whose health and care

Whose Health & Care? What NHS do we need now? Is there a need for some top-down reform? JG: evidence on major structural change suggests structural changes don't achieve objectives or save money or make things better - make people feel threatened and reluctant to take accountability LPH: We cannot afford another restructuring Clive Efford's Private Members' Bill... Labour started programme of privatisation! LPH: Necessary to reduce waiting times LPH: CCGs are handing over commissioning of services to the private sector - that's the issue Why are NHS trusts excluded from H&WBB JC: looking at membership to make sure it is fit for purpose Introduce combined budgets and integrated working, not tariffs which encourage disintegration Direction of the NHS now? Need to restore democratic accountability in NHS CAMHS Care Homes Francis Report - impact of market LPH: Need to bring back Community Health Councils GC: CHC's were sometimes unrepresentative GC: Level of engagement decreases when users are satisfied Why is Labour equivocal about TTIP? LPH: We will not sign it if NHS is included in TTIP Role of the third sector - more than just a provider Longer term arrangements for hospices e.g. Will CCGs remain? Will commissioning continue? LPH: CCG governance will be reviewed, end structure of expensive continuous contracting Position on Foundation Trusts? LPH: Pull together all Trusts. Get rid of competition. Construct the NHS as one organisation. Advantage of FT model is their governance The cost of healthcare Labour's ability to reverse coalition cuts? LPH: Mansion Tax etc. contributes to investment fund for integrated care LPH: Labour still committed to cutting deficit but slower to make money available How do we measure how much we are saving? Protecting services like STAR JC: Have to make difficult calls to meet statutory requirements on critical care GC: Impact of bank bailouts is being felt across the international community, not just by UK GC: Finding other options rather than privatisation to improve services will save money that can go to patient care - abortive GEH privatisation cost £500k! Joining up services Integration is reorganisation - how will this not affect people's jobs? LPH: Give H&WBB the authority and budget to improve services JC: HWBBs not given many levers of power LPH - accountability will sit locally. e.g. hospitals will not be solely accountable for systemic problem of A&E waits JG: at national level we are talking sloppily about integration and not giving it enough thought. If it is the answer, what was the question? Is this for all age groups - works less well for children LPH: Principally talking about care for older people How do we keep people at the centre? Even when we need to save money. Putting people before profit. LPH: Impact of disintegration of services on people - agencies fighting each other to give people support. GC: Care is determined by the people who are providing it - they have been demoralised. Specific steps can be taken to give them back pride in their work - 4:1 ratio of NHS workers to patient. Models from children's social care which can work, e.g. Every Child Matters

Upload: nick-drew

Post on 18-Jan-2016

123 views

Category:

Documents

2 download

Report

Download

Embed Size (px):

DESCRIPTION

A mind map showing a discussion at the Moseley and Kings Heath Labour Party / Unite the Union West Midlands conference on the future of health and social care.

TRANSCRIPT

Whose Health & Care?

What NHS do we need now?

Is there a need for some top-down reform?JG: evidence on major structural change suggests structural changes don't achieve objectives or save money or make things better - make people feel threatened and reluctant to take accountability

LPH: We cannot afford another restructuring

Clive Efford's Private Members' Bill...

Labour started programme of privatisation!

LPH: Necessary to reduce waiting times

LPH: CCGs are handing over commissioning of services to the private sector - that's the issue

Why are NHS trusts excluded from H&WBB

JC: looking at membership to make sure it is fit for purposeIntroduce combined budgets and integrated working,

not tariffs which encourage disintegration

Direction of the NHS now?

Need to restore democratic accountability in NHSCAMHS

Care Homes

Francis Report - impact of market

LPH: Need to bring back Community Health Councils

GC: CHC's were sometimes unrepresentative

GC: Level of engagement decreases when users are satisfied

Why is Labour equivocal about TTIP?

LPH: We will not sign it if NHS is included in TTIP

Role of the third sector - more than just a provider

Longer term arrangements for hospices e.g.

Will CCGs remain? Will commissioning continue?LPH: CCG governance will be reviewed, end structure of expensive continuous contracting

Position on Foundation Trusts?LPH: Pull together all Trusts. Get rid of competition. Construct the NHS as one organisation. Advantage of FT model is their governance

The cost of healthcare

Labour's ability to reverse coalition cuts?

LPH: Mansion Tax etc. contributes to investment fund for integrated care

LPH: Labour still committed to cutting deficit but slower to make money available

How do we measure how much we are saving?

Protecting services like STARJC: Have to make difficult calls to meet statutory requirements on critical care

GC: Impact of bank bailouts is being felt across the international community, not just by UK

GC: Finding other options rather than privatisation to improve services will save money that can go to patient care - abortive GEH privatisation cost £500k!

Joining up services Integration is reorganisation - how will this not affect people's jobs?

LPH: Give H&WBB the authority and budget to improve services

JC: HWBBs not given many levers of power

LPH - accountability will sit locally. e.g. hospitals will not be solely accountable for systemic problem of A&E waits

JG: at national level we are talking sloppily about integration and not giving it enough thought. If it is the answer, what was the question?

Is this for all age groups - works less well for childrenLPH: Principally talking about care for older people

How do we keep people at the centre? Even when we need to save money. Putting people before profit.

LPH: Impact of disintegration of services on people - agencies fighting each other to give people support.

GC: Care is determined by the people who are providing it - they have been demoralised. Specific steps can be taken to give them back pride in their work - 4:1 ratio of NHS workers to patient.

Models from children's social care which can work, e.g. Every Child Matters

UNITEDHEALTHCARE INSURANCE COMPANY€¦ · An Individual Health Insurance Contract. 3. Primary Plan: A Plan whose benefits for a person’s health care coverage must be determined

US Health Care Reform What Are the Stakes? And, Whose Heart Are They Going Through? Trisha Cassidy Loyola University Health System August 2009

POCT08: Quality Practices in Noninstrumented Point-of-Care ...Secure Site · instrument. This testing is typically performed by health care workers whose duties include a variety

cial care health and social care health and social care health and

Telehealth in Community Clinics - California Health Care …€¦ · · 2018-01-02communities throughout the world. Dr. Duclos is a health and behavioral scientist whose areas of

CIAL CARE HEALTH AND SOCIAL CARE AND SOCIAL CARE HEALTH AND · PDF file · 2017-02-09HEALTH AND SOCIAL CARE HEALTH AND SOCIAL CARE HEALTH AND SO-CIAL CARE HEALTH AND SOCIAL CARE HEALTH

Unmet Health Care and Health Care Utilization

Whose Problem Is It? Mental Health & Illness in Long-term Care Revised by M. Smith (2005) from M. Smith & K.C. Buckwalter (1993), “Whose Problem Is It?

Diabetes Management in Health Care: Whose Responsibility ... · Diabetes Management in Health Care: Whose Responsibility is it Anyway? Objectives • Participant will define the difference

Whose Values? - Centre for Mental Health

leading - Advocate Health Care...Advocate Health Care, based in Oak Brook, Illinois, is a faith-based, not-for-profit health care delivery system of physicians and associates whose