latest health care news

05.06.17

NHS needs ‘30-year forward view’ or risks sleepwalking into uncertain future

The NHS needs to move towards a 30-year forward view to have any chance of being fiscally sustainable in the future, a group of influential health finance managers has stated.

Mark Orchard, president of the Healthcare Financial Management Association (HFMA), criticised the “perpetual cyclical challenge for health and social care” that resulted from successive governments only having a five-year view for the health service.

While the HFMA boss admitted that strategies such as NHS England’s FYFV were welcome, he argued that foundations needed to be laid now for the NHS’s centenary celebration in 2048, or risk “sleepwalking” into an uncertain future.

The HFMA’s statement also comes after a House of Lords Health Committee report in April called on the government to set up an independent Office for Health and Care Sustainability to ensure that policies took the next 15 to 20 years into account, rather than the tenure of one government.

“Beyond this election, public choices may need to be made as part of a 30-year forward view and that is why the UK would benefit from an independent cross-party review of the future of NHS and social care,” Orchard stated.

“Responding to warnings about mounting pressures, each manifesto pledges more funding for the NHS up to 2022,” the HFMA president went on to say. “But nobody is having a meaningful public debate on how we might take steps to ensure that the NHS remains fit for the next generation and the generation beyond that.”

Orchard added that the problems the NHS faced was not just about real-terms funding failing to keep up with demand, or the difficulty trusts find carving out future efficiencies.

“The challenge lies in the assumption that alongside this we will sustain the current NHS ‘offer’ when official demographic estimates suggest a doubling of the number of us living over 80 years of age and a six-fold increase in the number of centenarians,” he stated.

Orchard concluded by suggesting a set of 10 conditions that should be consulted on with the public to drive future sustainability. Some of these conditions include realistic workforce planning, creating a single national IT dataset for public health and care records, having a relentless waste avoidance drive and exploring devolution of the NHS and social care to a state sponsored non-governmental body. The other conditions can be found here.

Have you got a story to tell? Would you like to become an NHE columnist? If so, click here.

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

featured articles

View all News

last word

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad, president of the Association of the British Pharmaceutical Industry (ABPI), sits down with National Health Executive as part of our Last Word Q&A series. Would you talk us throu more > more last word articles >

health service focus

View all News

comment

NHS England dementia director prescribes rugby for mental health and dementia patients

23/09/2019NHS England dementia director prescribes rugby for mental health and dementia patients

Reason to celebrate as NHS says watching rugby can be good for your mental ... more >
Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Bei... more >

interviews

Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

24/10/2019Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

Today, speaking at the Royal College of General Practitioners (RCGP) annual... more >

the scalpel's daily blog

Why social prescribing is the future of healthcare

01/04/2020Why social prescribing is the future of healthcare

Jennifer Jones-Rigby, COO at Health Exchange, a social enterprise seeking to shape the design and development of health and wellbeing services in a way that wil... more >
read more blog posts from 'the scalpel' >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital exemplars who were revealed at the same show 12 months earlier.  Jeremy Hunt also stated that by the end of 2018 – the 70th birthday... read more >