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Provisional findings of the interim report

 

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Thursday, 31 October 2019

Provisional findings of the interim report

The programme delivery group at One Blithering, the emergent NHS Blithering integrated care system, has published an interim report containing the provisional findings of a year-long strategic review.

The draft conclusions and preliminary recommendations – described by Martin Plackard, Blithering’s acting head of event horizons and deep dives, as “resetting the local transformation landscape” – will now be tested in a public consultation exercise prior to the final report. According to Plackard, this could appear as early as next year.

Key interim findings

  • The population of Blithering comprises men, women and children of all ages, including people of difference
  • Older people are some of the biggest users of healthcare services, suggesting either a possible link between ageing, morbidity and mortality or negative behaviours that need addressing  
  • People living in some areas have a lower life expectancy than those in others, but are unwilling or unable to move to healthier, affluent areas
  • Patients and their families report an overwhelmingly positive experience of the care provided by the Blithering United Hospitals Foundation Trust chaired by Sir Trevor Longstay. (Based on Friends and Family Test data adjusted for the effects of delays, mistakes, post-operative infection, surgical complications, cover-ups and hospital food)
  • Even so, most people would prefer to be treated out of hospital – or “anywhere but there”, as one respondent put it
  • People are enthusiastic about social prescribing, which is to be directed by the new Longstay Wellbeing Academy. They prefer the idea of snooker and water-colour classes to undergoing major surgery or developing a long-term condition
  • Most people agreed with the statement: “Sir Trevor and his team are doing an excellent job in extremely trying circumstances, but could do even better with more money and less interference from the centre.”

As Sir Trevor himself puts it in the foreword to the report: “We don’t need anyone peering over our shoulder telling us what to do. We’re perfectly capable of doing our own micromanagement.”

Scope, range and impact of ambition

The interim report makes a number of robust outline proposals and indicative commitments, including:

  • Do more to collect data about age, gender, sexual preference, ethnicity, religious belief, lived experience and values with a medium-term ambition to understand what it means and the long-term goal of making use of it in some way
  • Conduct a review of the available evidence on ageing and health and consider what, if anything, can be done about the prevalence of older people
  • Provide transportation to help members of the inequalities community to escape areas of deprivation. Try to understand why some people don’t want to leave. Support them with personal wealth plans, elocution lessons and subsidised access to private education to improve their quality of life and life expectancy. Work with your local authority to plan more leafy suburbs
  • Promote primary and community care alternatives to treatment in hospital. Where such alternatives do not exist, pay GPs to make them up
  • Continue to work tirelessly towards the final report. Remind staff that reporting is everyone’s business and should run through them like a stick of rock.

Editor: Julian Patterson

julian.patterson@networks.nhs.uk
@NHSnetworks

 
Anonymous says:
Nov 01, 2019 10:40 AM

Great read on a Friday. Chuckled out loud to this one.

Francis Eyre
Francis Eyre says:
Nov 01, 2019 03:45 PM

Very funny as per usual. It's so good I'm amazed you haven't been shut down.