Is the urge for self-preservation wrong? Maybe.

If you're in an ICB or an NHSE-adjacent national organisation, though, the 10y plan is the only game in town. So I can understand a degree of rictus enthusiasm towards it, in that if you're thirsty and all they're offering is kool-aid...

P14 here lists it as something on the list ICBs are looking to transfer out. Somehow! i.emlfiles4.com/cmpdoc/0/7/2...

There is also no discernible plan for SEND in the model ICB guidance beyond 'maybe someone else can do it'. A plan would be helpful...

NHSE delays staff transfer to ICBs NHS England is delaying the transfer of specialised commissioning staff to integrated care boards by at least nine months, as it reconsiders the future of the functions, HSJ has learned.

NHS England ordered to commit organisational harakiri unsurprisingly decides to have a longer think about it.
www.hsj.co.uk/integrated-c...

I can confirm that this is very much not a shock to @hpiandycowper.bsky.social nor any subscribers to Cowper's Cut.

A screenshot of the document, showing Improve patient experience will be measured by the ONS Health Insights Survey

The new NHS Operational Planning Guidance has one section in it that's directly relevant to general practice.

I really don't get this, why would you use this when it's off the track of actual performance?

It doesn't sit well with me having this as a core measure.

1/4

“There must be a point where we go beyond analysis and accept that this is a serious problem that needs urgent political action.”

RCEM's President responds to ONS research concluding patients who wait in A&E for more than two hours are exposed to an increasing risk of death - tinyurl.com/5fkpp4b6

They won't. They'll result in hospitals massaging their waiting lists by finding excuses to turf people off the waiting lists then demanding a new referral, so treating a single patient takes ages but looks like two quick referrals.

This is why we need to stop talking about waiting lists.

A mom just came in SO EXCITED to find a map store bc her son would LOVE it.
She tries to be coy. "My son is... Really into maps. Real special kid."

I'm like, ma'am, this is a map store. Half my customers are on the spectrum. I have a trains and transit section. You're among friends.

Locally the pre-Christmas cut from the ICB was...population health funding. So it's all terribly important, just not enough so that we'd actually you know pay for it.

Outpatient / hospital wait times are the wrong metric.

Why? Because they incentivise and reward the worst #NHS trusts to game the system by rejecting as many referrals as possible, and booting people off the #waitinglists at every turn. This means they look great but are in fact shit.

One thing that would prove this definitively would be to plug a computer into the router using an ethernet cable and see how fast the internet is there.

If slow, it's your internet connection (external). If okay, it's your WiFi (internal).

You can then test in the wind and the calm!

Quite right - this guidance is quite helpful though 11 years old: rcem.ac.uk/wp-content/u...

Nuffield Trust responds to announcement of new "zero tolerance for failure" NHS reforms

In his speech later today, the Health Secretary is due to announce “zero tolerance for failure” reforms to the #NHS – including league tables and crack turnaround teams for failing providers.

Read our response from @theasrstein.bsky.social: www.nuffieldtrust.org.uk/news-item/nu...

I can't wait for the "what good looks like" toolkit for "zero tolerance of failure".

I absolutely guarantee there will be tolerance of failure.

The worst thing about this announcement isn't the fact it is announcing something which already exists and has done as you say for years.

It's the wilful failure to examine or understand what the problems in the NHS actually are. Utterly clueless.

Zero tolerance for failure under package of tough NHS reforms Health and Social Care Secretary will outline how government and NHS leaders have a duty to patients and taxpayers to get the system working well

Make you wonder if Streeting has even heard of the CQC, previous ‘league tables’ and NHS performance monitoring. Gov plans for the CQC?
www.gov.uk/government/n...

If you're missing the ads on X now that you've left the site, I can post pics of cheap kitchen stuff that's in my drawers and cupboards. You won't want to buy it here either.

Cost-Benefit to NHS

Average £ on appts:

GP practice £23
ARRS £35
Pharmacy First £48
UTC £85
Hubs £48
Virtual Beds £665
A&E £100-£300

£165pa for all patient care average 6 appts
Problem is misinformation about the cost of GP appts even @thekingsfund.bsky.social www.kingsfund.org.uk/insight-and-...

What's the old phrase about ranking things because they're easy to rank rather than because they're important?

This is more crowdpleasing bullshit. And he's playing to the wrong crowd.

It’s a worrying level of clue-deficiency.

The first point about league tables is the tendency to game them. Alan Milburn really ought to remember this, given that he did it in 2003, as HSJ revealed: amp.theguardian.com/society/2003...

You also then have staff on shift who know the hospital, are more invested in it, and are not seeing short-term occasionals earning multiples of what they are for doing the same job.

It baffles me that Streeting here is just playing to the crowd and utterly failing to understand the problem.

A really good, really simple improvement would be to let trusts pay more to their internal bank staff. Even if they paid the same hourly rate as they do to external agencies, at a stroke they'd save the agency commission - huge immediate saving.

Secretary of State pledges to contain NHS agency spend Wes Streeting will set out plans to clamp down on temporary workers in speech at NHS Providers conference.

Just for clarity, this is a very very stupid idea. Successive Labour and Conservative governments have disillusioned and mistreated the NHS workforce.

They aren't going to work extra hours at shit rates of pay to fix the backlog. www.gov.uk/government/n...

I'm sure that, like me, you're looking forward to more NHS strategy written by someone doing as they're told...

This is particularly odd given the cost pressures which they are presumably facing as part of This-Year's-Misleadlingly-Named-War-on-NHS-Waste...

Support for children and young people with special educational needs - NAO report The NAO's report highlights that England’s special educational needs system is not delivering better outcomes for children and young people.

DfE increased high needs funding by 58% in real terms since 2014-15 to £10.7bn. But in same time demand for EHC plans has grown 140% and14% increase in pupils with SEN support. NAO finds system still not delivering better outcomes for children and LAs in budget deficit
www.nao.org.uk/reports/supp...

‘Despite significant growth in the older population the number of older people receiving state funded social care has dropped by 10% since 2014/15 due to tightening of eligibility rules.’ While new requests for support from 18-64yr olds grew by 18%.
ifs.org.uk/sites/defaul...