Do GPs now & those in training want to be consultants in primary care, supervising a team of non-medically qualified healthcare staff? Or do they aspire to traditional general practice, holding a personal list, offering expert medical care & continuity bmj.com/content/385/bm…

The #Panorama prog is here bbc.co.uk/iplayer/episod… /ENDS/

3: At root, long NHS waiting times are caused by the NHS having insufficient capacity to meet elective care demand. This is a long-term systemic problem that has been building since early 2016 – when the 18 week target was last met. It needs a long term systemic repair >

Outsourcing more NHS patients to the private sector would be a quick fix to find extra capacity, and many patients would be glad of it. But unless extra capacity is also added to the NHS it risks the NHS permanently hard-wiring inequality into who gets treated first >

2: The obv answer might be to increase capacity in NHS hospitals alongside more use of the private sector. But the health budget for this yr has been cut in real terms. The money isnt there to increase NHS spend on its own services while also paying to send more patients private>

Increasing the NHS’s reliance on the private sector might mean faster care for some, but it could lead to a 2-tier system where the sickest & poorest continued to struggle with long waits in over-stretched NHS hospitals, while the better off got faster care in the private sector>

In a recent study, over 1/3rd of orthopaedic patients had complications which suggested they would be ineligible for treatment in “stand-alone” elective units, such as those typically found in the private sector >

1: While many patients would be happy to be treated in a private unit if it meant they got seen quicker, there are many whose medical complications mean they need to be treated in hospitals that have high dependency units. These are not typically found in private hospitals >

Tonight’s #Panorama looks at the care #NHS patients received when treated in private hospitals. Without commenting on specific cases, I set out 3 reasons we would be concerned by a substantial increase in the proportion of NHS patients treated in private hospitals. A thread >>

What is happening to referrals for #autism assessments and prescriptions for #ADHD medication in England, and what might lie behind recent changes?

QualityWatch Jessica Morris explores the data. 👇 nuffieldtrust.org.uk/news-item/the-…

Grt to profile our latest report . The move to digital. Working for some but not for others with the potential of increasing inequalities and costly inefficiencies. How do we move forward with digital delivery in a measured/person centred way that doesn't leave people behind?

Immensely busy day yesterday with Thea Stein speaking to BBC Radio 4 Today Times Radio BBC Radio 5 Live ITV News Sky News TalkTV BBC Sounds and more and Jessica Morris’s analysis on neurodiversity covered in The Times and The Sunday Times The Daily Telegraph Daily Mail Online The Guardian The Independent. Well done everyone 🙌

Very proud that our Nuffield Trust QualityWatch analysis by Jessica Morris was covered by #BBCNewscast today, including special guest Thea Stein 👏. And great to hear from ellie middleton 🌻 and Emma Tracey bbc.co.uk/sounds/play/p0…

New analysis published today by QualityWatch, a joint programme with Nuffield Trust, focuses on looking at demand for autism and ADHD services.

Find out more ⬇️
twitter.com/NuffieldTrust/…

Good to see Thea Stein on Sky News discussing the tipping point we are at as a society when it comes to understanding and supporting neurodiversity

A spokesperson for Croydon Health Services NHS Trust said: “We are sorry to hear that Mr Oladapo was unhappy with the care he received.”

Just to be clear ⁦Croydon Health Services NHS Trust⁩ that is not an apology.
bbc.com/news/articles/…

To prepare for future pandemics we’re going to need better ways of measuring & monitoring healthcare system capacity. Counting stuff won’t cut it. The BMJ analysis from Charlotte Summers Tim Cook & me.

bmj.com/content/385/bm…

A welcome contribution from Nuffield Trust Thea Stein about the unacceptable waiting times for Autism & ADHD assessments & the need to ‘think differently’ about Neurodiversity

“If we as a society think differently about how we support people who are neurodiverse, we might be able to navigate this better… it is important we don’t just wait for a massive expansion of diagnostic services” Thea Stein tells Mishal Husain on BBC Radio 4 Today

🚨 NEW: Today we have published new analysis through our QualityWatch programme looking at demand for autism and ADHD services nuffieldtrust.org.uk/news-item/the-…