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Wanted: clinicians to avert NHS transformation failure
The BMJ ( IF 105.7 ) Pub Date : 2017-11-09 , DOI: 10.1136/bmj.j5130
Jennifer Richardson

The partnerships charged with overhauling services will fail spectacularly without clinical engagement and scrutiny, say hospital doctors—the very things the new groups most lack, according to a new research. Jennifer Richardson reports The latest vehicle for overhauling NHS services is either “progress on the road to better care” or “destined to fail,” senior hospital doctors say. Either “an opportunity to introduce major improvements to the quality and effectiveness of NHS services” or “a fundamental threat to services.” A report published on 9 November by the Hospital Consultants and Specialists Association (HCSA) finds little prospect of middle ground for the outcome of sustainability and transformation partnerships (STPs),1 the 44 collaborations of local NHS organisations charged with improving care and financial stability in their geographical areas by 2021. There is still opportunity and time, says the HCSA, a professional body and trade union for hospital doctors, to ensure that the positive of the two extremes prevails. However, that will depend extensively on one thing largely missing so far: clinician input. The report is damning on this front. In a survey of members with 454 respondents, 95% thought that they had not been consulted on or had sufficient involvement in STPs, which have each set out a five year plan to meet local challenges and needs. This lack of clinical scrutiny is “condemning [STPs] to be another damaging and short lived reorganisation,” says HCSA chief executive and general secretary, Eddie Saville. Some respondents said that they had not heard of STPs before the survey despite, as the HCSA points out, the partnerships representing an important change in the way that the NHS in England will plan and run its services. Others felt that what clinician involvement existed was mere “window dressing,” with “no intention of genuine consultation.” This …

中文翻译:

通缉:临床医生避免NHS转型失败

一项新的研究表明,如果没有临床参与和检查,负责大修服务的合作伙伴关系将严重失败。这是新团队最缺乏的东西。詹妮弗·理查森(Jennifer Richardson)报道,高级医院医生说,全面改革NHS服务的最新手段是“朝着更好的护理迈进”或“注定要失败”。“提供重大改善NHS服务质量和有效性的机会”或“对服务的根本威胁”。医院顾问和专家协会(HCSA)于11月9日发布的报告发现,可持续性和转型合作伙伴关系(STP)的成果没有中间立场,1 HCSA是医院医生的专业机构和工会,它表示,到2021年,负责改善其地理区域的护理和财务稳定性的44个地方NHS组织的合作仍存在机会和时间。两个极端盛行。但是,这将在很大程度上取决于迄今很大程度上遗漏的一件事:临床医生的意见。该报告在这方面是该死的。在对454名受访者的成员进行的调查中,有95%的人认为尚未就STP征询他们的意见,或者他们没有充分参与STP,STP各自制定了一个五年计划来应对当地的挑战和需求。HCSA首席执行官兼秘书长埃迪·萨维尔(Eddie Saville)说,这种缺乏临床检查的做法“谴责[STP]是另一种破坏性和短暂的重组”。一些答复者说,尽管如HCSA所指出的,但他们在调查之前并未听说过STP,尽管这种伙伴关系代表了英格兰NHS计划和运营其服务方式的重要变化。其他人则认为临床医生的参与仅仅是“橱窗敷料”,而“无意进行真正的咨询”。这个 …
更新日期:2017-11-09
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