By Jonathan Isaby
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It finds that more emphasis needs to be placed on the prevention or delay of dependency, thereby reducing overall costs within both social care and the NHS. It also calls for the support and development of technological innovations which reduce the cost of care and concludes that a review of the financial model needs to facilitate better integration between the NHS and social care.
Its conclusion is summarised as follows:
"The funding and provision of social care in England is widely acknowledged to be in need of reform, and over the past decade a variety of papers, committees and reports have made suggestions for what reform should look like. Two major challenges accentuate the need for change. Firstly, as a result of the “baby boomer” population approaching retirement and old age, a large increase in demand for social care is predicted over the next two decades. Secondly, the current economic situation and government attempts to reduce the deficit are resulting in funding cuts to local government budgets, which are responsible for a large proportion of social care funding.
This review of studies provides an overview of the state of social care today and the many suggestions for reform. Predictions of demographic changes over the next 20 years show that the size of the over-70 population, those most likely to be in need of care, will rise from 6.2 million in 2010 to 9.6 million in 2030, an increase of over 50%. People of working age fund a large proportion of care provision through taxes, and the ratio of those of working age to those aged 70 or over is projected to fall from 5.3:1 in 2010 to 3.7:1 in 2030. There is evidence that as people live longer lives they are also living healthier, and that the years lived with disability are declining, but it is highly likely nevertheless that the increased numbers of older people will lead to increased demand for social care, and hence funding."
Click here to download a pdf of the full report.
By Paul Goodman
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Its headline recommendations are as follows:
A new report by 2020health's Chief Executive, Julia Manning, is entitled "Stealing the NHS: How careless is the NHS being with our tax money?", and is based on the findings of a survey of 357 NHS Trusts including hospitals and Primary Care Trusts.
249 Trusts (out of 357) in all responded, the breakdown of which is:
The report recommends NHS Trusts are more transparent about counter-fraud activity and spending, that reporting requirements are changed to provide clear and accurate information about fraud losses and what preventative measures are in place, and to fine NHS Trusts who do not publish information about their counter-fraud outcomes.
Julia Manning said:
"We were shocked at the complacency of some NHS Trusts. They seem to have forgotten that it is our tax money that they are responsible for and that we have a right to know that it's being spent on healthcare. Others Trusts were obviously taking scrutiny of their spending very seriously. At a time when the NHS is being asked to save £4bn a year it’s incredible to think that so much money is being stolen while patients are being denied new drugs."
By Jonathan Isaby
A new report from the think-tank 2020health was published last night, which calls for urgent ministerial support to facilitate the use of the remote capture and relay of health information from the home of those with long term conditions (LTCs), for clinical review and early intervention.
Healthcare without walls – a framework for delivering telehealth at scale makes three key recommendations:
“Properly implemented this is a prescription for the next generation and would easily save the NHS up to £1 billion. If things are left as they are now, however, the pressure that the LTCs put on the NHS and social care could overwhelm it. Doing nothing is not an option. Government needs to grasp this nettle and make enabling telehealth a national priority now.
“If we get this right now, we can improve the quality and affordability of patient care for the next generation. Implemented effectively, the remote capture of information from patient in the home, distance learning and consultations can all improve the patient’s care and quality of life by reducing the need for appointments and emergency admissions to hospital. It also means nurses’ and GPs’ time can be focused on genuine needs instead of taking routine measurements.”
Click here to download the full report.
By Jonathan Isaby
This afternoon, the think tank 2020health has issued a new report, Health, humanity and justice: Emerging technologies and health policy in the 21st Century, which urges the Government to establish a formal process to evaluate the benefits and risks of emerging medical technologies.
The think-tank identifies a number of high risk technologies being in particular need of assessment, which will need to command public confidence if they are to be developed:
Julia Manning (pictured), the author of the report and director of 2020health, observed:
“We cannot afford to be Luddites automatically rejecting technologies as they may offer the prospect of preventing or curing debilitating illnesses. But this should not lead us without careful analysis to accept the case for ‘enhancement’ or to forget to consider carefully the potential dual uses of these advances.
“We believe that there is a crucial distinction between new technology that is used to cure or prevent disease and new technology that is used to enhance individual human capacities.”
The full report can be read on the 2020health website.
The 2020Health think tank is launching a report - Cutting the costs without cancelling the Services - which outlines ways to save the NHS £12bn in one year.
2020Health is led by Julia Manning, a member of the Tory candidates list, and enjoys close links to Andrew Lansley, the Health secretary. Commenting on the report - written jointly with Gail Beer and Emma Hill - Ms Manning states:
“The NHS can deliver £12 billion in savings over the next year which can be re-invested in new technology and elderly care... There is no need for health trusts to make rash decisions, cancelling operations or axing doctors which will permanently affect clinical outcomes for patients. These savings can be made ahead of the longer term changes that will save money such as reconfiguration of services, reducing practice variation, reducing low-level demand and opening up more competition.”
The following economies are among some of those suggested:
The report - "Responsibility in Healthcare" - calls for:
Julia Manning said:
“The universal healthcare system is at the core of our society, but too often it is treated with the same casual regard as calling for a taxi or booking a train ticket. We must encourage people to be more in control of their own health. It’s reassuring to know that the NHS is there for you, but that doesn’t mean you should be free to routinely end up there after a night out.”