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Thursday 24th May 2018

PM outlines more NHS reforms

8th January 2008

The Prime Minister, Gordon Brown, has outlined a programme of "deeper and wider" reform of the National Health Service to enhance its role in care, prevention and personalised health services.

gordon brown

Speaking to health professionals at King's College, London, the PM said that the NHS had to embrace technological change, meet rising expectations of healthcare and do more to manage long-term conditions and "lifestyle diseases".

The key facets of the new reform strategy are summarised below:

  • More focus on prevention and early intervention
  • Expanded screening programmes for leading disease groups
  • More choice and personalised services for patients
  • Better information for patients to empower them to be more involved in their care
  • Up to 15 million people with long-term conditions to receive care at home
  • Three million foundation trust members by 2012; up from 1 million today
  • Greater local devolution and accountability
  • Decisive action against poorly performing services
  • Seamless integration of primary and secondary care
  • Greater access to primary care
  • NHS constitution setting out patients' rights and responsibilities
  • Exploring the introduction of personal care budgets
  • Encourage employers to improve staff health & well-being

Gordon Brown listed a number of initiatives aimed at improving prevention and early intervention. These included new screening programmes for a range of more common and chronic diagnoses such as heart disease, colon cancer, breast cancer, strokes and kidney disease. "Such conditions affect the lives of more than six million people, cause 200,000 deaths each year and account for a fifth of all hospital admissions," he said.

The NHS will also focus on preventative care in relation to so-called "lifestyle" diseases such as obesity; with 60% of the population projected to be clinically obese by 2050, the PM stressed new measures such as an increase in "activity based prescriptions" and the setting a target for schools of at least five hours of timetabled sport a week. There will also be better management of long-term conditions such as asthma and diabetes.

Foundation Trusts will be a key plank of the new reforms. They will be freed up to take on more services - including primary care - and will take over failing trusts. As part of this vision the PM wants to see 3 million foundation trust members by 2012 - up from 1 million at present.

As part of the reform programme, the Prime Minister said there would be a new NHS constitution setting out the level of service that patients can expect. The constitution would also identify the responsibilities of patients for their treatment, such as keeping appointments. Patients will be also be given more choice around their treatments, such as improved access to doctors outside of normal hours and the ability to manage personal treatment in the home. Mr Brown said he wanted patients to be "partners" with more power, choice and control over their care.

The full text of the Prime Minister's speech can be found by searching article id 5309.


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Ullas Ran

Tuesday 22nd January 2008 @ 23:02

Our PM's goals and objectives are 100% correct. Reasons being:

How can we prevent if we don't monitor?
Service design must consider the end user requirements and modify accordingly.
Why not give more options to the patients to choose a service which has been tailored to suit the requirements i.e.alternative service provider

Cost effectiveness and value for money is not fully utilised in NHS procurement system. Why not promote more companies as the preferred suppliers for medicinal products?

18% of adult populations in UK suffer from hypertension. Out of the 18%, 32% are controlled under medications,18% have no efficacy and the remaining 50% is not aware that they have hypertension.

This is why it's vital that all patients irrespective of their age or health status must undergo a full health check at least once a year.

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