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The Longstay Plan


Blog headlines

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

  • Virtual Consultations– the patient perspective
    1 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article - Virtual Consultations– the patient perspective.

  • Celebrating innovation in eye research
    24 September 2020

    This week Julian Jackson from VisionBridge has shared a report on eye research.

  • Link of the week: Comprehensive Spending Review and Covid-19
    24 September 2020

    This week we are sharing a blog that outlines the funding pressures and uncertainties faced by the health and care system

  • Risk stratifying elective care patients
    10 September 2020

    This blog has been shared by MBI healthcare technologies. As services are starting to treat routine patients those on waiting lists are making enquiries as to where they are on the list, and if they are still on the list.

  • Link of the week
    4 September 2020

    This week the link we would like to share are reflections from physiotherapy students on placement at Alzheimer Scotland https://letstalkaboutdementia.wordpress.com/

  • Link of the week
    28 August 2020

    This week we would like to share a blog published on the Mind website about being a BAME health worker in the pandemic.

  • Remote clinical triage model
    20 August 2020

    This week we are sharing how a remote clinical triage model was implemented at Tollgate Medical Centre. This has been shared with us by Sarah Portway, a Nurse, and Clinical Services Manager at Tollgate Medical Centre.

  • Can the Community Pharmacy become the gateway to integrated care in the NHS?
    13 August 2020

    The NHS is a continually evolving innovative demand led public service the role of the Community Pharmacist is becoming the public face on a journey to the more responsible public engagement in the personal care of individuals and their family. There are currently over 11000 Pharmacies many are single or small chain service providers, while multiples occupy the urban shopping centres and more densely populated conurbations, the value of the rural High Street can’t be understated.

  • Crunch time for patient involvement
    7 August 2020

    There are new challenges for primary care, which could really do with patient input. Mike Etkind, chair of a PPG and founding member of his PCN’s patient group, recognises the size of the task clinical directors have managed over the last few months but identifies two particular issues where patients have a necessary and valuable contribution, that need to be addressed now – the 2020 vaccination programme and primary care from a distance- total triage, remote consultations, and the use of telemedicine.

  • Link of the week - Visionbridge
    31 July 2020

    The link we are sharing this week was submitted by Julian Jackson, Visionbridge.

  • Links of the week
    23 July 2020

    This week we are sharing two articles with you.

  • Link of the week
    21 July 2020

    The blog is from the perspective of the Company Chemist Association's Chief Executive Malcolm Harrison.

  • Link of the week
    9 July 2020

    This week we are sharing a blog from the NHS Confederation’s “NHS Reset” looking at the work of Healthwatch, the role of volunteers in supporting patients being discharged from hospital and the importance of the community.

  • Virtual education sessions on spinal cord injury from Spinal Injuries Association
    2 July 2020

    This week Karen Mikalsen from the Spinal Injuries Association shares some information on their work and events for healthcare professionals.

  • Guest blog:Karen Chumley
    25 June 2020

    Thank you to Karen Chumley for a second blog –this time on the local use of an Electronic Palliative Care Coordination system during the Covid-19 pandemic. Karen is the Clinical Director and Deputy CEO at St Helena.

Friday, 11 May 2018

The Longstay Plan

“We have to act now,” said Sir Trevor Longstay, banging his fist on the table and sending a plate of custard creams flying in all directions.

News had broken that Jeremy Hunt meant to publish a new ten year plan to coincide with the NHS’s 70th birthday.

Sir Trevor looked round the table. Several heads were nodding.  

“How soon can we have our own plan ready?” he asked.

“But why?” asked Rummage. “What possible use would it be?”

“Because if Whitehall has a plan it’s only a matter of time before we’re told to come up with our own damn fool plans. We need to be on the front foot. If we have a credible looking document out early we’ll be at the head of the queue for NHS birthday handouts,” said Sir Trevor.

Building on success

Liz Wanhope, acting deputy accountable officer at the Blithering Integrated Care System, looked up from the task of picking broken pieces of biscuit from her lap. “We already have the Blithering Forward View,” she said.

“Is that still going?” asked Sir Trevor. “Well it’s ditched now. This plan can build on its success, apply the lessons learnt, carry on the progress made and so on. It’s good practice to start a new plan before the old one runs out – avoids awkward questions.”

Wanhope pointed out that a packed agenda of birthday celebrations had already been agreed, including a number of high-impact spontaneous actions organised by the Mod Institute and its dynamic leader Bev Heaver.

Blithering’s transformation director planned to stage a mock invasion of an operating theatre with giant cardboard lightbulbs to inspire the surgical team to “keep shining a light on safety issues”, though she had eventually been dissuaded from her original idea of involving a real patient undergoing life-saving surgery and a photographer from the Argus in the stunt.

Not for the first time, she complained, paternalistic notions of infection control were getting in the way of progress.

Cakeholder buy-in

No such objection had marred the centrepiece of Heaver’s plan, a competition in which dementia patients would vie to bake a “cake of change” with first prize going to the one with the most fully integrated ingredients and stakeholder buy-in. 

After reviewing the rest of the Blithering Change Week agenda, the board were anxious. Even the surprise visit from Simon Stevens to open the Blithering Healthy New Town development could no longer be relied upon for positive PR.

The carefully co-ordinated event was beginning to unravel after a row with main sponsor Bernard Matthews about renaming the local primary school. A handful of local troublemakers had complained that the Turkey Twizzlers Healthy Living Academy for Younger People sent out mixed signals, and the killjoys in public health had intervened to put a stop to it.

All that was now left for Simon to open was a small patch of wasteland which had been designated a “community wellbeing space”. Blithering’s drug users and hookers had been asked to stay away until after Simon’s visit but there was still an unnerving risk of something going wrong.

Everyone quickly reached the view what was needed was a large and impressive document with lots of photos, big type and ordinary people “telling their stories”. Sir Trevor delivered the last point with evident distaste. He tolerated ordinary people but thought they should not be encouraged.  

The board lost no time in agreeing that there was only one man for the job of pulling together Blithering’s ten year plan.

“Get Plackard in here,” said Sir Trevor.

Travelling at pace

Martin Plackard, who had been waiting outside the door, counted to three before pushing it open with the toe of a pointy shoe. He entered the meeting travelling at pace.

He was already talking before he reached the flipchart. “Obviously the first thing we’ll need is a robust title,” he said, twirling an indelible marker with the skill of a drum majorette.

“Initial thoughts, Plackard?” barked Sir Trevor.

“It’s got to say sustainable, innovative, digital, compassionate, joined up, collaborative, transparent, high-quality, patient-centred, locally determined, clinically driven, stakeholder led community based movement,” Plackard said, scrawling on the flipchart, which he also decorated with random circles and arrows.

“That covers just about everything,” said Sir Trevor.

“And promises nothing,” added Rummage.

Plackard acknowledged both contributions with his marker pen. “Precisely that. Everything and yet nothing.”

“As for the title,” he continued, “I think we could do worse than The Longstay Plan, perhaps with the subtitle A Fully Integrated Digital Future for All.”

Britain’s first knight of clinical waste slapped the table, showering the Blithering leadership team in biscuit crumbs for the second time in one morning. This time it was not displeasure.

“I may have underestimated you, Plackard,” said Sir Trevor warmly.

Minute taker: Julian Patterson


Anonymous says:
May 11, 2018 04:09 PM

My last task of the day has been to read this informative document. I think some of my senior colleagues who recently featured in the BBC2 documentary "Hospital" would have a lot to learn from Blithering, who seem to have fully grasped the nettle and will the bright future of the NHS.
Brilliant, as ever