Home > If we are to improve care to meet patients’ needs today, there are some simple things that we need to focus on
Posted by admin on April 4, 2016
In my role I read a lot of commentary and reports about the NHS. Just recently I read about how NHS providers are “in a ditch”, how we have “spiralling” deficits and no plan to fill a “£22bn black hole” and that we need ”a better plan”. It’s always a gloomy picture and there is always an angle if you want to take it. My angle is that we have the biggest challenges for a generation and a huge consensus about how we address them. We should stop commentating on the state of play and get on with the game. That takes leadership at all levels – of the kind being shown in University Hospitals of Morecambe Bay NHS Foundation Trust.
If we are to improve care to meet patients’ needs today, there are some simple things that we need to focus on:
Many of these themes come out in the NHS Confederation’s Commission into Urgent Care for Older People. This started as an inquiry into A&E pressures and quickly became about the cause of those pressures and not just the visible symptom of crowding in A&E. It’s a great report that highlights how we are increasingly dealing with an ageing population with growing dementia cases and co-morbidity. The system often fails older people and the result is they end up in hospital. The report also showcases some fantastic practice across the NHS and identifies the how we could change and help trusts thrive. In each, there is a sense of system, financing, staffing and community.
One of the clear messages is that hospitals have a critical role to play in leading change with these services as part of joining up care across communities. Often this debate gets into a bit of a cul-de-sac where people define hospitals as organisations that are somehow not part of communities and hint that they are part of the problem. Anyone who has been to somewhere like Furness General Hospital knows this is a redundant idea. The model ships in the entrance, the paintings and murals, the plaques from High Carley and Roose show a proud history of community. And as a Barrovian I have many memories of the place. They reflect the joy and sorrow that goes on each day within its walls – it is where my twin nieces were born, it is where my younger brother was pronounced dead after he committed suicide and it is where my Dad gets treatment regularly for his hip. The hospital is clearly part of my history and my community. To thrive it needs community based alternatives and to retain connection with the people it serves.
Luckily, we now have an opportunity to plan for a new future in healthcare. This will be set out in place based plans called sustainability and transformation plans [STPs] that cover the next 3 to 5 years. Trusts like yours with effective leaders like Jackie give me hope that the plans will be good. My job at the NHS Confederation is to help ensure that you have the right conditions in which to deliver them.