James Sinclair

I'm hugely biased but if you want to be part of tackling some of the knottiest issues across care and health, then there's no better place to do it than @carecityuk.bsky.social

Me: 'Do we need a risk register for this project?'
Clinical colleague: 'No, let's just discuss and resolve risks as they come up'
Me: *happy dance of proportionality*

When you realise your car has become the mobile storage unit for @carecityuk.bsky.social events!

Care City is hiring for our new Chair. I'm biased :) but I think this is a fantastic opportunity to help steer an amazing organisation through its next phase. Please help to share and consider applying

www.carecity.org/jobs/chair-o...

For us wanting an upturn in the fortunes of adult social care, the #darzireport might prove a mixed blessing. Useful in spotlighting & one might hope redirecting influence & resources to adult social care. Unhelpful in consolidating social care principally as an NHS footsoldier

Darzi recommendation: 'Re-engage staff and re-empower patients': I'd scrap the 'Re' - I'm not sure we ever truly engaged and empowered staff and patients - this is the opportunity to ensure that the much needed change is driven by those to whom it truly matters

"Some sanity has been restored by the 2022 Act which put integrated care systems on a statutory basis." I'll just leave this one here...........

"Too many staff have become disengaged, and there are distressingly high levels of sickness absence" if I had a word cloud from all our interviews with NHS staff, PRESSURE would be writ large in the centre. NHS staff as individuals experience the condensed pressure of a failing system

"That not only means care that is safe and effective but that treats people with dignity, compassion and respect" Yes, but let's not separate effectiveness from a positive experience - residents continually tell us how important positive relational care is to them being able to keep themselves well

"Single-year budgets necessarily reinforce the status quo – and when things go wrong the knee-jerk response from ministers has been to throw more money at hospitals" - winter pressures won't be solved by throwing money at trusts but by proactive preventative work in the community

"And the dire state of social care means 13 per cent of NHS beds are occupied by people waiting for social care support or care in more appropriate settings" for context that's around 13,000 people, and I venture a large proportion of them could be receiving care in the place they call home

"Too many people end up in hospital, because too little is spent in the community" I'm not sure how many more times this can be pointed out, but hopefully the Darzi report can lead to some actual movement of funds to where it is most needed

Social care funding This analysis from the REAL Centre explores social care funding in England, looking at spending since 2010, how this compares to historical levels and whether current funding is sufficient to meet the...

This Health Foundation article analyses adult social care funding, and includes age-adjusted analysis - they estimate that adult social care funding per person, after adjusting for age, is 5% lower now than it was in 2009-10. www.health.org.uk/publications...

www.carecity.org/you-dont-sol...

We’re recruiting! We’re looking for a motivated & innovative Workforce Delivery Lead that can help us identify & co-develop new roles to support a more integrated workforce across social care, health and the VCSE sector. #ProjectManagement #workforce #Job
carecity.org/jobs/workfor...

There's still the opportunity to join our fantastic team @carecityuk.bsky.social driving change across health and social care through workforce innovation www.carecity.org/jobs/workfor...