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NHS Long Term Plan > 자유게시판
NHS Long Term Plan
작성일작성일: 2025-06-11 11:13
The NHS has actually been marking its 70th anniversary, and the national argument this has actually unleashed has centred on three big realities. There's been pride in our long-lasting success, and in the shared social commitment it represents. There's been issue - about funding, staffing, increasing inequalities and pressures from a growing and ageing population. But there's also been optimism - about the possibilities for continuing medical advance and better results of care.
In expecting the Health Service's 80th birthday, this NHS Long Term Plan takes all 3 of these truths as its beginning point. So to be successful, we should keep all that's excellent about our health service and its place in our national life. But we should take on head-on the pressures our staff face, while making our additional funding go as far as possible. And as we do so, we must speed up the redesign of client care to future-proof the NHS for the decade ahead. This Plan sets out how we will do that. We are now able to because:
- first, we now have a protected and enhanced funding course for the NHS, averaging 3.4% a year over the next five years, compared with 2% over the previous five years;
- second, since there is broad consensus about the modifications now needed. This has been validated by clients' groups, expert bodies and frontline NHS leaders who because July have all helped form this plan - through over 200 different occasions, over 2,500 separate responses, through insights used by 85,000 members of the public and from organisations representing over 3.5 million people;
- and 3rd, since work that kicked-off after the NHS Five Year Forward View is now beginning to bear fruit, providing practical experience of how to cause the modifications set out in this Plan. Almost everything in this Plan is already being implemented successfully someplace in the NHS. Now as this Plan is carried out right across the NHS, here are the big modifications it will bring:
Chapter One sets out how the NHS will relocate to a new service model in which clients get more alternatives, better assistance, and appropriately joined-up care at the correct time in the optimum care setting. GP practices and health center outpatients currently offer around 400 million face-to-face visits each year. Over the next 5 years, every client will can online 'digital' GP consultations, and upgraded hospital support will have the ability to prevent up to a 3rd of outpatient appointments - conserving clients 30 million trips to medical facility, and saving the NHS over ₤ 1 billion a year in brand-new expenditure prevented. GP practices - usually covering 30-50,000 individuals - will be funded to interact to deal with pressures in medical care and extend the series of convenient regional services, producing truly integrated groups of GPs, neighborhood health and social care personnel. New broadened community health groups will be needed under brand-new national standards to supply fast assistance to people in their own homes as an alternative to hospitalisation, and to ramp up NHS support for individuals residing in care homes. Within 5 years over 2.5 million more people will benefit from 'social prescribing', an individual health budget plan, and brand-new support for handling their own health in collaboration with patients' groups and the voluntary sector.
These reforms will be backed by a brand-new warranty that over the next 5 years, financial investment in primary medical and social work will grow faster than the total NHS spending plan. This commitment - an NHS 'first' - produces a ringfenced local fund worth a minimum of an extra ₤ 4.5 billion a year in genuine terms by 2023/24.
We have an emergency care system under real pressure, but likewise one in the midst of extensive change. The Long Term Plan sets out action to ensure patients get the care they require, quickly, and to alleviate pressure on A&E s. New service channels such as urgent treatment centres are now growing far quicker than hospital A&E presences, and UTCs are being designated across England. For those that do need hospital care, emergency situation 'admissions' are increasingly being treated through 'very same day emergency situation care' without need for an over night stay. This design will be presented across all acute healthcare facilities, increasing the percentage of intense admissions generally discharged on day of participation from a 5th to a 3rd. Building on medical facilities' success in enhancing results for major injury, stroke and other vital diseases conditions, brand-new medical requirements will guarantee patients with the most serious emergencies get the finest possible care. And structure on recent gains, in collaboration with local councils further action to cut delayed healthcare facility discharges will help release up pressure on healthcare facility beds.
Chapter Two sets out brand-new, financed, action the NHS will require to strengthen its contribution to prevention and health inequalities. Wider action on prevention will help individuals stay healthy and also moderate demand on the NHS. Action by the NHS is an enhance to - not a replacement for - the crucial function of individuals, communities, government, and companies in forming the health of the nation. Nevertheless, every 24 hr the NHS comes into contact with more than a million individuals at moments in their lives that bring home the personal effect of illness. The Long Term Plan therefore funds particular new evidence-based NHS prevention programmes, consisting of to cut cigarette smoking; to reduce weight problems, partially by doubling enrolment in the effective Type 2 NHS Diabetes Prevention Programme; to restrict alcohol-related A&E admissions; and to lower air contamination.
To assist deal with health inequalities, NHS England will base its five year funding allocations to cities on more accurate evaluation of health inequalities and unmet need. As a condition of getting Long Term Plan financing, all significant nationwide programmes and every area across England will be required to set out particular quantifiable goals and mechanisms by which they will add to narrowing health inequalities over the next 5 and 10 years. The Plan also sets out particular action, for example to: cut cigarette smoking in pregnancy, and by individuals with long term mental health problems; ensure individuals with finding out impairment and/or autism improve support; provide outreach services to individuals experiencing homelessness; assist people with extreme mental health problem find and keep a job; and enhance uptake of screening and early cancer medical diagnosis for individuals who presently miss out.
Chapter Three sets the NHS's top priorities for care quality and outcomes enhancement for the years ahead. For all significant conditions, results for patients are now measurably much better than a decade ago. Childbirth is the safest it has ever been, cancer survival is at an all-time high, deaths from cardiovascular illness have cut in half given that 1990, and male suicide is at a 31-year low. But for the biggest killers and disablers of our population, we still have unmet requirement, unexplained local variation, and undoubted opportunities for more medical advance. These truths, together with clients' and the general public's views on top priorities, imply that the Plan goes even more on the NHS Five Year Forward View's concentrate on cancer, mental health, diabetes, multimorbidity and healthy aging including dementia. But it likewise extends its focus to children's health, cardiovascular and breathing conditions, and finding out impairment and autism, amongst others.
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