1. Recent Developments in the NHS
Hinda Perez

2. 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.

3. 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

4. Key Challenges - why does the NHS need to develop
An ageing population 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.

5. “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.

6. “Prevention and inequality
Smoking 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

7. 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

8. 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

9. 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

10. “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

11. 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

12. Thank you for listening :)