Jacob Lant
@jacoblant.bsky.social
2.6K followers 540 following 210 posts
Chief Exec at National Voices, England’s leading network of over 200 health and social care charities. Long time champion of involving people and communities in designing health and care services. Also loves DIY, libraries and Sheffield Wednesday.
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jacoblant.bsky.social
So delighted @NVTweeting asked to co-chair one of 4 vision groups, and brilliant they are being framed around the ‘I Statements’ work that’s been led for years by us and TLAP - we are working to ensure a really patient + community centred approach to the #NHS10YRPlan

www.hsj.co.uk/policy-and-r...
The leaders chosen to guide the government’s 10-year plan
HSJ can reveal the health and care leaders who have been selected by government to lead the 11 advisory groups which will feed ideas into its 10-year plan for health.
www.hsj.co.uk
Reposted by Jacob Lant
patients-association.org.uk
'You've got to have curiosity and frankly, you've got to be willing to hear what you don't want to hear' Sir Jim Mackey #PPW2025
jacoblant.bsky.social
By tracking performance against the "I Statements" over time we can help the Government understand if their reforms are actually delivering for people.

Over time we want the Gov itself to be tracking performance in this way.
jacoblant.bsky.social
We wanted to do this snap poll to provide a baseline of how NHS is doing on the "I Statements" at the point the 10 Yr Plan is published.

From what we've heard to date, Gov is keen on patient power, more agency + choice and using outcomes rather than output as the measure of success. All good stuff.
jacoblant.bsky.social
On that last I Statement about fair and inclusive, the polling also revealed ethnic minorities 3x more likely to say they didn't feel treated with dignity and respect than people of white ethnicity.

Read the full story and the data behind it here - www.nationalvoices.org.uk/newsitem/mor...
More frequent NHS users have worse experiences
New data from National Voices and Ipsos finds that people with Long Term Conditions have significantly worse experiences of care, highlighting a need to get the basics right and to listen to patients ...
www.nationalvoices.org.uk
jacoblant.bsky.social
- I can stay healthy and manage my health in a way that works for me
- I can access the high quality and effective care I need, when and where I need it
- My care is integrated around my needs and wishes, and I am listened to
- I am treated in a fair and inclusive way, irrespective of who I am
jacoblant.bsky.social
For those who don't remember the I Statements the DHSC used, i have set them out below.

These were drawn from work done by @nationalvoices.bsky.social + @tlap.bsky.social

Using them showed real willingness to consider the challenges in health and care from the perspective users.
jacoblant.bsky.social
@nationalvoices.bsky.social + @ipsosintheuk.bsky.social have been asking about people's experiences of NHS + how they align with the 4 "I Statements" used by @rthonwesstreeting.bsky.social to frame development of the 10 Yr Plan.

Some big differences emerging for people with Long-Term Conditions.
A slide showing the how well supported people feel by the NHS the manage their physical and mental health conditions. 

The results are broken down by people with long-term conditions and people without. 

On physical health, 37% of people with a long-term condition say they feel not very/not at all supported by the NHS to manage their physical health. This compares to 19% of people without a long-term condition. 

On mental health, 40% of people with a long-term condition say they feel not very/not at all supported by the NHS to manage their mental health. This compares to 20% of people without a long-term condition.
Reposted by Jacob Lant
jessiecunnett.bsky.social
It was a great thing to be able to host this conversation. ‘Plans don’t change things, people do’, ‘get the basics right’, ‘get local’ and ‘intentionally hear all voices’ and ‘you can’t deal with the NHS in a vacuum from social care’ - wise words from all the panelists!!
jacoblant.bsky.social
3 of my favourite people all in same session about public engagement in the NHS 10 Yr plan.

- Robyn Chappell, @nationalvoices.bsky.social Lived Experience Manager
- @jessiecunnett.bsky.social NV trustee, among other things.
- Louise Ansari, CEO @healthwatchengland.bsky.social

Good luck everyone!
jacoblant.bsky.social
Yeah but the integration index has actually been developed and in the testing it showed some really useful insights that were both actionable for local services and shed light on how well integrated services actually feel for people. The risk is is lands at the wrong time to gain traction.
Reposted by Jacob Lant
nationalvoices.bsky.social
🖥️ New HSJ blog from our CEO, @jacoblant.bsky.social

Jacob makes the case for the role that the CQC could play in overseeing how well services are working together to ensure patients and communities receive joined up care.

Read more 👉 www.hsj.co.uk/policy-and-r...
A new job for the CQC
To make integrated care a success, someone needs to monitor the gaps between services, and CQC is the best pick for it, writes Jacob Lant
www.hsj.co.uk
Reposted by Jacob Lant
charlotteaugst.bsky.social
Agree with every word in this comment piece from @jacoblant.bsky.social from @nationalvoices.bsky.social. Good care means not that you can get your diabetic foot amputated quickly, but that you don't need that amputation in the first place. Hence, system working!
app.hsj.co.uk/2025/05/30/a...
A new job for the CQC
To make integrated care a success, someone needs to monitor the gaps between services, and CQC is the best pick for it, writes Jacob Lant
app.hsj.co.uk
jacoblant.bsky.social
It was published on Friday when I was on leave. Back today though so will be giving it a second push. :)
jacoblant.bsky.social
I previously mentioned on here that the Supreme Court judgement on sex under the EA2010 will have caused much confusion about the rights of trans people - thankfully @transactualuk.bsky.social have produced this excellent resource to help transactual.org.uk/know-your-ri...
Know Your Rights – TransActualAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
transactual.org.uk
jacoblant.bsky.social
If you’ve not see the report before here it is - www.kingsfund.org.uk/insight-and-....

We set the scene for the scale of the admin challenge in the NHS, and the impact it’s having on patient experience, perceptions of waste in the NHS and affecting future health seeking behaviour.
Lost In The System: The Need For Better NHS Admin | The King's Fund
2 out of 3 people say they've had a problem with NHS admin in the past year. We explore the impact these experiences is having on public perceptions of the NHS and what could be done to make things be...
www.kingsfund.org.uk
jacoblant.bsky.social
At the NHS England Cancer Improvement Collaborative event this AM talking all about the work they’ve been doing to improve admin! I’m sharing the findings of @nationalvoices.bsky.social @healthwatchengland.bsky.social @thekingsfund.bsky.social joint “Lost in the System” report.

Check out the view!
jacoblant.bsky.social
Great panel on women’s health at @hsj.co.uk inequalities conf.

Lots of love on panel for #healthwatch - whether it’s Louise talking about brilliant work done nationally on access to maternal mental health checks to the local network helping Trusts and ICBs gather insight on huge range of issues.
jacoblant.bsky.social
Also great to have so many @nationalvoices.bsky.social members on the agenda for the day:

@cancerresearchuk.org
@diabetesuk.bsky.social
@itsgroundswell.bsky.social and Macmillan Cancer Support

Friends @healthwatchengland.bsky.social @nhs-rho.bsky.social and Prof Bola Owolabi also on the stage!
jacoblant.bsky.social
- shift the money flow and how staff are deployed so we address the inverse care law, which Lord Darzi said in his review last year is still very real.

- tap in to patient agency and self-management, but acknowledge that this isn’t equitable and that not everyone starts in the same place.
jacoblant.bsky.social
Was an absolute pleasure to speak this morning at the @hsj.co.uk Reducing Health Inequalities conf.

Got to speak about the #NHS10YrPlan and my hopes that it will:

- ensure demographic breakdowns are routinely provided on NHS stats so performance on inequalities is impossible to ignore.
jacoblant.bsky.social
I was pleasantly surprise by that too. Time will tell what it means in practice, especially with staffing cuts in ICBs, but it’s a good sign. Also positive to see health inequalities on the list of growth areas for ICBs as well. If only someone had produced some sort of self-assessment tool kit for
jacoblant.bsky.social
This excellent work Will.

I’d a third, which is an unwillingness or unresponsiveness from services when errors or gaps are highlighted to them. It’s almost as if the record is believed over the patient at times, when the system should work with patients to fix problems when they are identified.
jacoblant.bsky.social
1 in 4 patients find errors in their medical records!

Sadly getting these errors/gaps fixed can be a nightmare + places burden solely on patients, when the NHS should be looking to work with people to fix this.

www.theguardian.com/society/2025...

Excellent work @healthwatchengland.bsky.social
One in four patients in England find errors in medical records, watchdog says
Healthwatch England says mistakes mean some patients are refused care or given drugs they do not need
www.theguardian.com