The 2,000 days project: Practical ideas for reforming health and care

Healthcare at Home, November 2017

An Industry Coalition Group of clinicians, senior leaders in hospitals, primary care, the central bodies, charities and the private sector met earlier this year to take on the challenge of re-energising the NHS approach to handling rising demand, hospital debt, slow technological innovation and growing public expectations.  This report from Healthcare at Home identifies many examples of new care provision,  but also that current reform struggles to deliver the change needed, and integrated care is not happening on the scale required.  This report identifies seven key principles for reform:

  • Person-centred care must be at the heart of every NHS decision and action.
  • Person-centred care means taking every opportunity to maximise our ability to manage our own health. The NHS needs to focus on what we can do, not just try to fix what we can’t.
  • NHS leaders need to see joy and fulfilment in the workplace as key to delivering person-centred care and nurturing innovation.
  • Care services must stop being health and safety police, and take a more balanced approach to risk, to empower staff and let people live the lives they want.
  • Clinicians and managers need to be taught how to think digitally so they develop their own solutions using consumer technology. Online and face-to-face services should be integrated.
  • Where possible there should be direct access, including digital access, to community services.
  • The costs, benefits and practicalities of developing care at home need to be understood and debated.

Click here to view the full report.

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