Alexis Paton’s Post

As Downing Street responds to the #DarziReview some thoughts on why the devil is in the detail to achieve the 3 "big shifts" that the PM announced at The Kings Fund Conference this week: 1. An analogue to digital shift is more than digitizing records and NHS apps. Digital infrastructure is lacking and lagging in the NHS and its digital readiness is poor. Whole hospitals will need full tech upgrades to even begin thinking about operating in a digital first way. But the issue is deeper. Digital poverty is directly contributing to poor health outcomes. A shift to digital that does not account for this will leave patients behind, entrenching inequalities. #DigitalHealth is no silver bullet. 2. "Hospital to community" must be a true coming together of #health and #socialcare. That means financially supporting pathways for patients back to the community for care and enabling that community care in a long-term way. Right now community care is often left to volunteer and charity organisations, who plug the gaps in ICB and Local Authority healthcare services, but never know when their funding will dry up. It is not sustainable and community healthcare needs to be sustainable. 3. Prevention is a speculate to accumulate approach that the government must adopt, but prevention has to be backed up by preventative care in the community. Again, social care is key. My take home from the #DarziReview is that #healthcare needs more funding, but neglecting #socialcare will mean all future plans will fail. Both need massive infusions of cash to address the avalanche of #SocialDeterminantsOfHealth that have created the poor health of our nation.

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