Its pretty clear the 25/6 #GP estate investment programme has been designed to underspend. Isn't it?

I wonder if @rthonwesstreeting.bsky.social has evidence for saying 'most NHS staff support NHS league tables'?

In the #SWW area a combination of ludicrous unit cost rise, unjustifiable standing charge rise, and removal of #labour govt support cos the old (lower) charges were too high means a lot of households are seeing bills rise by >50% Will winter 25/6 be the year people can't afford to eat, heat, wash?

Looking at NHS ICB staff 'pulse' survey results. I wouldn't say all ICBs are in an irreparable state. - but I think some might be. 😔

NHS annual survey suggests unpaid overtime equates to circa 54,000 wte. No one should call that 'productivity gain'. Its a failure and dangerous to design jobs that cant be done within the funded hours.

Blimey that's some uptick in #mounjaro #tirzepatide prices!

Lucky its nothing important like say our healthcare system.

Who'd be in charge of an ICBs running costs. Cant afford the cost of imposed change. Cant not afford the cost of imposed change. Further evidence, if required, change is best planned following engagement rather than imposed without planning.

On the day a former Tory PM whose life was saved by the #NHS brags about having private health insurance due to the condition the NHS is in after 14 years of Tory oversight, Badenoch thinks the answer is to disempower the workforce by outlawing NHS strikes.

This is #NHS #leftshift has to be far more dramatic in budgetary terms than a slightly bigger share of growth sometime down the line.

Health Secretary Wes Streeting has defended why the Government is only paying for half the population of England to get an NHS dentist.

Sounds like #NHS #dentistry is shifting further towards urgent need focus. Without at least equal focus on maintain and prevent we risk ever growing urgent demand that will consume supply. Already seeing supply shift from prevention to urgent need. www.mirror.co.uk/news/uk-news...

made my way through the #NHS #10yearplan It feels, perhaps unsurprisingly, rather like an updated 2008 plan. Some good stuff, but: 1) it's v v broad, would narrower focus on high impact changes be better? 2) its so broad theres a lot that has little 'how' Should a plan have little 'how'

If DHSC + NHSE execs is 27, and new proposed DHSC execs is 25, is there less duplication than we were told?

Why do #dentists want to work in London so much more than Devon? V different pattern to any other #HCP group.

Liked this #dental quote "Urgent only dental care is like putting a wet plaster on a wound that needs sutures"

@rthonwesstreeting.bsky.social if the UMF schemes submitted earlier this year and provisionally approved weeks ago arent formally approved this month then many #GP building schemes planned for 2025 can't happen, and your commitment not delivered. Please intervene.

Surely it's not true #NHS providers are being told to put up posters telling staff their pay rises are generous and confirm how many put up? That's....Trumpian And will be HUGELY counter-productive.

The reported approach to #NHSE #ICB is cruel and frankly reckless. Asking for EoIs to take redundancy before issuing redundancy terms, before issuing structures, before even confirming which ICBs merge with which. Who would think that would give you an actual umderstanding of what's what?

New #UEC plan - I'd say it's decent, in places pretty honest which maybe you'd expect with a relatively new government that's keen to remind us it's a relatively government But doesn't it place too much of the blame for UEC performance on demand? And doesn't that mean the solutions are too narrow?

#NHS vacancies remain above 100,000. (And excludes a lot of 'held' vacancies) Anyone know when it was last below that level?

Congrats to 4 #Devon PCNs and the ICB GP Access team on evidencing the benefits of backing #PCN access enhancements. More continuity of care, less exacerbations. Proved. (Again)

It seems a touch ironic that Labours #NHS won't tolerate unfunded spending commitments, yet has committed to a large scale redundancy programme that's....yes, unfunded. Poor staff - 'we don't want you, but can't afford to get rid of you'

I just don't think any SoSfH should take £9k a month from private providers of health. I have far far far less influence that a SoS but can't have my bus fair paid for me by them. Nor should I.

"Shameful" The Inquiry hears from expert virologist Prof. Deenan Pillay that the Government chose to spend billions on private consultants from Deloitte instead of listening to experts. The labs they set up have since been dismantled. 'We've been left with nothing'.

So sad that we still describe someone as ADMITTING to body dysmorphia.

@rthonwesstreeting.bsky.social need not worry about NHS staff taking strike action as long as his plans for the #NHS are close to credible to those working in it.

No sh*t www.hsj.co.uk/primary-care...

The NHS feels a bit like Trumpland doesn't it. 1) asking acute or community providers to take over turning round failing GP practices (with no evidence base) while... 2) incentivising financially senior managers in acute and community providers to only focus on their organisations outcomes

Committing 47 times as much to prison estate as #GP estate is disappointing.

Massive job cuts in the NHS. Winter fuel allowance smashed. Unprecedented levels of child poverty. Labour's priority 👇🏻

Shouldn't that be 'decay and diabetes' cereal?

This 'answer' is why turnout at elections is low. Can we cut her team in half and require them to function as normal?

Only me thinking 'further and faster' is translating into collapsing the #care system with all the ramifications for #health

We have an acute shortage of #care workers. Home secretary says care worker visas will cease. This appears (like urgent dental) to be Labour constructing a lose / lose for themselves politically.

#NHS cuts is a choice Just as not taxing extreme wealth, not (at least) equalising asset and earnt income tax, not (at least) equalising CGT and IT, not taxing digital business fairly, is a choice

Meanwhile if I want to make even the smallest tweak to the #NHS I'm instantly handed impact assessment paperwork.

40.6% of GPs weren't born in the UK

How can there not be an impact assessment for something like this?

#ICB changes - wow, that's a lot of functions transferring to 'neighbourhood providers' AFTER those functions have their capacity slashed.

Doesn't feel very 'left shift' that Gen Prac is getting <7% of infrastructure funding. We seem to be continuing a generational obsession with acute sites while saying we want to provide less care from them.

Streeting clear #Reform have a mandate to #DOGE Preferring to avoid a trick question about #NHSE #ICB than defend #diversity, #equality, #inclusivity ?

Streeting media round today - blaming the electorate for not recognising / seeing / appreciating the long list of post GE improvements.....

Radio interview today from local #Reform county councillor. Asked re her prorities she majored with 'UK waters for UK fisherman'. Besides the obvious she has not one constituent living within 18 miles of the coast. 😔

Whenever I think about the model ICB structure being worked up centrally, this is all I can picture. #pharmsky #NHS

I wonder how soon we'll start seeing Tory (MP) defections to Reform?

Has there ever in a UK #election been such a rapid rejection of a #labour administration?

NHS should step back from ICB cuts, warns former Labour health secretary www.gponline.com/nhs-step-bac...

Happening across the NHS. ICBs next. - the (additional) 50% run cost cut will extend further by doing this.