Recent Developments in the NHS Hinda Perez

Introduction NHS established on the 5th of July 1948 On the premises that “Healthcare should be available to all” one of the top 5 employers in the world with over 1.5 million employers. The NHS is constantly developing and innovating and is currently celebrating its 70th anniversary. https://www.theguardian.com/society/2008/jun/22/nhs60.nhs1 https://www.nhs.uk/using-the-nhs/about-the-nhs/the-nhs/ https://www.bbc.co.uk/news/health-44560590

The breast cancer screening programme began in 1988 Increase In hospital beds Increase in the number of people on a waiting list Their are more nurses in the NHS then doctors Contraceptive Pill was put into use in 1961 The worlds first “Test tube baby” was born due to the NHS in 2005 The breast cancer screening programme began in 1988 Introducing prescription Charges 1952 Mass Vaccination 1958 Allowing the patient to choose which hospital they are allocated to -1954

Key Challenges - why does the NHS need to develop An ageing population - 18 percent over 60, care of the elderly is harder, more likely to suffer chronic conditions and complications e.g. diabetes “ bed blocking “ costs 100 million a year just to Scotland A growing population- 10 million by 2039 , strain on system Evolving healthcare needs e.g. obesity diabetes and antibiotic resistance as opposed Medical technology- Although it is essential for the NHS it costs an extra 10 billion a year Centralisation drives closing local services e.g. Manchester had a maternity outreach clinic in Salford and it was centralised forcing patients to travel further Increase on reliance on private services -since 2012 Health and social care act means that an quality provider can tender for services.

“A new Service Model” Boost out of hospital care e.g. An increase in support for old age homes and care homes More control over your own health e.g. seven day week to give more flexibility Same day emergency treatment e.g. New urgent care centres to free up hospital beds and A and E pressure Integrated health Better support and care in old age, care and residential homes instead of hospitals 4.5 million a year towards this.

“Prevention and inequality Smoking - 200 people die a day , causes 2,2000 pretem and 5,300 prenatal deaths a year. Obesity - 1 in 3 children are obese, cardiovascular disease ,causing diabetes, kidney failure heart diseases and strokes. 8.8. billion Alcohol Air pollution Antimicrobial resistance - biggest killer b y 2050 Health Inequality between areas

Priorities for health quality Maternity and neonatal services Mental health Learning disabilities and autism Young people with cancer Major health conditions e.g. cancer , strokes, diabetes and adult mental health Healthy ageing including dementia

Staff and workforce Workforce growth has not kept up with NHS demands so: Expanding the medical workforces e.g nurses, doctors and healthcare assistants Support for staff e.g mental support International recruitment- long term not sustainable but as training is so long it is essential in the short term Wider reforms to increase flexibility that prevent people from leaving Undergraduate places up by 25 percent New routes into nursing e.g. apprenticeships Doubling volunteers

Digitalisation Improving clinical efficiency- using the doctor website to reduce appointment cancellations that cost 216 million Use NHS 111 : reduce A and E pressure (GP or A and E) Digital GP consultation - avoid save 30 millions hospital trips and one billion “ Administrative hassle ” - Medial information available, GP’s can electronically speak to a specialist to reduce outpatient appointments without waiting Treatments e.g. brainstem for hearing loss , prosthetic limbs

“Sustainable finance” Removal of waste making sure its the right clinicians at the right time Investment in new test equipment - demand has increased by 25 percent Electronic perspiration -reduce errors by 30 Reduce care demand by integration Reduce non clinical space by 5 percent Reduce Carbon footprint by a third

Implementing these strategies NHS assembly - national forum to implement the plan , fifty individuals By autumn detailed implantation review Moving integrated care everywhere by April 2021

Thank you for listening :) https://www.kingsfund.org.uk/projects/new-nhs https://www.theguardian.com/society/2008/jun/22/nhs60.nhs1 https://publichealthmatters.blog.gov.uk/2018/09/06/prevention-and-the-nhs-long-term-plan-3-ways-we-can-save-more-lives/ https://www.nhs.uk/using-the-nhs/about-the-nhs/the-nhs/ https://www.bbc.co.uk/news/health-44560590 https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf