Dave West @Davewwest Twitter profile

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Dave West

@Davewwest

3 years

Government 'comms playbook' orders NHS trusts to describe new-build wings and refurbishments as 'new hospitals'

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Dave West

@Davewwest

4 years

NEW Dido Harding is now on a six month "leave of absence" from her role as NHS Improvement chair, while she is leading Test and Trace, the joint NHS England and Improvement board has just been told.

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Dave West

@Davewwest

3 years

BREAKING - The number of covid patients in Bolton hospital has increased to 43 this morning - up from 33 yesterday morning, and 29 on Friday. According to numbers seen by HSJ

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Dave West

@Davewwest

4 years

Adult critical care beds in London. 100% occupancy is not reached because that would be dangerous (and operationally foolish). Instead, when they see occupancy rising and rising, hospitals have to open more critical care beds (aka 'surge'), to try to keep some margin.

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Dave West

@Davewwest

4 years

Large chart. What share of beds at each hospital trust are occupied by covid patients?

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Dave West

@Davewwest

3 years

Matt Hancock has omitted to declare his connection to a company owned by his close family, despite it winning a place on a framework to provide services to the English NHS in 2019, as well as contracts with the NHS in Wales.

Exclusive: English NHS awarded framework deal to Hancock’s ...

Matt Hancock omitted to declare his connection to a company owned by his close family, despite it winning a place on a framework to provide services to the English NHS in 2019, as well as contracts...

www.hsj.co.uk

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Dave West

@Davewwest

3 years

BREAKING - NHS England finance director says: "as a consequence of... government's living with covid policy... we have been asked to see if we can cut NHS funding to the tune of probably about £500m." in 2022-23

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Dave West

@Davewwest

4 years

BREAKING: "directors of Public Health are increasingly concerned that the Government is misjudging this balancing act and lifting too many restrictions, too quickly... calling for full implementation of all Phase 2 measures to be delayed."

ADPH Presidential Blog: A time for steady leadership, careful preparation and measured steps - ADPH

COVID-19 has already taken a huge social and economic toll on our nation – and the reality is that it will continue to do so for some time. We are at a critical moment. We need to weigh up the...

www.adph.org.uk

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Dave West

@Davewwest

3 months

Latest update from @wesstreeting & the DHSC - first visit to a GP PRACTICE not hospital 😲 - interesting new wording on the health Mission

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Dave West

@Davewwest

3 years

My 1st covid hospital heatmap since the winter wave. Trusts, virtually across the board, are seeing an increase in the share of their general beds occupied by covid-positive patients. Two dozen or so at 5-10%+ - where it starts to make things more & more difficult operationally

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Dave West

@Davewwest

2 years

BREAKING - NHS England writes to local NHS leaders asking for additional measures to deal with the current ambulance crisis and heatwave - notably exacerbated by covid-related absences, too

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Dave West

@Davewwest

4 years

NEW - Emergency attendances update - now, incredibly, cut in half over a three week period. As per last week - don't assume they all didn't need to come to hospital - there are many who need care. Stroke admissions have plummeted, according to multiple reports, for example.

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Dave West

@Davewwest

4 years

BREAKING - NHS has just been told "Government's Vaccines Task Force have now notified us there will be a significant reduction in weekly supply available from manufacturers beginning in week commencing 29 March, meaning volumes for first doses will be significantly constrained...

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Dave West

@Davewwest

2 years

NEW NHS staff covid absences were up 30% in the week to 6 July Covid absences were at 40% of the January Omicron peak and still rising

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Dave West

@Davewwest

4 years

23 hospital trusts still have at least DOUBLE the number of patients in adult critical care than they actually had staffed beds for last winter in total. That's despite having cancelled most of the planned hospital operations which normally rely on critical care.

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Dave West

@Davewwest

3 years

Wow - can't believe it - thanks @pressgazette !

Lawrence Dunhill

@LawrenceDunhill

3 years

@Davewwest @HSJnews 😲😲😲

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Dave West

@Davewwest

8 months

Excl : Ministers have “effectively dismantled” England’s national public health unit less than three years after creating it. Those criticising the move include @LordPhilofBrum @JimBethell @KateAlvanley @davidjbuck

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Dave West

@Davewwest

2 years

Chief nurse Dame Ruth May heads to picket line at St Thomas Hospital

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Dave West

@Davewwest

3 years

BREAKING - the medical director of one of England's 10 ambulance services says it is causing "catastrophic" harm to patients "NOW" due to delays reaching them and transferring them to hospital care

Emily Townsend

@emilyltownsend

3 years

8/ Very strong words from MD: “We know for a fact we are causing harm to patients and that harm is significant. And the definition of 25 (risk level), is that harm is almost certain - and it’s going to be catastrophic. I think we’re now at that place." #WMASboard

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Dave West

@Davewwest

4 years

"she's good this chief of nurses isn't she" says partner @CNOEngland

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Dave West

@Davewwest

9 years

Displayed at Euston Square tube in memory of Aidan Halligan this morning. Via Alex at Pathway http://t.co/6LQb8EZL2Y

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Dave West

@Davewwest

3 years

Interesting CEO appointment for Norfolk and Waveney Integrated Care System - @TraceyBleakley , currently CEO of @hospiceuk . The first 3rd sector ICS CEO appointment so far i think

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Dave West

@Davewwest

4 years

Congratulations to 7 areas on getting MORE THAN 100% covid vax uptake among 75-79s... ....hang on what? Big accuracy questions could be why more data is not being published on the vax programme

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Dave West

@Davewwest

4 years

How many coronavirus deaths have taken place each week at each hospital trust, relative to its size. Another way of visualising the scale of pressure on different hospitals and in different parts of England

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Dave West

@Davewwest

4 months

BREAKING - Chair of Devon ICB resigns over funding and "shocking" state of infrastructure, refusing to "sign off on a further cut" Sarah Wollaston is a former GP and former Conservative MP (now left the party)

Sarah Wollaston

@sarahwollaston

4 months

With regret I have decided to resign as chair of NHS Devon. Thank you to all the wonderful NHS, care and voluntary sector teams that are out there doing their very best in challenging circumstances. Did not feel able to sign off on a further cut; elastic already stretched too far

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Dave West

@Davewwest

3 years

Clear nod and wink implication from Hancock that NHS England has been withholding information and data.... echoes briefings about why he needs to 'take back power' with his Bill. Feel he should specify what data & info he means...

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Dave West

@Davewwest

4 years

Exclusive: Covid admissions falling faster among older people, likely due to vaccine

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Dave West

@Davewwest

1 year

Robust response in from the BMA, accusing NHS England and local NHS trusts of 'repeated planning failures'

Dave West

@Davewwest

1 year

This evening's letter from NHS England's chief medic and chief nurse to the BMA council chair, ramping up their assessment of the strikes' impact May be upping the ante politically, or trying to get in a better place to practically manage further strikes & safety through winter

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Dave West

@Davewwest

4 years

BREAKING - All NHS patient-facing staff will be asked to test themselves twice a week for covid using lateral-flow tests, NHS England has announced. It says Test and Trace has now said it will supply sufficient lateral-flow tests for this to happen this week/next week

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Dave West

@Davewwest

4 years

BREAKING: England passed its first wave peak of covid patients in hospital (18,974) some time on Boxing Day - recording 19,227 at 8am on the 27th. It's now rising pretty rapidly, according to the new data from NHS England this evening

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Dave West

@Davewwest

4 years

How many adult general and acute beds at each hospital trust are occupied by patients with confirmed covid? Three trusts now more than half filled with covid patients, and 23 at more than a third.

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Dave West

@Davewwest

3 years

NEW More bad covid stats today: The number of people in English hospital beds up by another 1,000. Another rise in admissions at all-England level Consolation 1: Despite this, NHS chief execs are describing situation as manageable, largely because few patients requiring ICU 1/x

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Dave West

@Davewwest

2 years

Exclusive: ‘Shameful’ £500m cut to workforce and reform budgets

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Dave West

@Davewwest

4 years

A positive sign - but am told that multiple public health directors have still not actually received the new letter from @Helen_Whately - apparently because the department doesn't have their email addresses. Which kind of says it all.

The Guardian

@guardian

4 years

Public health directors in England are asked to take charge of Covid-19 testing

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Dave West

@Davewwest

7 months

Here we go again, yet another top-down NHS reorganisation, just two years in and ICBs must be torn up to make way for integrated card board #budget2024 #recyclable

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Dave West

@Davewwest

2 years

really sad news about the death of the successful, kind & inspiring NHS leader Andrew Foster

Tributes after death of ‘strong, fair and compassionate’ NHS chief

Tributes have been paid after the death of a 'strong, fair and compassionate leader' who was chief executive of a North West acute trust for 12 years, and previously a director in the Department of...

www.hsj.co.uk

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Dave West

@Davewwest

4 years

New data on confirmed covid cases just out from PHE, covering up to Tuesday this week, and with data from both pillar 1 and pillar 2 tests. My tables of local authority data attached. One table covers only the top 10; the other table covers (nearly) all areas.

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Dave West

@Davewwest

3 years

Comment from an NHS CEO when @JackSerleHSJ revealed planning for mini Nightingales and beds-in-gyms last week: "It’s not 'normal' NHS care. We're talking about for use only in absolute desperation and in all likelihood for a few days if at all."

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Dave West

@Davewwest

4 years

This causes big knock on problems - having to run with staff spread more thinly than they should be, and cancelling other services to free up staff to help, and free up space, as well as overworking the staff you have.

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Dave West

@Davewwest

3 years

NEW Today's covid hospital numbers: The number of covid patients in English hospitals as topped 10,000 for the first time since the beginning of March. Up nearly 1,000 on yesterday, again. No clear sign of a slowdown in London, unfortunately. 1/x

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Dave West

@Davewwest

3 years

This reflects a sustained higher level of admissions (about 6 a day) over the weekend, and a build up from steady admissions through last week. Still very small numbers compared to the peaks, of course

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Dave West

@Davewwest

3 years

NEW today's daily figures - the number of covid-positive patients in hospitals across England up by nearly 1,000 in a day. From 7,536 reported yesterday to 8,474 today. To point out the obvious: If that growth rate continues for long, there will soon be a big problem

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Dave West

@Davewwest

3 years

Director at a London hospital says their covid admissions are now nearly all omicron, and there has been a big increase in recent days. Early days but from one observation, some are needing high-flow oxygen and ICU, not all 'mild illness'.

Health Service Journal

@HSJnews

3 years

Omicron helps drive London covid admissions to 10-month high

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@Davewwest

4 years

Simon Stevens says UK should try to "build more resilience into public services rather than running everything to the optimum 'just in time' efficiency. That is one of the big lessons from the pandemic." at @CommonsHealth

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Dave West

@Davewwest

3 years

when is a hospital not a hospital? When it's a wing or a cancer unit.

Dave West

@Davewwest

3 years

Government 'comms playbook' orders NHS trusts to describe new-build wings and refurbishments as 'new hospitals'

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Dave West

@Davewwest

3 years

At Blackburn, the number of covid patients in hospital is up to 17 this morning, from 12 on Friday. New covid admissions have been fairly steady over the past seven days, but that is leading to a build up of inpatients.

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Dave West

@Davewwest

3 months

BREAKING @wesstreeting says talks with junior docs will begin next week And "From today, the policy of this department is that the NHS is broken"

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Dave West

@Davewwest

2 years

Letter from RCN @patcullen9 back to Chief Nursing Officers today also accuses some NHS organisations of wrongly threatening staff with criminal prosecutions

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Dave West

@Davewwest

4 years

BREAKING - Exclusive: London hospitals will be overwhelmed by covid in a fortnight says leaked NHS England briefing Free to read

Exclusive: London will be overwhelmed by covid in a fortnight ...

London's hospitals are less than two weeks from being overwhelmed by covid even under the 'best' case scenario, according to an official briefing given to the capital's most senior doctors this...

www.hsj.co.uk

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Dave West

@Davewwest

5 years

BREAKING - Health Education England has appointed @NavinaEvans as its permanent chief executive.

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Dave West

@Davewwest

3 months

congrats to the excellent @so_says_sally - and woe betide anyone at 39 Vic St who forgets the AND SOCIAL CARE

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Dave West

@Davewwest

2 years

Yikes - first govnt data on flu since Christmas Goes a long way to explaining the extent of pressures of recent weeks (on top of totally busy underlying system) ++hopes that it means flu has peaked, but the effect of bank holidays is not clear

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Dave West

@Davewwest

5 years

NEW figures showing A&E attendances in England plummeting during the middle of March in response to #covid19 concern --- i make it a fall of a third over two weeks

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Dave West

@Davewwest

6 years

meanwhile I've found the grammatical flaw at the heart of the nhs long term plan

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Dave West

@Davewwest

3 months

The new govt moving fast, as promised And with a starkly different message, underlining the dire state NHS, which for some may be hard to swallow I understand Wes has already spoken personally to other external groups as well as the BMA, just hours after appointment

Dave West

@Davewwest

3 months

BREAKING @wesstreeting says talks with junior docs will begin next week And "From today, the policy of this department is that the NHS is broken"

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Dave West

@Davewwest

4 years

BREAKING NHS England is introducing collection of ethnicity data into the covid vaccination IT system in coming days, HSJ understands Follows concerns about gaps in ethnicity data and ability to monitor uptake in different groups

Health Service Journal

@HSJnews

4 years

Record ethnicity of those getting covid vaccine to fight stigma, NHSE told

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@Davewwest

3 years

NHS covid-related absences reported internally rose again yesterday after plateauing over the holidays. In three regions, total absences now represent more than one in 10 of the total NHS trust workforce in that patch.

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Dave West

@Davewwest

3 years

"NHS North East London has 14 times more people waiting for a new hip or knee than Knowsley" .... yes but its population is also 13.5 times the size!

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Dave West

@Davewwest

2 years

We've just published some detailed work on turnover of CEOs and exec directors at general hospital trusts (apologies to other trusts) It reveals how some hospitals with big problems get stuck in a cycle of instability & further failure

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Dave West

@Davewwest

5 years

Amanda Pritchard says @hcwomenleaders she believes she was the first chief executive to breast feed a baby at a Guy's and St Thomas board meeting

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Dave West

@Davewwest

3 years

NEW - figures seen by HSJ show NHS staff absences in London more than doubled over four days this week

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Dave West

@Davewwest

20 days

big appointment - @tomriordan hugely respected in local government, in the (very successful) West Yorkshire health and care system and beyond

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Dave West

@Davewwest

8 years

"Theresa May ignores NHS warnings at her peril. It is now imperative to spend more on health." Thanks, the @FT

Theresa May ignores NHS warnings at her peril

After years of restraint, it is now imperative to spend more on health

www.ft.com

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Dave West

@Davewwest

3 years

Whitty: "The idea that lockdowns caused the problems with things like cancer [care] is a complete inversion of reality - if we had not had the lockdowns the whole system would have been in deep, deep trouble...

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Dave West

@Davewwest

9 months

BREAKING: NHS planning guidance - which sets the service's delivery plans for next year - has been delayed till January after Treasury refused to sign off on it, and following disruption from deficits and strikes. It's only the second time in 15 years it has come later than

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Dave West

@Davewwest

4 months

In the NHS, 2024/25 financial plans are highly likely to fall apart - revealing huge deficits, cuts to be made, bailouts needed - about Aug/Sept/Oct this year If it's a July election then that 'in year' problem will instead be an early one for a new government Early elex

Sam Freedman

@Samfr

4 months

The most real-world important thing about a July rather than autumn election would be a few extra months for Labour to do a (probably one year) spending review.

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Dave West

@Davewwest

2 years

I think this may be the first official record of ICS' shiny new statutory names, with all the 'character'/crap about 'together we’re better' having been stripped out. (And here's how much dosh they're responsible for too) h/t @HMAnderson39

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Dave West

@Davewwest

3 months

I hope it will cover performance in mental health, community services and primary care --- and the mixture of some very long & harmful waits, lack of effective standards, missing data, and hidden problems in these sectors

Dave West

@Davewwest

3 months

Breaking - Ara Darzi has been commissioned by government to lead an "independent investigation" of NHS performance Comes ahead of the monthly NHS performance data today

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Dave West

@Davewwest

4 years

Worth adding that the ADPH is not an organisation which regularly challenges the government directly & openly in this way, unlike plenty of representative orgs. It doesn't get stuck in lightly, or for the sake of it

Dave West

@Davewwest

4 years

BREAKING: "directors of Public Health are increasingly concerned that the Government is misjudging this balancing act and lifting too many restrictions, too quickly... calling for full implementation of all Phase 2 measures to be delayed."

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Dave West

@Davewwest

4 years

They have been surging in recent weeks in London, especially since mid December.

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Dave West

@Davewwest

3 years

65 hours on from this, the guidance referred to - the plan for a massive expansion of the booster campaign - still hasn't been published. Many in the NHS are keen to see the plan for achieving this very difficult target and to get cracking

UK Prime Minister

@10DowningStreet

3 years

WATCH LIVE: COVID-19 press conference (30 November 2021) Speakers: - Prime Minister @BorisJohnson - @SajidJavid , Secretary of State for @DHSCgovuk - @AmandaPritchard , Chief Executive Officer, @NHSEngland

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Dave West

@Davewwest

3 years

The @CIPR_Global comes out against the Playbook... "We remind members that the CIPR code of conduct requires them to maintain the highest standards of integrity whilst dealing honestly and fairly with the public."

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Dave West

@Davewwest

2 years

very worrying indeed. Bad flu likely a big factor, but delays accessing emergency care and other services also very much in the frame. That week saw probably most intense pressures ever on nhs services (likely social care too), regardless of the strikes which also took place.

stuart mcdonald

@ActuaryByDay

2 years

ONS deaths data has been released for week ending 23 Dec. 2,982 more deaths were recorded in-week compared to the 2015-19 average. That’s 26% more, the largest excess we’ve seen all year. Year-to-date there have been 567,379 deaths recorded which is 8% more than 2015-19 avg.

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Dave West

@Davewwest

3 years

Covid is still undermining healthcare... The amount of planned (elective) activity in Jan was substantially lower than in December, as a % of the respective month pre-covid, and all areas were well below 100%. The NHS's 'target' for 2022-23 is 110%.

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Dave West

@Davewwest

7 months

£2.5bn additional revenue for the NHS in 24/25 just announced only really covers recurrent cost of last year's pay deals, as i understand it - no actual increase in spending on services #budget2024

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Dave West

@Davewwest

3 months

New ministerial beats issued by DHSC

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Dave West

@Davewwest

2 years

more in Things Which Didn't Used to Happen The CQC, that is the government's official care inspectorate, describes (along with others) the current situation in emergency care as a crisis, "bed capacity overwhelmed", an “enormous gap in resources and capacity"

Health Service Journal

@HSJnews

2 years

'Gross' care delays could become 'new normal', says CQC report

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Dave West

@Davewwest

2 years

NHS England statement in - clear that pay rise is entirely necessary, but that since a big chunk is unfunded by government, it will be paid for out of planned spending on diagnostics (largely to help bring down terrible waits for cancer tests); and tech improvements.

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Dave West

@Davewwest

4 years

New body sounds a lot like the HPA, abolished in 2013 by Lansley. - But will it be a proper non departmental body, with autonomy, as the HPA was? - Will it be cut each year as PHE was? - Who instead of PHE will speak for health improvement and inequalities? NHS England?

The Telegraph

@Telegraph

4 years

🚨 Public Health England is to be scrapped and replaced by a new body specifically designed to protect the country against a pandemic by early next month

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Dave West

@Davewwest

4 years

The covid admission rate at Liverpool University Hospitals Trust - the 1st area to entre tier 3 restrictions - has flattened This still means dozens of covid admissions a day filling up beds - but the rate has stopped climbing steeply, at least.

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Dave West

@Davewwest

2 years

I'm told that PICU beds available went down, formally, to nil last night - teams were scrambling to find extra space for sick children. Capacity squeeze primary due to a lack of nurses.

Mark Thompson

@SkyNewsThompson

2 years

Sky News has been told there are concerns over the number of paediatric ICU beds available in some parts of the country. New NHS data released this morning suggests last Thursday there were as few as 33 spare beds available in England, that's lower than at any point last winter.

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Dave West

@Davewwest

8 months

Some pretty sharp comments about the inadequate resourcing of the NHS, from NHS England's chair and finance director, in its annual report published yesterday

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Dave West

@Davewwest

4 years

The weekly megachart. Shows what share of beds at every local hospital trust are taken by covid patients, week by week. You can now see reductions in some parts of the north west as they have *hopefully* passed the peak of their second wave. from @JackSerleHSJ

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Dave West

@Davewwest

6 months

This is a bit baffling isn't it - NHSE feels it can't manage to increase fully qualified GP numbers even with a 13 year lead time. Despite all the policy intent of shifting the service towards primary care

Anish K Patel

@anish_k_patel

6 months

The gap between hospital consultants and GPs is going to widen. GP numbers to stay stable (4% increase). Consultant numbers to increase by 49% over the same period. This flies in the face of care closer to home.

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Dave West

@Davewwest

3 years

Bolton: Covid patients in hospital up from 41 yesterday to 43 today. There were 10 new covid admissions yesterday, the same as the previous day, and higher than most recent days. Blackburn: Looks better. Patients in hospital, and admissions, gradually coming down.

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Dave West

@Davewwest

4 years

BREAKING Liverpool City Council has issued a warning after a spike in covid19 cases in South Liverpool among people aged 15-24.

Prof Matt Ashton FFPH

@DPH_MAshton

4 years

IMPORTANT - Increase in COVID19 cases in young people in South Liverpool - Avoid crowds, Keep your distance, Stay at home & get tested if not well! #covid19 ⁦ @lpoolcouncil ⁩ ⁦ @liverpoolccg ⁩ ⁦⁦ @LivUni ⁩ ⁦ @LJMU ⁩ ⁦ @LivHospitals ⁩

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Dave West

@Davewwest

2 months

The previous government refused to produce a long-term social care workforce plan , so the sector went it alone - published today Will ministers back it - allowing it to get on quickly with improving care standards, pay and conditions? Or will they dawdle and wait for the

Skills for Care

@skillsforcare

2 months

For the first time ever the adult social care sector has come together to develop the Workforce Strategy that it needs #ASCWorkforceStrategy Find out more at

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Dave West

@Davewwest

3 years

er, she was also an NHS nurse and chief executive of two hospitals

Howard Beckett

@BeckettUnite

3 years

Samantha Jones, is Johnson’s “expert adviser for NHS transformation and social care". She was the CEO for Centene in the UK. Centene is a US corporate giant that profits from denying care. It is now the largest GP provider in the UK. These people look at the NHS & see profit.

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@Davewwest

3 years

NEW 30 DEC: The number of covid hospital patients in England today is 11,452. Up by 990 on yesterday. Up by 3,916 since Boxing Day. The largest daily increase, of 234 (16%) in a day, was in the North East and Yorkshire.

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Dave West

@Davewwest

7 years

. @sarahwollaston has been reelected unopposed as chair of the Commons health committee.

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Dave West

@Davewwest

2 years

Pretty bleak... NHS England's evidence to the pay review body for 2023-24

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Dave West

@Davewwest

8 years

Leading leave figure Dan Hannan says "I'm afraid it won't be next week or next year" that NHS gets more funding as a result of leaving EU

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Dave West

@Davewwest

4 months

It sounds like this is causing major problems in Cornwall Incredibly, all IT's down across all NHS providers including GP practices, and even as far as canteen tills... what has to break in order for that to happen?

Joe Talora

@jtalora

4 months

IT outage in Cornwall is causing big problems. Appts and operations cancelled, and thought to be leading to ambulance handover delays. Not being treated as a cyber attack, though

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Dave West

@Davewwest

2 months

Live from GP practice south east London...

Dave West

@Davewwest

2 months

EMIS IT system - the main compute system used by about half of GP practice - said to be down

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Dave West

@Davewwest

6 months

The 2024-25 NHS planning guidance is finally here, three months late - and with 1 working day left before the new financial year begins. Happy planning Coverage from the @hsjnews team:

Focus should be on waiting list size, as well as long waiters ...

NHS England has told local leaders they must start to focus on reducing the overall size of the elective waiting list and not just the longest waiters.

www.hsj.co.uk

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Dave West

@Davewwest

8 months

BREAKING The government's forthcoming 'dentistry recovery plan' - a desperate bid to do anything to improve the NHS dentistry mess before election - will seek to ringfence funding .... just three months after the NHS was given the green light to raid it to reduce deficits

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Dave West

@Davewwest

3 years

yes - an unnecessary sideswipe at managers there. In addition to NHS, managers in social care are typically EXTREMELY pressed & crucial for improving standards

Joe FD

@joefd

3 years

Nice. Good luck managing a waiting list programme without middle managers. 👍

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Dave West

@Davewwest

2 years

Credit where it's due... Yesterday NHS England's top team got lots of local NHS CEOs together face to face for the first time since before covid Despite the grim time the nhs is having, the feedback I've heard has been near universal praise for the approach. Very unusual.

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Dave West

@Davewwest

9 months

Blimey : Practice says it has too many GPs

Ed Turnham

@EdTurnham

9 months

This feels like an important moment. This surgery has decided that significantly cutting GP provision is necessary to stay financially viable (many others have achieved the same thru natural attrition). They’re probably right.

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Dave West

@Davewwest

4 years

I wonder if this helps those interested in last winter V this winter...

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