the details behind the desire to provide three transformations: from hospital to society, from analog to digital and from illness to prevention.
Although welcoming it widely by the sector, questions about how to deliver change on Earth remains. A series of plans for troubled health service has promised all similar transformations in recent years – however no one has achieved.
He pointed out that the absence of a clear approach to delivery is “blatant”. Others highlighted the lack of an approach through the term to improve the health of the nation.
“The coordination of coordinated measures to address the broader social and economic causes of health therapy,” said Jennifer Dixon, CEO of the Health Corporation, without reforming the social welfare system.
Society Hospital
The ambition to transfer care outside hospitals and to society has pushed many NHS Plan over the years, but hospitals have continued to see a significant rise in spending and employees.
The plan pledged for 10 years to reverse this trend, so that the hospital’s spending spending has decreased “with relatively larger investment in the hospital.”
The government will “make this shift in investment over the three years to the next four,” although not until 2035, hospitals will “spend a smaller rate than the total NHS budget and employ a smaller percentage of its total employees.”
A major part of this change will be to create a “health service in the neighborhood” that should be taken care of at home wherever possible.
“This will mean that we need less intense space, a lower number of emergency employees in hospital and less than the departments of the future clinics in the future,” says the plan. Health centers will be established in the neighborhood, and 12 hours a day will be opened, six days a week, with the opening of the first wave in the disadvantaged areas.
Among a number of measures aimed at providing this transformation, the plan pledged to train thousands of GPS, allowing people who want to get an appointment on the same day, while the visions of genome research will do more to prevent health preoption.
However, it is not clear how the new centers are funded. The capital budget was frozen in the spending review last month.
The analog to digital
The transfer of health service towards a more rich digital model was the ambition of each government for decades. Prime Minister Sir Kerr Starmer and Minister of Health Wes wanders that the plan will put enough meat on the bone to make this vision a reality, although many old health warriors are still skeptical.
Perhaps the largest “retail sale” of the plan was to focus on strengthening the NHS application, to give patients more control over their care – a plan that must be fully operated by 2028.
Patients will be given the opportunity to refer themselves to things such as talking treatments, muscle and muscle bone services and treatment of legs, as well as direct contact with doctors.
They will also be able to order more medications and reservation vaccines directly from the app. The plan is to reduce all these things in a healthy service, and to free employee time.
The government will put legislation to create a “single sick record”, which will put an obligation on every health and care provider to make the information they collect around a patient available in one place. The goal is that from 2028, patients will be able to reach their entire record, on the NHS application.
“The historical ads about NHS Tech were great in the promise but lacking delivery, as money was transferred to other areas,” said Sarah Wolleno, CEO of King’s Fund Think-Hink.
She warned of “the urgent need to obtain the basics first”, especially since the health service “suffers from basic information technology problems and old equipment.”
Chris Fellang, bullets in the health sector in general digital consultations, agreed that “providing these bold ambitions will require basic changes to NHS plumbing.”
Prevention disease
Among the measures stipulated in the plan is an attempt to enhance the audience’s access to NHS weight loss medications. It warns of the “obesity epidemic”, where rates have doubled over the past twenty years and about one in five children who leave obesity in primary schools.
Streeting claimed that “half” of the House of Commons was using weight loss injections.
The ministers will work with the industry to “test innovative models to provide services and treatments for patients with effectiveness and safety,” says the plan, “in a really suitable place for citizens.” This may be “on the high street, or in any shopping center outside the city.”
The plan also sets the current plans to implement the rules that prohibit unhealthy food ads before 9 pm, as well as prohibiting the sale of high caffeine drinks for children under the age of 16.
It also refers to the government’s tobacco and VAPES bill, which aims to gradually get rid of smoking.
“The specific focus on obesity is the correct effect,” noted by Sibastian Reese, who leads health policy at the Public Policy Research Institute.
He added: “We would like to see more procedures on addressing harm from alcohol and gambling.” “But governments must take options and choose obesity as the mission of public health” the moon “looks like the right choice.”
Financial sustainability
NHS consumes an increasing share of state resources. The plan warns that the service has developed “addiction to disability” and local health organizations may face legally specific budgets.
Times times already I mentioned NHS financing is risky as it was before the Covid-19 pandemic with a deficit in the health service funds in England more than last year.
“If the financial discipline does not become the standard in NHS, we will follow a new and stronger legal approach to financial accountability,” says the plan, to manage excess spending “through legally covered budgets.”
Patients will also be given powers to determine the amount of hospital payment for procedures. “He will not leave any money from NHS, but individual supplier organizations can be punished if patients are not satisfied,” he says.
A health official asked how financial incentives work to “transfer real care for hospitals”, especially if the plan “does not provide capital funding required to build the facilities and the group we need.”
Andy Haldan, the former chief economist at the Bank of England and the editor and column writer at the Bank of England, will publish a production review in the fall.
“While we agree with the government that the answer to NHS’s challenges is not just saving more money, there must be realistic on how the financial situation affects the ability to provide all the repairs proposed today and the impact that this will happen on the service,” said Walleno of the King Fund.
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