This week, the NHS presented a significant plan to address the lengthy waiting lists for elective treatments, aiming to have 92% of patients seen within 18 weeks of referral before the current parliamentary session concludes. The strategy includes establishing new community diagnostic centers and 17 surgical hubs across England, expected to be operational by June 2025, as noted by Health Secretary Wes Streeting.
Streeting emphasized the pressing need for reform, citing legacy issues of record-long waiting lists which adversely affect patients’ lives and livelihoods. He underscored the necessity of combining investment with extensive reforms to effectively implement these changes.
Despite the ambitious nature of the proposals, representatives from nursing organizations voiced concerns about the plan’s feasibility given the current state of health staff morale. Helga Pile, head of health for Unison, pointed out that health workers, feeling undervalued for years, are unlikely to be reassured by government promises. She noted that understaffing leaves many healthcare workers overwhelmed, creating a climate where colleagues frequently resign.
Similarly, Professor Nicola Ranger, Chief Executive of the Royal College of Nursing, acknowledged that while nursing is essential for improving health and social care, a substantial number of vacancies exist throughout England. She pointed out that while patients value the choice of services, the reality of selecting between two underfunded options offers little real choice.
Under the new plan, community diagnostic centers will play a pivotal role in alleviating the burden on hospitals, with aspirations to keep these centers operational 12 hours a day, seven days a week by March 2026. The NHS aims for 65% of patients to be seen within the targeted timeframe by the end of 2026, potentially reducing the current backlog by approximately 450,000 cases. The government anticipates that these measures could result in about half a million additional appointments annually. Furthermore, there is a proposal for a "collective care" method, allowing patients with similar chronic conditions to attend group clinics by September 2025.
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