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  • The NHS Refounded: Delivering a health service fit for the future (29 June 2022)


    • UK
    • Reports and articles
    • Pre-existing
    • Original author
    • No
    • Axel Heitmuller
    • 29/06/22
    • Everyone

    Summary

    This report by the Tony Blair Institute for Global Change looks at how the NHS needs to adapt to meet the demands of the current population. It asks the questions, should we and could we go much further in fundamentally changing the design of how the NHS is run, highlighting two key societal changes that make change necessary: increases in our knowledge of how to stay healthy, and huge technological advances such as artificial intelligence.

    Content

    The report makes the following proposals to the way in which the NHS is organised:

    • We change radically the role of the centre to focus on certain core capabilities that the centre should do and can only do. These would include eventually: a full national public-health data infrastructure, one that is interoperable and capable of bringing all the disparate data sets within the NHS under one roof; electronic personal or health records for all patients with patients given the right to have all their information stored and available to any health-care professional they want anywhere in the NHS system; a revamped NICE, giving guidance on new treatments and drugs; and a process for enabling new learning and sharing of innovation across the service. And of course, the power of intervention in the case of a failing or mismanaged service.
    • Other than for these capabilities, the new integrated care boards, in partnership with clinicians and NHS staff, should have the freedom from central control genuinely to innovate, run the service and manage the budget in the way they see fit to meet the needs of their local patients, which they know best. Going further and faster on devolution is therefore essential.
    • These freedoms should include the ability to enter into partnerships with the private or voluntary sectors, to embrace new methods of treatment and prevention, to create the workforce they believe is best suited to the care they want to provide and to raise money locally through social impact bonds – not as a substitute for taxpayer funding but as a source of better community engagement.
    • In place of a system of accountability based purely on the centre, there should be full transparency and publication of health data, nationally and locally, available to the patient and to the broader public.
    • The NHS should make available – on an anonymised basis – all the data held by the service for the encouragement of research and the development of the British life-sciences sector.
    The NHS Refounded: Delivering a health service fit for the future (29 June 2022) https://institute.global/policy/nhs-refounded-delivering-health-service-fit-future
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