Reforming pharmacy reimbursement and supply in NHS long-term plan

Doctors have warned of 'mayhem' in the coming weeks despite the improvement

Image Urgent action is needed to recruit extra staff says the Royal College of Nursing

There'll be a focus on increasing access to care for women with perinatal mental health difficulties, with a view to helping an additional 24,000 women per year by 2023/24. Theresa May stated that this is meant to reshape "the NHS around the changing needs of patients".Theresa May stated that this is meant to reshape "the NHS around the changing needs of patients".

Currently, GPs, mental health services and community care account for just 25% of NHS spending. Hospitals take up the rest.

He added that Brexit would increase costs and work for the NHS, while noting "the extra funding will actually be below the historic average and what experts thought was needed".

Sources close to Stevens stressed that the widespread fragmentation of care delivery brought about by privatisation had to end because it ran contrary to NHS England's drive - backed by the government - to integrate health and care services over the next few years so that patients receive a simpler, more streamlined service.

"But the plan cannot escape the harsh reality that the NHS will still face tough decisions on what it can and cannot do".

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A digital NHS "front door" through the NHS App, which will be fully available across England from 1 July 2019, will provide advice, check symptoms and connect people with healthcare professionals - including through telephone and video consultations.

They include "straightforward" digital access to services, ensuring clinicians can access patient records wherever they are, using predictive techniques to help local health systems better plan care, and ensuring NHS systems and data are interoperable and secure.

"There is also a pressing need to address immediate and short-term pressures given that doctors and NHS staff are routinely struggling to cope with rising demand and, as a result, are subject to low morale, stress and burnout".

Both the NHS long-term plan and the social care green paper have been beset by delays and were supposed to be published simultaneously, but the green paper is yet to be published.

The 2012 act obliges NHS clinical commissioning groups CCGs in England to tender out any contract worth £615,278 or more. If enacted, these changes would "remove the counterproductive effect that general competition rules and powers can have on the integration of NHS care", the document adds. This is imperative for effective future planning given the ageing population and the fact that doctors are treating patients with more complex needs, though we await further detail on how this will be delivered.

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"As more people live longer, care will increasingly be delivered in people's homes or somewhere convenient, freeing up space in hospitals for those who need it most", Mr Stevens highlighted.

Jennifer Dixon, chief executive of the Health Foundation think-tank, agreed: "Continued cuts to public health and local authority budgets will hold back the NHS's ambitions to keep people healthy and tackle unjust differences in health between the best and worst off".

Fran Woodard, executive director of policy and impact at Macmillan Cancer Support, said: "This plan gives us confidence that providing high-quality cancer treatment and care will continue to be a priority for the NHS, thanks to the significant focus on cancer".

"Narrowing inequalities can not occur without adequate provision of social care which is not covered in the long-term plan".

Richard Murray, chief executive at the King's Fund think-tank, said: "The NHS and social care are two sides of the same coin yet publication of the social care green paper has been delayed yet again".

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RCGP chair Professor Helen Stokes-Lampard said: 'GPs are open to working differently in the best interests of patient care, and we know that working in larger groupings can be beneficial in terms of increased peer support, building resilience in the system and working more collaboratively - and primary care networks build on models that have been shown to be successful.

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