Next generation NHS
NHS constitutional standards
- Nearly three quarters of trust leaders (71%) think that it is very unlikely (25%) or unlikely (46%) that the NHS can meet the constitutional standards over the next five years. 13% said it was neither likely nor unlikely. Only 14% of trust leaders think it is very likely (1%) or likely (13%).
- Looking across the different trust types, all respondents from acute specialist (100%) and ambulance trusts (100%) said it was very unlikely or unlikely that the NHS can meet the constitutional standards over the next five years. Three fifth of leaders from mental health trusts thought it unlikely or unlikely the NHS can meet the constitutional standards (63% from mental health/learning disability trusts, 60% from combined mental health/ learning disability and community trusts). Those from combined acute and community trust were the most optimistic compared to other trust types however, 59% still said meeting the constitutional standards is very unlikely (41%) or likely (19%).
What does the government need to do to enable trusts and systems to achieve this goal?
- The comments gave a mixed picture of what government needs to do to enable trusts and systems to achieve this goal. Some trust leaders highlighted the need for clear direction on where to focus efforts. However, others wanted local systems and providers to have more freedom and less bureaucracy, allowing them to adapt and meet the needs of their local population.
- Another key theme was the need for appropriate revenue and capital investment, alongside support to enhance community services, social care and prevention efforts.
“Avoid structural reorganisation and major changes to legislation (except the planned MHA reform). Set realistic aims and policy with an appropriate financial settlement. Work with NHSE to establish a capital funding model that meets the needs of the NHS (and wider public sector).”
The government has announced that it will formulate a 10-year plan for the NHS. What would be your top three priorities for the plan?
Trust leaders suggested a wide range of priorities, but there was clear agreement on the top three: supporting investment and reform in social care, ensuring adequate investment in and supply of the workforce, and increasing capital investment.
Additionally, many expressed strong support for shifting investment towards community-based care, out-of-hospital services, and preventive care.