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| NHS needs extra cash and overhaul, say health bosses | NHS needs extra cash and overhaul, say health bosses |
| (35 minutes later) | |
| Drastic changes to services and extra money is needed if the NHS in England is not to suffer, health bosses say. | Drastic changes to services and extra money is needed if the NHS in England is not to suffer, health bosses say. |
| A five-year plan for the NHS - unveiled by six national bodies - once again highlighted that an annual £30bn shortfall would open up by 2020. | A five-year plan for the NHS - unveiled by six national bodies - once again highlighted that an annual £30bn shortfall would open up by 2020. |
| It said changes, such as GP practices offering hospital services, would help to plug a large chunk of the gap. | It said changes, such as GP practices offering hospital services, would help to plug a large chunk of the gap. |
| But health chiefs said the NHS would still need above inflation rises of 1.5% over the coming years. | |
| That works out at an extra £8bn a year above inflation by 2020. The current budget stands at £100bn a year. | |
| But the plan - called the NHS Forward View - said this would only be enough if the health service became more efficient. | But the plan - called the NHS Forward View - said this would only be enough if the health service became more efficient. |
| To achieve this, the plan called for a rethink about the way services were delivered. | To achieve this, the plan called for a rethink about the way services were delivered. |
| It put forward a range of models - although stressed it was up to each local area to decide which ones to adopt. | It put forward a range of models - although stressed it was up to each local area to decide which ones to adopt. |
| These include: | These include: |
| Many of these measures are designed to curb the rise in hospital admissions and impact of the ageing population - the source of most pressure in the health service. | Many of these measures are designed to curb the rise in hospital admissions and impact of the ageing population - the source of most pressure in the health service. |
| Case study: Working with care homes | Case study: Working with care homes |
| Nurses and doctors from Airedale Hospital in West Yorkshire have set up video link-ups with local care homes. | Nurses and doctors from Airedale Hospital in West Yorkshire have set up video link-ups with local care homes. |
| It allows consultations to take place with residents on everything from cuts and bumps to diabetes management. | It allows consultations to take place with residents on everything from cuts and bumps to diabetes management. |
| Emergency admissions from these homes have reduced by 35% and A&E attendances by 53%. | Emergency admissions from these homes have reduced by 35% and A&E attendances by 53%. |
| But the report - produced by NHS England, Public Health England, the regulator Monitor, the NHS Trust Development Authority, Care Quality Commission and Health Education England - also said more needed to be done to reduce obesity, smoking and drinking rates. | But the report - produced by NHS England, Public Health England, the regulator Monitor, the NHS Trust Development Authority, Care Quality Commission and Health Education England - also said more needed to be done to reduce obesity, smoking and drinking rates. |
| It suggested employers should be encouraged to incentivise their staff to become healthier by taking steps such as offering them shopping vouchers for healthy behaviour. | It suggested employers should be encouraged to incentivise their staff to become healthier by taking steps such as offering them shopping vouchers for healthy behaviour. |
| Meanwhile, councils could play their part by using their powers in areas such as planning and licensing to limit the opening of junk food outlets and the sale of cheap high-strength alcohol. | Meanwhile, councils could play their part by using their powers in areas such as planning and licensing to limit the opening of junk food outlets and the sale of cheap high-strength alcohol. |
| Simon Stevens, chief executive of NHS England, the lead body for Forward View, said the NHS was at a "crossroads". | Simon Stevens, chief executive of NHS England, the lead body for Forward View, said the NHS was at a "crossroads". |
| "It is perfectly possible to improve and sustain the NHS over the next five years in a way that the public and patients want. But the NHS needs to change substantially." | "It is perfectly possible to improve and sustain the NHS over the next five years in a way that the public and patients want. But the NHS needs to change substantially." |
| He said if the health service did not improve, the "consequences for patients will be severe" in terms of what could be done to ensure patients received the best care in areas such as cancer and heart disease. | He said if the health service did not improve, the "consequences for patients will be severe" in terms of what could be done to ensure patients received the best care in areas such as cancer and heart disease. |
| But he added there was no reason why a tax-funded NHS would not continue if the plans outlined were followed. | But he added there was no reason why a tax-funded NHS would not continue if the plans outlined were followed. |
| Health Secretary Jeremy Hunt said difficult decisions needed to be taken, but added the Conservatives were committed to "protecting and increasing" funding in real terms. | Health Secretary Jeremy Hunt said difficult decisions needed to be taken, but added the Conservatives were committed to "protecting and increasing" funding in real terms. |
| "A strong NHS needs a strong economy, then it is possible to increase spending this report calls for. | "A strong NHS needs a strong economy, then it is possible to increase spending this report calls for. |
| "We will need to find greater efficiencies savings, it will be tough to do so and don't under estimate challenge." | "We will need to find greater efficiencies savings, it will be tough to do so and don't under estimate challenge." |
| 'Close the gap' | 'Close the gap' |
| Health minister Norman Lamb welcomed the report, saying it was "really imaginative thinking". | Health minister Norman Lamb welcomed the report, saying it was "really imaginative thinking". |
| "I think this combined case of more investment but also change... is absolutely the right message." | "I think this combined case of more investment but also change... is absolutely the right message." |
| The Liberal Democrat minister said his party wanted to "reopen" spending plans for 2015/16, saying "the NHS needs more money next year". He said it would be "our top priority" for the Autumn Statement. | The Liberal Democrat minister said his party wanted to "reopen" spending plans for 2015/16, saying "the NHS needs more money next year". He said it would be "our top priority" for the Autumn Statement. |
| Labour's shadow health secretary Andy Burnham said some of the proposals were ideas Labour had already suggested. | Labour's shadow health secretary Andy Burnham said some of the proposals were ideas Labour had already suggested. |
| "We've have found an extra £2.5bn for the NHS, we've said that the NHS will be our priority in the next Parliament, and alongside that, we're saying that the time has come to bring social care into the NHS." | "We've have found an extra £2.5bn for the NHS, we've said that the NHS will be our priority in the next Parliament, and alongside that, we're saying that the time has come to bring social care into the NHS." |
| The report is due to be discussed in Parliament later after Labour tabled an urgent question. | |
| Case study: The GP super-practice | Case study: The GP super-practice |
| Whitstable Medical Practice, in Kent, is one of the new super-practices that are being developed. It offers the traditional GP services alongside a host of services more associated with hospitals. | Whitstable Medical Practice, in Kent, is one of the new super-practices that are being developed. It offers the traditional GP services alongside a host of services more associated with hospitals. |
| It operates out of three sites and employs nearly 150 staff, providing care for 34,000 people. | It operates out of three sites and employs nearly 150 staff, providing care for 34,000 people. |
| It runs maternity services, a minor injury unit with X-ray facilities and dedicated diabetes, heart disease and asthma clinics as well as diagnostics and minor surgery. | It runs maternity services, a minor injury unit with X-ray facilities and dedicated diabetes, heart disease and asthma clinics as well as diagnostics and minor surgery. |
| Nigel Edwards, the chief executive of the Nuffield Trust think tank, said: "This report makes crystal clear that the NHS cannot continue with 'business as usual' if it is to meet the needs of a diverse and ageing population." | Nigel Edwards, the chief executive of the Nuffield Trust think tank, said: "This report makes crystal clear that the NHS cannot continue with 'business as usual' if it is to meet the needs of a diverse and ageing population." |
| Royal College of Nursing general secretary Peter Carter called the report "rigorous and realistic". | Royal College of Nursing general secretary Peter Carter called the report "rigorous and realistic". |
| In terms of funding, the three main political parties have all committed to giving the NHS extra money in the next Parliament. Although at this stage it is not clear how large those rises are once inflation is taken into account. | In terms of funding, the three main political parties have all committed to giving the NHS extra money in the next Parliament. Although at this stage it is not clear how large those rises are once inflation is taken into account. |
| Do you work for the NHS? Or are you a patient? Will giving the NHS extra money help improve services? Share your experience by emailing haveyoursay@bbc.co.uk. | Do you work for the NHS? Or are you a patient? Will giving the NHS extra money help improve services? Share your experience by emailing haveyoursay@bbc.co.uk. |