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NHS Long Term Plan

17th January 2019

nhs-long-term-plan_pic.jpgThe NHS Long Term Plan was launched on 7th January 2019 in a joint announcement by Theresa May and Matt Hancock. In the next stages, health systems are to produce detailed local implementation plans including delivery milestones by the spring, building on their existing plans. These will then be brought together in a detailed national implementation programme in the autumn.

The Long Term Plan sets out how the NHS is a health system to be proud of, but that there is still room for improvement:

  • Preventing illness where possible
  • Delivering more in primary care and the community
  • Avoiding and reducing hospital admissions
  • Ensuring timely and effective support on discharge.

Moving forward, the NHS will become more joined-up and co-ordinated in its care, more proactive in the services it provides and more differentiated in its support offer.

There are five major practical changes to the NHS model over the next five years:

  • Boost out of hospital care and dissolve the divide between primary care and community services
  • Redesign and reduce pressure on emergency hospital services
  • More personalised care and more control for individuals over their own health
  • Mainstream digitally-enabled primary and outpatient care
  • Increased focus on population health.

View the key priorities in the plan for each of the North West Coast SCN’s priority areas of health by clicking on the links below:

Mental Health, including Perinatal Mental Health

Palliative and End of Life Care

Diabetes

Maternity

Long_term_plan_infographic_adapted.jpgMental Health, including Perinatal Mental Health

The following infographic highlights the key factors in the plan for mental health. Thank you to Thames Valley Clinical Networks who developed and allowed us to share the infographic.

View and download the infographic

Palliative and End of Life Care

End of life care will be improved by personalising care. The NHS will work with patients, families, specialist hospices, local authority and voluntary sector partners, nationally and locally, to personalise care.

There is an emphasis on providing education and training to health and social care professionals to help them identify the patients who are in their last year of life and provide the support they want and need through proactive and personalised care planning.

Better quality care will help reduce avoidable emergency admissions and support more people to die in a place they have chosen.

The NHS will support all care home residents by rolling out the Enhanced Health in Care Homes framework (EHCH) which includes high quality end of life care.

Diabetes

Over the next five years the NHS will increase support for people to manage their own health, with diabetes prevention and management one of several priority health areas. There will be enhanced support for people living with a diagnosis of type 1 or type 2 diabetes.

From April 2019, all patients with type 1 diabetes will be provided with flash glucose monitors, in line with clinical guidelines. All pregnant women with type 1 diabetes will be offered continuous glucose monitoring by 2020/21.

Further funding for the NHS National Diabetes Prevention Programme (NDPP) will double the programme over the next five years, supporting more people at high risk of type 2 diabetes to reduce their risk. The programme extension will offer a new digital access from 2019, to widen patient choice and target inequality. There will be more structured education to support people newly diagnosed to manage their own health including through digital self-management support tools, such as HeLP Diabetes.

To improve recovery, reduce length of hospital stays and future readmission rates for those who need secondary care, all hospitals are to have diabetes inpatient specialist nursing teams and provide access to multidisciplinary footcare teams.

There will also be more investment to support delivery across primary care and enable more people to achieve the recommended diabetes treatment targets. People with a diagnosis of type 2 diabetes or hypertension with a BMI of 30+ (adjusted appropriately for ethnicity) will be offered targeted support and access to weight management services.

An NHS programme supporting very low calorie diets for obese people with type 2 diabetes will be tested to support them to achieve remission and stop taking anti-diabetic drugs.

By 2022/23, the NHS expects to treat up to 1,000 more children a year for severe complications related to their obesity, including diabetes, to prevent the need for more invasive treatment. From 2019/20 clinical networks are to be rolled out to enable the sharing of best clinical practice, support the integration of paediatric skills across services and bespoke quality improvement projects to improve the quality of care for children with long-term conditions including diabetes.

Maternity

There are two main aims for maternity: continuing to implement Better Births and addressing any gaps.

Better Births will continue to improve safety with the expansion of the Saving Babies Lives care bundle and neonatal critical care services. The aim is to roll out the Saving Babies Lives care bundle across every maternity unit in England in 2019. Specialist pre-term birth clinics are to be introduced countrywide and clinically appropriate use of magnesium sulphate encouraged, with the aim of reducing pre-term birth from 8% to 6%. In 2019 the Government will consult on mandatory fortification of flour with folic acid to prevent foetal abnormalities. Expectant mothers and their partners are to be supported to stop smoking through a new smoke-free pregnancy pathway offering focused sessions and treatments.

There will be more personalised care and continuity of carer - to 35% of women by 2019/20 and most women by 2021. This will also be targeted to those who need it most – BAME communities and those living in the most deprived areas by 2024.

More neonatal intensive care cots will be introduced and triage improved within expert maternity and neonatal centres so that babies can receive the care they need as close to home as possible. This will improve survival, safety and the quality of outcomes for babies. There will be extra neonatal nurses and expanded roles for some allied health professionals to support them. From 2021/22, care coordinators in each regional clinical neonatal network will work with families to support them to be more involved in their babies’ care, and accommodation for parents will be improved.

Maternal Medicine Networks will ensure women with acute and chronic medical problems have timely access to specialist advice and care at all stages of their pregnancy. Postnatal physiotherapy will be available to more women who need it following birth to treat and/or prevent mild to moderate incontinence and prolapse. To support infant feeding, all maternity services that do not deliver an accredited, evidence-based infant feeding programme, such as the UNICEF Baby Friendly Initiative, will begin the accreditation process in 2019/20.

View the NHS Long Term Plan in full at www.longtermplan.nhs.uk

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