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No health without mental health: the new strategy for mental health in England
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2011
- Pagination:
- 7p.
- Place of publication:
- London
On 2 February 2011 the Government published 'No health without mental health', its cross-government, all-age strategy for mental health in England. This Briefing summarises the strategy’s six objectives and describes how progress will be measured. The objectives are: More people with have good mental health; More people with mental health problems will recover; More people with mental health problems will have good physical health; More people will have a positive experience of care and support; Fewer people will suffer avoidable harm; Fewer people will experience stigma and discrimination. Measuring outcomes and quality standards are also briefly discussed. The briefing then outlines further work to support implementation, which will be taken forward over the next year and beyond.
Improving services for adults with autism
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2010
- Pagination:
- 7p.
- Place of publication:
- London
The previous government's strategy for adults with autism in England 'Fulfilling and rewarding lives' was published on 3 March 2010, and its first year delivery plan on 2 April 2010. This briefing begins by providing some background on the 2009 Autism Act and the likely direction of the new coalition government. It then summarises the key points of 'Fulfilling and rewarding lives' and the first year delivery plan that accompanies it, focusing particularly on what it means for the NHS. The five key areas identified in the strategy are discussed in turn, these are: increasing awareness and understanding of autism; developing a clear pathway for diagnosis; improving access to services and support; and helping adults into work.
The COVID-19 inquiry: learning the lessons
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2022
- Place of publication:
- London
This document sets out core considerations for the forthcoming Covid-19 inquiry, the situation facing the NHS when the pandemic began, and how events unfurled. The NHS went into the pandemic with huge unaddressed workforce shortages, high bed occupancy, systemic inequalities in health outcomes and underfunding of health and social care as well as wider public services, meaning the health system was underprepared when the pandemic hit in March 2020. The COVID-19 inquiry must consider the medium-term impact of austerity and the long-term failure to address the social determinants of health. Moreover, the health and social care response was greatly hindered by a challenging operating environment, characterised by a lack of national preparedness and unclear decision-making, which often came too late and was communicated poorly. The UK lacked the requisite testing and diagnostic capacity in contrast to our counterparts such as Germany. Instead, the NHS had to establish sites, set up systems or procure capacity from scratch when the crisis hit. In addition, PPE was frequently not fit for purpose in terms of quantity or type. A lack of candour about these and other key elements of the response provided the workforce with false assurances. The COVID-19 inquiry should focus on the impact of decisions made at the highest level, by those who set the strategy and guidance. Learning lessons from the pandemic will not wait for the inquiry to conclude. Staff across the health and care system are working hard to now modernise and scale up so that the system is ready for potential new COVID-19 variants, future pandemics and the impact of the climate crisis. This paper highlights some learnings from the pandemic which we believe should be reflected in the NHS Long Term Plan refresh. However, we hope the findings of the statutory inquiry will bolster these efforts. A wealth of innovation and best practice has been shared throughout the system that the COVID-19 inquiry team should look at in their assessment of lessons learned. (Edited publisher abstract)
What do NHS leaders want from the Health Disparities White Paper?
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2022
- Pagination:
- 4
- Place of publication:
- London
Health disparities in England were widening before the pandemic and risk becoming further entrenched in society if appropriate action is not taken urgently. With a significant and growing gap in life expectancy between the country's most and least deprived areas, we need to create opportunities for local health and care systems to drive population health improvement. This briefing lays out four key priorities the government must include in the upcoming health disparities white paper: health equity in all policies; incentivise prevention; inclusive innovation; integration and access and action on the cost-of-living crisis for communities. (Edited publisher abstract)
Papering over the cracks: the impact of social care funding on the NHS: briefing
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
Demand for both NHS and social care services is increasing rapidly, due to growing demographic pressure from an ageing population and an increasing number of people living with complex care needs. Funding is not keeping pace with demand. This Briefing outlines the current demographic and financial realities of social care and how these impact upon the NHS. When people’s needs are not met by the social care system they turn to the NHS; 66% of NHS leaders said that shortfalls in local authority spending had impacted on their services over the past year. There are 2 issues for the Government to address: the current funding gap for social care; and the need to implement a long-term solution. In the last Comprehensive Spending Review, the Government allocated an extra £2 billion to social care by 2015, £1 billion of which was transferred from the NHS. In many areas this money has had to be used to paper over the cracks in the system. If the long-term funding challenges are not solved, the system will become unsustainable. This Briefing sets out recommendations for a lasting solution for the funding of social care and a redoubling of efforts to integrate care. It calls for a cross-party consensus on solving the challenges raised.
Levelling up the UK: what you need to know
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2022
- Pagination:
- 23
- Place of publication:
- London
The government published the levelling up white paper on 2 February 2022, setting out a broad, missions-led approach to rebalancing the UK economy and addressing significant regional inequalities that hold back people, places and prosperity. This briefing covers the breadth of the white paper and analyses what it means for the health and care sector. The white paper recognises the need to focus on both economic and social decision-making and the intrinsic links between health, education and skills and the wider economy. This is a welcome statement for those advocating a health-in-all-policies approach. One of the missions explicitly refers to the need to narrow the gap in healthy life expectancy between local areas. A white paper on health disparities will be published this year, setting out an ambition for reducing the gap in health outcomes. The government has launched two independent reviews to feed into this. More broadly, the levelling up white paper is an important framing document for integrated care system and NHS leaders across the country. Many of the missions will have direct and indirect implications for service demand, population health, workforce supply, innovation and local partnerships. Proposals around devolution could bring significant changes in local decision-making and the UK Shared Prosperity Fund should over time become an important enabler. (Edited publisher abstract)
The 2015 Challenge: our prescription for the election
- Authors:
- NHS CONFEDERATION, et al
- Publisher:
- NHS Confederation
- Publication year:
- 2015
- Pagination:
- 11
- Place of publication:
- London
This paper outlines the 2015 Challenge Coalition's shared analysis of progress so far on their vision for a better health and care system as set out in the 2015 Challenge Manifesto, and the immediate next steps required during the election period and before summer 2015. The analysis covers the following themes: supporting people to stay as well as possible for as long as possible; reshaping care around the needs, aspirations and capabilities of people today; developing and supporting the workforce to meet current and future needs; improving quality and outcomes; and providing adequate funding. (Edited publisher abstract)
Children and young people's health: where next?
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2011
- Pagination:
- 21p.
- Place of publication:
- London
The health and local government reforms coming into force in England will significantly affect how child health services will be commissioned and delivered. The aim of this report is to outline the priorities for child health as these reforms are implemented. It argues that, unless children's and young people's needs are brought into focus, the current reforms have the potential to undo the improvements made over recent years. The report discusses and provides recommendations under the following themes: commissioning quality and outcomes; integrated services; any qualified provider; payments and incentives; workforce; safeguarding; health visitors; transition to adult services; and information and data. The report concludes that improving child health must be prioritised over organisational processes and structures. Joint working is required to make progress, and aligning budgets and improving information technology and information systems will help to make this happen. Sharing of good practice must continue, along with development of the evidence base for effective and efficient services.
The right reform for patients: the NHS Confederation's response to the government's listening exercise on the Health and Social Care Bill 2011
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2011
- Pagination:
- 16p.
- Place of publication:
- London
In April 2011 the government announced an 8-week NHS listening exercise on areas relating to the Health and Social Care Bill and the government's plans for reforming the NHS which had prompted discussion and debate. The NHS Future Forum, a multidisciplinary group of health professionals and patient representatives, was established to oversee the listening exercise and report back to the government on 4 core areas: ensuring public accountability and patient involvement, improving patient care, choice and competition, and education and training. This document sets out the NHS Confederation's viewpoint and main recommendations for the government and the NHS Future Forum. It covers effective public accountability and patient involvement, helping the healthcare system pull together, clinical leadership and advice from healthcare professionals, ensuring services benefit from good quality management, making choice and competition work for patients, improving education and training, and a flexible timescale and approach to commissioning. The NHS Confederation is an independent membership organisation representing all types of providers and commissioners of NHS services; a further more detailed response is available on the Confederation's website.
Public mental health and well-being: the local perspective
- Authors:
- NHS CONFEDERATION, NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- NHS Confederation
- Publication year:
- 2011
- Pagination:
- 48p.
- Place of publication:
- London
Government programmes, policies and national projects in the last 3 years have given increasing emphasis to public mental health and well-being. This has changed the focus of public service agencies towards promoting and protecting better mental health, not just among the unwell but across whole populations. This report presents the findings from a survey, semi-structured interviews and focus groups with local authority, primary care trust (PCT) and mental health provider chief executives, directors of public health and GPs. The research aimed to find out their perceptions of public mental health and well-being, the progress they have made on implementing this agenda, how they are acting on recent evidence, and the complementary nature of addressing mental illness and improving mental well-being. The report shows that improving mental well-being is a significant and growing priority in spite of, and because of, the poor economic situation. It is clear that building community resilience and improving mental well-being will improve social, health and economic outcomes. The report considers: the urgent and emergent priority of public mental health; using evidence and expertise; achieving social and economic goals through integrated working; reducing health inequalities; strong effective partnerships and system-wide approaches; empowering communities; measuring mental well-being; and economic impact and resilience. A number of ways to improve public health in a changing world are discussed.