Dave West @ HSJ

Good service from Q, sharing views of some of the staff/leaders locally most involved in efforts to improve services

BMA says resident doctors are pressing ahead with the strikes ---

NHS leaders have so far held off from cancelling or rescheduling planned care; they'll now have to decide whether to persist with that 'game of chicken', or wait and see how it plays out on Friday morning

Written Statement: Gambling levy to reduce gambling-related harms in Wales | GOV.WALES Sarah Murphy MS, Minister for Mental Health and Wellbeing

🎰 Tackling Gambling-Related Harm in Wales

Welsh Government has issued a ministerial statement on introducing a statutory levy on gambling operators to reduce gambling-related harms.
www.gov.wales/written-stat...

Prime Minister announces Diagnosis Connect initiative at today's civil society summit, connecting newly diagnosed patients with expert charities, national & local. Design phase now, going live in 2026.

Primary care and prevention are the most important but of course we are going to start the new transparency league tables with....

....acute trusts data.england.nhs.uk/dashboard/ac...

NHSE workforce chief departs NHS England's chief workforce, training and education officer is leaving this summer, ahead of the appointment of a new director for "people" in the health department.

www.hsj.co.uk/workforce/nh...

New: Dr Navina Evans, NHS England’s chief workforce, training and education officer, is leaving this summer.

@hsj.co.uk story up soon.

Greg Fell: Junk food ad ban delay harms health | Local Government Chronicle (LGC) Local restrictions make a difference but need to be accompanied by far-reaching national policies, writes the president of the Association of Directors of

Junk food ad ban delay harms health

www.lgcplus.com/services/hea...

hard to put it any other way TBH .....

Excellent mega thread from Craig to end #10ypweek

10 YEAR PLAN - Efficiency pt2

Buckle in folks, this is a longer one.

The Plan stays onside with people on efficiency without taking a baseball bat to the shins of the worst offenders. It hints strongly though that a delivery plan must do better nationally. My view on things in the Plan.

1/13

10 YEAR PLAN - Efficiency

The country's most expensive cohort of patients are those between Healthy Life Expectancy and Life Expectancy ages.

Definitions: www.gov.uk/government/p...

1/5

someone on the HSJ comment threads said we always confuse a strategy with a plan.. and this is a (Rather long) strategy

Reminds of these comments from January

www.hsj.co.uk/integrated-c...

Hmm. No delivery plan today.

PM launches new era for NHS with easier care in neighbourhoods The Prime Minister launches a new era for the NHS, bringing more easily accessible care closer to home.

There are major benefits situating services together locally, but new 'Neighbourhood Health Centres' should be located in and work closely with the thousands of charity-run community hubs that already tackle poor health, often without funding or collaboration with the NHS.
www.gov.uk/government/n...

Three former senior leaders at Countess of Chester have been arrested on suspicion of gross negligence manslaughter, and bailed

The government should not ban public servants from speaking in public | Institute for Government New guidance will damage the quality of government and public discourse.

No10 has issued odd internal guidance banning officials speaking at public events

It means more closed govt & worse policy decisions-the opposite of what ministers say they want

From @drhannahwhite.bsky.social & me @instituteforgovernment.org.uk

www.instituteforgovernment.org.uk/comment/gove...

I’m getting signals that the 10 year plan wants to both co-ordinate care for people with LTCs (especially multiple LTCs) and ensure they are given choice of provider.

Has anyone thought about the fact that it’s really really challenging to do both?
@sebrees1.bsky.social @rcgp.bsky.social

@tomdolphin.bsky.social has been elected BMA Council chair, at this rather important time for medical industrial relations

We’re working with LLR ICB on their GP funding formula - for work led by Health Foundation

Funnily enough I covered some of the potential for NHS redistribution - and the dilemmas involved - back in February

t.co/HXqFPu5hjd

Great news that Streeting is now addressing these things, but he is miss-selling what's going on with deficit/funding ICS allocations

Excellent must read thread from @davewwest.bsky.social on today’s #nhs ten year plan announcements in #Blackpool whilst very welcome news about reform of Carr-Hill & finally starting to address Tudor Hart’s “inverse care law” a mere 70 years after he first coined the phrase 1/2

*Plus, it won't be spent 'on health inequalities' - it will go into general NHS allocations to be spent on anything. And at the moment the NHS isn't particularly prioritising inequalities

...what's going on...?

*Removing it rapidly would take pretty severe spending cuts in those areas (some v deprived). Streeting is lining up moves to help restructure services.
*If they don't succeed in cutting - as is often the case-the money can't come out at all, govt ultimately has to

*Big current beneficiaries include Lancashire - WHERE BLACKPOOL IS - and Gtr Manc
*It will be redistributed based on the current funding formula - again, the recipients are not especially deprived or coastal
*It can't all come out *this year* - it's already baked in

Poorest parts of England to get £2.2bn more for NHS to cut care inequalities Deprived and coastal areas to get extra cash this year for staff and resources in effort to improve health outcomes

Sorry but this is WILDLY misleading

*The £2.2bn is meant to come out of current NHS 'deficit support'
*Deprived & coastal areas already get as much of the £2.2bn as wealthy ones, if not a bit more
www.theguardian.com/society/2025...

We have seen the government’s 10-Year Health Plan: it is a mess The latest draft of the government's 10-Year Health Plan is based on weak assertions about funding, and fails to address the practicality of reform, says HSJ editor Alastair McLellan.

BREAKING: I have obtained a full draft copy of the Government's 10 Year Health Plan which is due to be published next week. Read my analysis here: www.hsj.co.uk/policy-and-r...

Liked this #dental quote

"Urgent only dental care is like putting a wet plaster on a wound that needs sutures"

10 Year Health Plan followers: I'm told that, after many many revisions in recent weeks, and months of intense work - a final version may now actually be 'locked down'.

Now on to publication, hopefully. And we can all stop calling for things to be in it, or out of it.

Holding spend down a bit after the covid rises was sensible I think for catch up - there was a break from efficiency/productivity, and quite rapid staffing growth - but ultimately won't help output/quality