Mental Health

13.06.18

NHSI boss wants ‘radical change of thinking’ about ageing population akin to MH approach

The chief executive of NHS Improvement (NHSI) has argued the industry needs to adopt a “radical change of thinking” in dealing with demand from an ageing population, similar to that of the approach to mental health.

Speaking at the NHS Confederation Conference in Manchester today, Ian Dalton said there were “immense and unwarranted variations” in a plethora of healthcare sectors, limiting the standard and quality of patient care.

Dalton cited a 300% variation in English hospitals in the lengths of stays for medical issues such as pneumonia, adding that this – alongside with unprecedented demand over the winter – is preventing services from progressing and reducing high ‘bed-blocking’ rates.

Outpatient services were attended 64 million times in the UK last year, costing the NHS nearly £8bn; 350,000 patients spent more than three weeks in an acute hospital.

“We have to do something to free capacity. We have to focus on length of stay and have the same forensic attention for something that seems very difficult, like a quarter reduction in the length of stay of 21+ day patients to be delivered this year,” said Dalton.

“The NHS acute sector cannot deliver this on its own. This is a call to action that we’re making for the whole of the NHS, including community services and local authorities. This vital objective is an action call for the whole of the system.”

Dalton explained that the industry needs to reach its target of reducing eight district hospital’s worth of capacity before winter by adopting a “radical” approach similar to that of the way mental health issues are now supported in the UK.

He added: “If we want an example of where a fundamental and outstanding transformation of care is taking place, led by the NHS but with support of surrounding and community services and social care, we can look at the treatment of mental health.

“The model of care of mental health has been fundamentally altered. We have supported people with mental illnesses and disabilities so that they can lead completely different and better lives. To me it’s this kind of radical thinking, with the partnership working that stretches outside individual organisations, that we now need to bring to bear on the biggest challenge the NHS will face in the next decade – that is, dealing with the growing demands of an ageing population.”

Dalton said that NHSI’s and NHS England’s agreement to merge finance services and executive boards are one of the examples of a new, unified approach to ageing population demands. The chief executive explained that the organisation will adopt a “pan-NHS approach” to improvement and development covering primary, secondary, and community care.

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

Two NHS trusts spent a third of the year on highest ‘Opel 4’ pressure alert

12/12/2018Two NHS trusts spent a third of the year on highest ‘Opel 4’ pressure alert

Two NHS trusts spent more than a third of the year under extreme pressure and on the highest level of alert. An investigation by the BBC fou... more >
Financially struggling NHS trust appoints fifth chief executive in just five years

12/12/2018Financially struggling NHS trust appoints fifth chief executive in just five years

The financially troubled West Hertfordshire Hospitals NHS Trust has appointed Christen Allen as its newest chief executive – marking its fi... more >
Quarter of trusts spent no money on cyber security last year as NHS’s ‘alarming’ cyber training inconsistencies revealed

12/12/2018Quarter of trusts spent no money on cyber security last year as NHS’s ‘alarming’ cyber training inconsistencies revealed

One in four NHS trusts in England and Wales are spending no money on specialist cyber security or training and trusts are consistently failing to... more >

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 th... read more >

last word

Hard to be optimistic

Hard to be optimistic

Rachel Power, chief executive of the Patients Association, warns that we must be realistic about the very real effects of continued underfunding across the health service. It’s now bey... more > more last word articles >

the scalpel's daily blog

The robots are here at East Suffolk and North Essex

12/12/2018The robots are here at East Suffolk and North Essex

Lauren Hockney, senior communications officer at East Suffolk and North Essex NHS FT (ESNEFT), outlines how her trust is embracing the digital and automation revolution. Robots have arrived at the ESNEFT, and they are giving back hundreds of hours to staff so they can spend more time helping patients. The trust, which includes Colche... more >
read more blog posts from 'the scalpel' >

comment

Creating a volunteer 'passport'

12/12/2018Creating a volunteer 'passport'

By utilising the health service’s volunteers, we can deliver better care for everyone, argues Kay Fawcett OBE, clinical project lead at Hel... more >
Right people, right place, right now

12/12/2018Right people, right place, right now

Sean Duggan, chief executive of the Mental Health Network, raises concerns around the mental health workforce and shares some best practice from ... more >
Breaking down barriers to integration

12/12/2018Breaking down barriers to integration

Anne Marie Morris, member of the Public Accounts Committee (PAC) and MP for Newton Abbott, outlines the committee’s recent report on the ba... more >
An attack on them is an attack on us all

12/12/2018An attack on them is an attack on us all

Chris Bryant MP discusses the new law he championed that came into effect in September, which doubles jail time for anyone who assaults emergency... more >

interviews

How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >
Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >
Tackling infection prevention locally

04/10/2017Tackling infection prevention locally

Dr Emma Burnett, a lecturer and researcher in infection prevention at the University of Dundee’s School of Nursing and Midwifery and a boar... more >

health service focus

View all News