COMMENT CSJ THE CLINICAL SERVICES JOURNAL Editor


Chris Shaw chrisshaw@stepcomms.com


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More commitment to the NHS?


Many were keen to hear The Queen’s Speech at the opening of Parliament on Monday 14 October 2019, to understand exactly how the Government plans to take the NHS Long Term Plan forward.


The Government has committed to a NHS multi-year funding settlement that will see a £33.9 billion per annum increase in the NHS budget by 2023-24. In September 2019 the NHS published a set of recommendations for legislation changes that would enable the NHS to go faster and further in realising the ambitions set out in the 10-year NHS Long Term Plan - to improve integration, reduce bureaucracy and promote collaboration. In her speech, The Queen announced that new laws will be taken forward to help implement the NHS’ Long Term Plan in England, and she welcomed the NHS’ leadership of this work, as well as the input from people across the health and care system. The Queen said: “This Government is committed to supporting the NHS Long Term Plan. We are considering the NHS’ recommendations thoroughly and will bring forward detailed proposals shortly. In due course, we will publish draft legislation that will accelerate the Long Term Plan for the NHS, transforming patient care and future-proofing our NHS.”


Commenting on the speech, Richard


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Murray, chief executive of The King’s Fund said: “We welcome the Government’s commitment to bring forward draft legislation to support the implementation of the NHS Long Term Plan. This should be based on the targeted proposals NHS England have developed in conjunction with NHS staff, patients and local leaders, which will remove some of the barriers that make it hard for NHS organisations to collaborate with each other and their many local partners. This would deliver positive legislative change without imposing another top-down structural reorganisation.” However, many believe that looking outside the NHS there is a pressing need for major reforms to social care funding. According to Murray, the adult social care system is failing the people who rely on it, with high levels of unmet need and providers struggling to deliver the quality of care that vulnerable people have a right to expect. He noted: “While we welcome the Government’s commitment to bring forward proposals to reform adult social care, it’s time for the Government to stop just saying they will fix it and to show us how they plan to do so. Any meaningful future reform also needs to include working age adults, who


NOVEMBER 2019


account for half of social care spending.” Elsewhere, reactions were similarly cautious,


with Professor Andrew Goddard, president of the Royal College of Physicians responding to the Government’s proposals to reform adult social care in England. “For years, the lack of investment in social care has severely impacted the whole health system, with older patients often inappropriately kept in hospitals, affecting their wellbeing, independence and confidence to return to independent living,” he asserted.


For years, the lack of investment in social care has severely impacted the whole health system.


“The Government now needs to recognise the scale of the challenge. Only sustained investment and thoughtful transformation of social care will deliver a service that meets the growing needs of our ageing population.” The Queen’s Speech also confirmed that a Bill is to be introduced to provide a statutory framework for the Healthcare Safety Investigation Branch (HSIB).


The HSIB, established in 2017, aims to improve safety through effective and independent investigations that don't apportion blame or liability. However, Dr Rob Hendry, medical director at the Medical Protection Society, warned that if there is to be a shift to an open and learning culture in healthcare, where mistakes can be discussed and learnt from, then there is also a need for appropriate ‘safe spaces’ for healthcare professionals. “We have long called for the Government to give the Healthcare Safety Investigation Branch a statutory underpinning, so it can give legal protection to individuals, and their comments, when engaging with an investigation,” he said.


Like many others who will be directly impacted, it’s hoped that this Bill will move through parliament swiftly.


Chris ShawlEditor chrisshaw@stepcomms.com


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