Joe Wilday

10 Year Health Plan for the NHS Skip to main content

A year on since coming to power, the government's 10 Year Health Plan sets out the direction of travel for the #NHS.

The plan is hugely ambitious. But can it deliver on that ambition? 💭

Read the commentary and analysis we've produced on this milestone document so far. 👇

buff.ly/gR2cWCK

Nice display of how flow is greater than numbers in the cause of long waits. How does this contrast with the community care focus of the 10-year plan?

Two scatterplots side by side. The chart on the left shows the relationship - or - rather - the lack thereof - between the number of A&E attendances per day and each day's four-hour compliance. The chart on the right shows the (quite strong) relationship between the level of crowding in the A&E each day and each day's four-hour compliance.

It was good to see @samfr.bsky.social say today that "the main reason for lengthy A&E waiting times is the lack of hospital beds for people who need admitting, which gums up the whole system as they have to keep being treated by emergency staff."
samf.substack.com/p/optimism-o...
#rstats #ggplot2

“Nigel Farage said he no longer wants an NHS funded through general taxation”.

He wants to replace the NHS entirely with Private Health Care.
We may see Reform gaining votes from those who would suffer most from his ideology.

Sound familiar?

Exploring alternative paramedic roles: a multinational mixed-methods survey - BMC Medical Education Background While paramedicine is an evolving profession globally, there remain many disparities around titles and roles within the various jurisdictions that may not be fully captured in the literatur...

Ever wondered about the diversity of paramedic roles?
Great piece of work by Fintan Feerick et al.

bmcmededuc.biomedcentral.com/articles/10....

Realising the three shifts: preventing more people from reaching crisis point will be one measure of success | The King's Fund Can prioritising non-clinical support for people who frequently attend A&E contribute to the government’s ambition to deliver three major shifts in health and care?

'Fundamentally, work to better support those who frequently attend A&E is about intervening early to prevent people from reaching crisis point' says Leila Morris in her recent blog. Find out more about the link between prevention and reducing attendance in A&E here:

Some illustrative stats here - 26x increase in pts waiting >12 hours from decision to admit since 2019 😐

Social care commissions: looking back to move forward Adult social care in England desperately needs reform and investment. We look back at the approaches and proposals of previous similar reviews.

The government has announced a new independent commission to determine how to reform social care.

Published in November, our analysis of 25 previous commissions, inquiries and white papers highlights 4 lessons to make meaningful change.

Read more 👇
https://buff.ly/3DKfftt

Ambulance handover delays in England may harm 1,000 patients a day Exclusive: 414,137 people believed to have experienced some level of harm in last year, Guardian analysis finds More than 1,000 patients a day in England are suffering “potential harm” because of ambulance handover delays, the Guardian can reveal. In…

Ambulance handover delays in England may harm 1,000 patients a day

Yes, and it actually worked!

📢Save the date for @ukhahsoc.bsky.social first webinar of 2025! Thursday 9th January. Register here to look forward to the future of #HospitalAtHome ⬇️

us06web.zoom.us/webinar/regi...

@danlasserson.bsky.social

Stings even more so when you realise they cost £30 in the house of commons shop

Great to see our paper published in the British Paramedic Journal this month.

The article formed part of our work in developing and refining the #OHNLS course.

Unbelievably gratifying to see such positive results which will hopefully translate to better care for #babies born out of hospital

12% hospital beds have patients fit for discharge - fix 2’ care by funding community care
Instead👇🏼

Population ⬆️7% 2012-24
❌GPs ⬇️7%
❌District nurses⬇️42%
❌Health Visitors⬇️30%
❌Learning Disability Nurses⬇️23%
❌School Nurses⬇️25%
❌Nursing home beds⬇️12%
❌Residential Care home beds⬇️16%
❌Social care cuts

Stigmatised patient cohorts are as deserving of your care as any other.

Drug addicts.
Alcoholics.
Smokers.
Overweight.
Underweight.
Homeless.
Asylum seekers.
Minority ethnic groups.
Sex workers.
The mentally ill.

You must not alter your approach to healthcare because of your own biases.

Ending the year with the biggun!

The number of hospital beds | The King's Fund A shift in national policy towards providing care outside of hospital has seen a reduction in the number of hospital beds. How has the number of hospital beds in England changed over time and how does...

You can also explore our updated nutshell on hospital bed numbers in England, how these have changed over time and the impact of winter pressures on bed occupancy. www.kingsfund.org.uk/insight-and-...

Predictors of care home resident conveyance to hospital or referral to community pathways by a regional ambulance service attending medical emergencies: a retrospective cross sectional study - Scandin... Background Care home residents are at higher risk compared with community dwelling elders for medical emergencies, often resulting in ambulance attendance and conveyance to hospital. We aimed to deter...

Latest research article:

Predictors of care home resident conveyance to hospital or referral to community pathways by a regional ambulance service attending medical emergencies: a retrospective cross sectional study

sjtrem.biomedcentral.com/articles/10....

In our new report on what needs to improve for social care to better support people with #dementia, we explain how social care is currently organised.

Read the report: https://buff.ly/414hW2P

Check out our handy graphic. 👇

Lords to consider landmark reforms to mental health care Mental Health Bill will give patients enhanced rights to make decisions regarding their own care, ensuring their voice is heard throughout the treatment process.

1 in 2 people from our 2023 survey said their health & care needs affected their mental health.
The new #MentalHealthBill proposes greater rights for patients to make decisions about their care, ensuring their voices are central to the treatment process. www.gov.uk/government/n...

Unlocking productivity through the ambulance estate Exploring the role improved support and control facilities can play in increasing the ambulance service’s productivity.

Unlocking productivity through the ambulance estate. Exploring the role improved support & control facilities can play in increasing the ambulance service’s productivity.

www.nhsconfed.org/publications...

COMMUNITY HEALTH CARE - COLLAPSE
UK population⬆️7%-2012-24
❌GPs ⬇️7%
❌District nurses⬇️42%
❌Health Visitors⬇️30%
❌Learning Disability Nurses⬇️23%
❌School Nurses⬇️25%
❌Nursing home beds⬇️ 12%
❌Residential Care home beds⬇️16%
❌Social care cuts

Need to increase funding not increase costs eg NI employers/staff

Great insight into how the social care sector may be stunted at a time when we need growth

Will the Autumn Budget push the social care sector beyond breaking point? While the recent budget brought better news for hard-pressed public services, social care was not so lucky. With many organisations fearing that changes to the Employer National Insurance Contribution...

🆕 Will the Autumn Budget push the #SocialCare sector beyond breaking point?

With many organisations concerned about changes to the Employer National Insurance Contributions regime, we assess what the financial impact on the sector will be. www.nuffieldtrust.org.uk/news-item/wi...

What needs to improve for social care to better support people with dementia? The number of people living with dementia in the UK is rising. Even if treatments can be developed quickly, the social care system needs to change in order to better support the growing numbers of peo...

NEW REPORT: By 2040, there could be as many as 1.7 million people living with #dementia in England and Wales alone.

What needs to improve for #SocialCare to better support people with dementia? www.nuffieldtrust.org.uk/research/wha...

A Simple and Easy to Understand Guide to Blood Gases. #foamed #pedsICU

25% of hospital beds in England are occupied by people living with dementia (PwD)
Have a longer length of stay and 43% of PwD in hospital have a condition that can be treated in the community (eg LRTI, UTI)
Most importantly 90% of PwD find hospital frightening
#BGSConf