The ten year plan cuts the numbers of extra staff needed in the next ten tears from the much advertised and long delayed 2023 Manpower Plan. It says it can do this because the NHS after six years of plunging productivity will over the next three years suddenly deliver 2% per annum productivity growth, with more to come over the following seven years.
How will this happen? Is this based on less recruitment, staff reductions, or a big surge in output?
The Plan says government will end past practice of bailing out Trusts who run out of money in year.
How will it do this? Will Trusts running out of money have to turn patients away and sack staff?
There are three big themes.
1. More to be done in the Community, less in hospital.Money will divert from hospital trusts to Community care. The government will set up Neighbourhood health centres which will combine GP consultations and prescriptions with more treatments . They will first be rolled out in deprived areas. How will this work better than multi GP surgeries? Who will want to undertake basic surgery there and how will they be remunerated? Will the facilities all be owned by the state, unlike many GP surgeries? How long before sufficient exist to make a difference to workload at A and E departments?
More prevention, less sickness. That is what successive governments have wanted. The measures look puny, concentrating on food retailers and alcohol and smoking issues as an indirect way to get people to drink, smoke and eat less. The health crisis is seen with obesity at its heart. Limited response to the surge in demand for mental health services
Digital, not analogue
AI is seen as the answer to most things.It is implied it will boost productivity and quality. It will empower patients who will know more and control more through a powerful NHS app showing them their records and giving them better access to care.
So how come the NHS will quickly be able to come up with a patient friendly digital control, information and access system that all parts of the NHS will adopt? Is this to be centrally designed and mandatory? How big a project and contract? If the boost to local and community health decisions and delivery is genuine how will the NHS ensure common functioning across borders?
Where AI is to be used to make medical staff more productive and to raise quality of diagnosis and surgery, how will the medical protocols be amended? Will the medical profession endorse an enhanced role? Presumably trained staff retain responsibility and can override computers and robots?
It reads more like a mood board or general essay than a working plan about to be unleashed.