Politics, Power & Persuasion
Arun Chopra
Consultant Psychiatrist, A42, QMC
WPLC, RCPsych.
• Recent developments in healthcare
Politics (lessons from Obamacare)
• Power & its structures
• Persuasion: Individual (...
highest satisfaction rating
lowest waiting times
mh funding
targets
mid-staffs-managers performance
and finance before pat...
Section 75: A week is a long time in politics...
H& SCact- primary
legislation; delegated
legislation: Statutory
Instrume...
Briefing – The National Health Service
(Procurement, Patient Choice and Competition)
Regulations 2013 01.03.13
The propos...
Under the new law, an ACO would agree to manage all of the healthcare needs of a minimum of 5,000
Medicare beneficiaries f...
care would move out
of hospitals, but
probably still led by
hospitals
Fewer specialists;
fewer specialist
centres
there ...
risks & challenges:
social care- all the money goes there
nothing comes to mental health
structural reorganisation (not ag...
Qn. A recent Schizophrenia Commission report highlighted
catastrophic failings in the care of people with severe mental
il...
attendance at the party political conferences
written evidence to select committees
briefing for individual MPs
lobbying o...
And one last thought...
CLAHRCs 2
AHSNs
PHBs
LHWBS
networks
NHA
LETBs
pensions, CEA, pay
Politics march2013
Politics march2013
of 14

Politics march2013

Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Politics march2013

  • 1. Politics, Power & Persuasion Arun Chopra Consultant Psychiatrist, A42, QMC WPLC, RCPsych.
  • 2. • Recent developments in healthcare Politics (lessons from Obamacare) • Power & its structures • Persuasion: Individual (health professional) & College
  • 3. highest satisfaction rating lowest waiting times mh funding targets mid-staffs-managers performance and finance before patients clinical involvement competition (howe) ‘no top down reorg’ urge to tinker responsibility (bevan) extension of NL policy? (warner) health & social care act contextual factors its the economy, stupid social care cuts performance recent developments Labour- health policy review patient satisfaction fallen Access: a&e waits CVS gains mental health access inpatient survey suicide rates detained patients section 75
  • 4. Section 75: A week is a long time in politics... H& SCact- primary legislation; delegated legislation: Statutory Instrument AMRoC 1000 doctors
  • 5. Briefing – The National Health Service (Procurement, Patient Choice and Competition) Regulations 2013 01.03.13 The proposed regulations make fragmentation of care more likely. Compulsory tendering could lead to deskilling within services and potentially reduce their quality and effectiveness. Compulsory tendering could lead to a deskilling in mental health, for example by other professionals being employed to lead services instead of consultant psychiatrists in order to reduce costs, despite evidence that consultant-led care justifies its extra cost in terms of benefit to patients.2 The Regulations contradict assurances given by the Government about competition during the passage of the Health and Social Care Act 2012.
  • 6. Under the new law, an ACO would agree to manage all of the healthcare needs of a minimum of 5,000 Medicare beneficiaries for at least three years. ACO creates health plan Financial reward if ACO keeps enrolled out of hospital "If we look to the US the best providers are working on that highly integrated basis, co-ordinating physical, mental and social care from home tohospital. We need to take what's best and universalise it here." kings fund speech Jan 2013
  • 7. care would move out of hospitals, but probably still led by hospitals Fewer specialists; fewer specialist centres there would be a new role for DGHs
  • 8. risks & challenges: social care- all the money goes there nothing comes to mental health structural reorganisation (not again) general practice status training issues;- consultants go?,pay?? skill set of Local Authorities? Local authority diversity NHS in its current format can’t continue option 1-competition, more players option 2-efficient, preventative (but)remaining responsive
  • 9. Qn. A recent Schizophrenia Commission report highlighted catastrophic failings in the care of people with severe mental illness. We know that suicide rates rise during times of economic hardship and that record numbers of people are being detained under the Mental Health Act. The Government have said that mental health should have parity with physical health, so why has funding for mental health services been cut for the first time in a decade? (lillian greenwood, Nottingham South (Lab), 27 Nov 2012) Lobbying
  • 10. attendance at the party political conferences written evidence to select committees briefing for individual MPs lobbying on amendments eg, parity of esteem projecting ‘soft power’ e.g, Ed M’s speech Tory MPs essays on mental health adjournment debates- ED, Scz., mental health mental health discrimination act (by the way, we are recruiting ;))
  • 11. And one last thought...
  • 12. CLAHRCs 2 AHSNs PHBs LHWBS networks NHA LETBs pensions, CEA, pay

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