Thea Stein
@theasrstein.bsky.social
2.5K followers 98 following 100 posts
Chief Executive @NuffieldTrust - curious and questioning. Listening and learning. Views my own.
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Reposted by Thea Stein
nuffieldtrust.org.uk
In both print and online versions of today’s @financialtimes.com, our Chief Executive @theasrstein.bsky.social says the vision behind the 10 Year Health Plan is the right one. The ambition for England’s NHS is clear, but it will be harder to achieve.
www.ft.com/content/eeff...
NHS plan is long on the ‘what’ and short on the ‘how’
The vision of community healthcare is right but marred by the belief it will save money
www.ft.com
Reposted by Thea Stein
nuffieldtrust.org.uk
Through #QualityWatch, we're tracking over 200 indicators to find out whether the quality of health and social care in England is getting better or worse.

The latest indicator updates cover A&E waiting times, NHS dental services and cancer screening, among others 👇
Indicators
www.nuffieldtrust.org.uk
Reposted by Thea Stein
nuffieldtrust.org.uk
The latest data on #NHS performance is now available to view on our #QualityWatch dashboard, updated each month.

Includes performance against key targets in A&E and access to planned treatment.

View the dashboard: buff.ly/5xIF5sK
Reposted by Thea Stein
nuffieldtrust.org.uk
📢 Calling all ICS strategic staff at #NHSConfedExpo working on community-based care, inequalities, or support for older people 🏘️

Take part in our survey for the CQC and inform this year's State of Care report 📋

Survey link 👇

forms.office.com/Pages/Respon...

Deadline 25 June
The Nuffield Trust is running a survey of ICSs and local partnerships for CQC
Reposted by Thea Stein
leonoramerry.bsky.social
He articulated clearly that the only way to turn things around in the ailing health service is by working collaboratively. We saw none of the previous language of “blockers and checkers” or implication that the health service was anti reform. In fact the opposite.
Reposted by Thea Stein
leonoramerry.bsky.social
He gave a flavour of what’s to come in the forthcoming 10 year health plan - and in many ways it’s back to the 2000s (but without the money): a greater role for NHS regional tier, Foundation Trusts, financial incentives.
Reposted by Thea Stein
leonoramerry.bsky.social
The diagnosis that sits behind this is that bureaucracy and top down control are at the heart of the NHS’s problems. There is no doubt that looking upwards and numerous onerous reporting requirements have not always served the NHS and its patients well.
Reposted by Thea Stein
leonoramerry.bsky.social
But there is little evidence that simply changing structures leads to better health outcomes. This will be something to watch when the 10YP is finally published. Are structural solutions expected to do the heavy lifting for what is essentially a huge cultural shift in how the health service works?
Reposted by Thea Stein
leonoramerry.bsky.social
Also interesting remarks from Streeting in the Q&A about how he has worked to improve relations between the DHSC, NHS and HMT. Tensions between these Depts have undoubtedly had a big impact in the past as the excellent @markgdayan.bsky.social has argued www.nuffieldtrust.org.uk/news-item/nh...
www.nuffieldtrust.org.uk
Reposted by Thea Stein
leonoramerry.bsky.social
It will be an interesting few months. And thanks to @danielreynolds.bsky.social @confedmatt.bsky.social and the wider Confed team for a v impressive conference.
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leonoramerry.bsky.social
It will be interesting to see if this more collaborative and friendly tone from SofS sticks when the rubber hits the road in the face of continued financial pressures. Will the language of blockers and reactionaries return when difficult things are revealed to be difficult?
Reposted by Thea Stein
theasrstein.bsky.social
So what are the takeaways from @rthonwesstreeting.bsky.social address to @nhsconfed.org today? 1) a significantly more partnership-based approach to the leadership & staff of the #NHS. Good. They are crucial to delivery of any plan
theasrstein.bsky.social
So…. Welcome recognition of how hard it is and good that he sees that the NHS is up for change - much more realism - but a bit too much of a love affair with FTs - but let’s see …
theasrstein.bsky.social
6) Fewer targets, focus on health disparities - to be welcomed - no mention of the health mission….
theasrstein.bsky.social
5) says this is not a top down re organisation - get the point but wouldn’t feel like that in an ICB or NHSE
theasrstein.bsky.social
4) recognises the money is not going to be enough without reform. @nuffieldtrust.org.uk would add the need to make difficult choices ….
theasrstein.bsky.social
3) Organisational form can be flexible to place - GPs leading, GPs run by acutes -maybe a bit too much on structures - not enough on relationships & trust
theasrstein.bsky.social
2) the return of the Foundation Trust as a driver of change & entrepreneurship - hmmm - evidence mixed as to whether it was FTs drove big improvements or the £ at that time
theasrstein.bsky.social
So what are the takeaways from @rthonwesstreeting.bsky.social address to @nhsconfed.org today? 1) a significantly more partnership-based approach to the leadership & staff of the #NHS. Good. They are crucial to delivery of any plan
Reposted by Thea Stein
leonoramerry.bsky.social
Proud of our small but mighty think tank @nuffieldtrust.org.uk today. Our remarks on the SR were put to Rachel Reeves on the Today programme today. And Wes Streeting starts his speech at #NHSConfedExpo by referencing our analysis with @thekingsfund of British Social Attitudes