HSJ’s comprehensive full coverage of the important changes proposed in the NHS long-term plan,which was published today.
Prime minister Theresa May and NHS England chief executive Simon Stevens launched the plan this lunchtime.
Health systems are now “asked to produce local plans for implementing the commitments set out in the long-term plan”. The plans stated these “will build on their existing plans and set out proposals for how they will deliver the outcomes set out in the long-term plan”.
It is understood that government wants the NHS to develop detailed implementation plans, including delivery milestones, by the spring. The plan itself said: “Local implementation plans will then be brought together in a detailed national implementation programme in the autumn.”
HSJ’s coverage in full:
- The whole of England is to be covered by integrated care systems in just over two years, with ICS “central to the delivery of the long-term plan”.
- The 30 worst financially performing NHS trusts will be subject to a new “accelerated turnaround process” as part of plans to bring the provider sector into the black by 2020-21.
- The NHS is asking the government to rip up key parts of the Lansley Act on competition, with the regulator consulting with “clinicians and NHS leaders” to present government with a “provisional list” of requests for changes to legislation.
- GPs will sign new “network contracts” as part of NHS England plans to extend the scope of primary and community services.
- Formal regulation of senior NHS managers could be introduced to improve their standing and help fill the most difficult jobs, with the NHS to consider “the potential benefits and operation” of a professional registration scheme.
- The NHS and government will look at funding key public health services from the NHS budget, including considering ”whether there is a stronger role for the NHS in commissioning sexual health services, health visitors, and school nurses, and what best future commissioning arrangements might therefore be”.
- More doctors will be encouraged to train as generalists rather than specialising in a specific area of medicine in an effort to shift away from the dominance of “highly specialised” medicine and to ensure medics are better able to provide care to patients who have more than one long-term condition.
- No commitment made on when the service will get back to meeting its core statutory access targets, although the document pledges to speed up access for the sickest patients.
- Patients will have “a new right” to switch from their existing GP to a “digital first” provider and all patients in England will have access to a “digital first primary care offer”, such as online or video consultations, by 2022-23.
- The target for all secondary care providers to move to digital records has been pushed back to 2024.
- Specific waiting time targets for emergency mental health services will be introduced from 2020, while a new national waiting time for children and young people’s services and access standards for community mental health will also be introduced.
NHS long-term plan
7 January 2019
- Accountable care systems/organisations
- Community services
- Competition and co-operation
- General practice
- Integrated care
- Mental health
- NHS England (Commissioning Board)
- NHS Improvement
- NHS long-term plan
- Patient safety
- Policy and regulation
- Primary care
- Public health
- Regulation of managers
NHS long-term plan: Full coverage
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NHS long-term plan: Full coverage