Integrated care
of the different political parties’ pre-election promises – how they will manage the NHS going forward. All that would disappear if the Department of Health and Social Care accept the Hewitt Review and its central tenets. If local priorities and national targets are given equal weight, it would take a shift in understanding to make parliament and the public, locally, to be sure that their ICS is accountable for what it delivers.
Promoting health and wellbeing At the heart of the review is a commitment to the prevention of ill-health – which many previous health ministries have promised, and many pages of Government reports have been written. The proposal hinges on a budget increase of one percent towards prevention, over the next five years, which will be a difficult political sell, as the NHS is already struggling with spending.6
The Hewitt report also calls for An easy,
everyday way to see if your hands are really clean.
a cross Government collaboration to embed a national mission for health improvement with formal arrangements to underpin this, and the establishment of a national integrated care partnership forum and a new Health, Wellbeing and Care assembly to support engagement.7 Together with this proposal, Patricia Hewitts’ vision includes empowering the public via the NHS App and a further commitment to develop citizen health accounts, supporting the public to be active partners in their own health. An early priority should be the creation of a national health improvement strategy, identifying priority areas and actions. In addition, she suggests that there should be a small set of clear, high
level national goals for population health, with appropriate timescales and milestones for action. It should consolidate the current existing, fragmented outcomes frameworks to enable an aligned set of priorities across health and care.8 One of the fundamentals to the development,
requires that timely, transparent and high- quality data is available to incentivise the flow and quality of data between providers and systems. Building on the experience of successful data sharing during the pandemic, there should be a reform of the Control of Patient Information regulations. The Shared Care record, now established in all
ICSs, should be accessible by all local authorities, social care providers and other partners, while also enabling individuals to access their own data to make amendments and add information about their own health and wellbeing.
Conclusion There are a number of significant suggestions about emphasis on budgets and how the finances are managed across the new structures, but there is insufficient space to expand on these here. There is also a strand of the Review which
covers how the CQC should become less of an inspectorate and more of an ‘encourager’ to self-improvement and positive learning for the ICSs. It will be necessary for this aspect of the review to be clearly spelt out to all concerned in order for it to become a reality. There is much to be welcomed in this report and it heralds a significant change in direction for health and social care. However, if the
media are to be believed, this is overdue and bold leadership will be required to make the NHS and all the elements of ICS development come together to save the NHS and its current difficulties. However, it remains to be seen how much
of the report and its proposals are accepted by the Department of Health and Social Care. The cultural differences between NHS bosses and local government are huge, both locally and nationally, and an unwieldy barrier to good development and understanding within the new organisations. The vision in the report can give the Integrated Care Boards a set of joint policies and actions, which will serve them well and assist them to deliver to the people their core interventions in new ways.
References 1 April 2023 Hewitt review: what you need to know, NHS Confederation
2
https://assets.publishing.service.gov.uk/ government/uploads/system/uploads/ attachment_data/file/1148568/the-hewitt- review.pdf
3
https://www.kingsfund.org.uk/blog/2023/04/ standing-back-hewitt-review-six-key-take- aways
A handy reminder and training tool. Clean hands are safe hands.
4 Ibid 5 April 2023 Hewitt review: what you need to know, NHS Confederation
6
https://www.kingsfund.org.uk/blog/2023/04/ hewitt-turning-tide-performance- management-or-swimming-against-it
7 Ibid 8 Ibid
CSJ
Portable or static, this training unit and uv fluorescent soap is compact and easy to use. Wash and check all-in-one step.
The Handicheck system gives validation and verification of good handwashing techniques to make sure hands do not spread infections.
Much easier than existing black box and uv powder options – making the training process quicker and slicker to manage.
Wash Check Go
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www.hannlie.com Scan me June 2023 I
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