Challenges Facing England’s NHS in 2019

While the NHS is trying to deal with immediate medical problems, such as the surge of ill patients during winter, it is difficult to imagine how senior managers plan for the following months. Time is short and they need to adapt to the seriousness of the situation, not looking at what will happen in five or ten years. As time goes on, online health practices will improve; already, 18 week RTT online courses are available for anyone to try.

The long-term plan for England’s National Health Service (NHS) was due at the end of 2018. However, the release of this plan has been delayed because of the government’s focus on Brexit. It should be released in January and will set the tone of the NHS for the next decade.

This period of waiting and wondering what will happen has been frustrating for staff managers and employees. Furthermore, the health charities and campaign groups have been vying for a position in the NHS plan.

The delay of the Green Paper, a consultation document on England’s social care, has increased criticism in different areas of the government’s policies. The origin of the paper was based on the Prime Minister’s announcement in June of 2018. Here the PM discussed an increase in NHS funding packages with an additional £20.5 billion by 2023.

This resulted in a real-term annual increase of 3.4 percent instead of an annual funding growth for recent years. Theresa May contacted NHS leaders to plan on how the money should be spent, as well as where savings could be made; hence, the requirement of a long-term plan.

Expectations of the plan were high with health lobbyists sending in long shopping lists. According to Simon Stevens, the chief executive of the NHS, and his management team, their priorities needed to be reconsidered. They were informed by ministers that the plan would be available in early December 2018. A summit was held regarding a confidence vote in the PM with focus on the Brexit backstop placing NHS plans into the “pending tray”.

Despite the promise of an NHS plan by December, the plan was not considered before Christmas. Tales emerged of last-minute tension between Whitehall and the NHS England.

The different questions posed to the NHS by Brexit. The history of NHS in different charts. The NHS Tracker asking how local services are being performed.

While it is public knowledge that the NHS authorities will receive a 3.4 percent increase in NHS funding, people suspect the NHS will experience a higher patient demand accounting for the funding each year. The funding may be higher than previous years, but it leaves a restricted amount for new NHS initiatives.

According to statistics, the number of emergency admissions at hospitals increased by 6 percent in 2018. However, ministers want evidence of new projects focusing on fresh commitments regarding the treatment of cancer and heart disease.

Currently, NHS leaders are interested in highlighting local projects where the medical service works closely with integrated care or social care providers. The NHS is pledging an extension of health models across the country.

As is said, the number of emergency admissions to hospitals is rising. The NHS plan can potentially help general practitioners and community care to offer out-of-hospital services. Of course, this is dependent on the specific funding allocated.

Downing Street and the Treasury present the need for a detailed plan showing the milestones in response to the increased funding. Leaders in the NHS are reluctant to be limited to plans with the increase in patient demand difficult to predict.

According to Whitehall sources, no disagreements have been experienced. Instead, they state that a desire to come to grips with detailed plans has been expressed by Downing Street. The focus is said to be on additional matters for the majority of November and December.

There are several decisions to be made about the progress of the NHS in 2019 with the social care of sicker and older patients being at the forefront. More away-from-hospital care is desired by most people but finding the funding to meet patients’ needs is becoming more difficult. The political and health leaders, as well as the administration staff at Westminster have a deal to consider in the following year.