A duty of care for the future of the NHS
August 10th, 2010On 12 July, the government published the NHS White Paper ‘Equity and excellence: Liberating the NHS’. It outlined the long-term vision for the future of a comprehensive NHS that should continue to put patients at the heart of everything it does while improving the outcome of their healthcare and empowering clinicians to improve healthcare services.
Key proposals in the white paper include: Stategic Health Authorities (SHAs) to be abolished in 2012/13; Primary Care Trusts (PCTs) to be abolished from April 2013; GPs to commission most services and form consortia in 2012; PCT responsibilities for local health improvement transferred to local authorities; local authorities to form local ‘health and well-being boards’ under new statutory arrangements; LINks to become the local HealthWatch, funded by and accountable to local authorities in order to provide public and patients with a voice; and a new Health Bill to be introduced for discussion this October.
Through this transition, it is important to ensure that the duty across the NHS to conduct community consultation and partnership collaboration is not impaired during this period of transformation. If anything, with all the changes that need to be made, the need for effective stakeholder engagement has increased. In order to fulfil government wishes that “patients will be at the heart of everything we do” it is vital that local authorities work in partnership with PCTs and their local involvement networks to consult and receive the collective opinions of patients and the public.
The white paper claims that: “To strengthen democratic legitimacy at local level, local authorities will promote the joining-up of local NHS services, social care and health improvement.”
This underlines the fact that patient and public involvement should continue to be the primary goal. At INOVEM we will provide support to whichever organisations shoulder the responsibility to join up public consultation and stakeholder collaboration going forward. In some areas, such as Herefordshire, this partnership approach is already happening through the delivery of robust online engagement processes that are not only meaningful, but guarantee a rapid return on minimal investment.
We do sympathise with health professionals, and understand that this period of uncertainty is extremely challenging for NHS managers who are all desperate to put the patient at the heart of their processes, but feel in the dark over restructuring and hampered by restricted budgets. That’s why INOVEM is more than happy to offer free advice and to discuss ‘transition packages’ that will enable online consultation and collaboration services to local authorities which can be scaled and adapted once a clearer vision of future structures is revealed.