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About the NHS

Have your say on the future of the NHS

NHS England is calling on patients, the public and staff to join in a discussion about the future of the NHS, so it can plan how best to deliver services, now and in the years ahead. This call to action sets out the facts about future demands on NHS services, how the budget is currently spent and how services are delivered. Read NHS England’s business plan – Putting Patients First to find out more. 

The NHS needs to be able to deal with challenges ahead, such as an ageing population, a rise in the number of people with long-term conditions, lifestyle risk factors in the young and greater public expectations. Combined with rising costs and constrained financial resources, these trends threaten the long-term sustainability of the health service.

There have already been changes to make savings and improve productivity. The NHS is on track to find £20 billion of efficiency savings by 2015. However, without further changes to how services are delivered, a high-quality yet free at the point of use health service will not be available to future generations. Not only will the NHS become financially unsustainable, the safety and quality of patient care will decline.

This does not mean cutting core NHS services, or charging for them. NHS England is governed by the NHS Constitution, which protects the principles of a comprehensive service providing high quality healthcare, free at the point of use for everyone.

The constitution also says that the NHS belongs to the people and so does its future. In keeping with this principle, NHS England will be working together with staff, patients and the public to develop a series of new local approaches for the NHS.

That is why there is a call to action now. This is your opportunity to have your say about the future of the NHS and to ensure that the ideas identified are sustainable and respect the values that underpin the NHS.

The NHS belongs to the people: a call to action (PDF, 531kb) is designed to help you understand why the NHS needs to change and that the more people share their views and ideas on the future of the NHS, the better the service will become. Your feedback will help NHS England and Clinical Commissioning Groups (CCGs) to inform future commissioning decisions and medium-term strategic plans.

How will the Call to action engage with people?

There will be a number of ways for everyone to engage with the development of a renewed health service, including:

A digital call to action

One way you can contribute is via this website. Read or download the call to action document (PDF, 531kb) and leave your comments on this page.

If you want to engage directly with the NHS or know how the health challenges in your area are being dealt with then get in touch with your local CCG. CCGs are asked to actively engage in the process of improving the NHS.

Future of the NHS events with NHS staff, patients and the public

Take part in one of the local engagement events led by CCGs, health and wellbeing boards, local authorities and other local partners such as charities and patient groups. These workshop-style meetings are designed to gather views from patients and carers, local partner groups and the public. NHS England will also be holding events designed to capture the views of NHS staff.

Town hall meetings

There will be regional events across England, which will engage local government, regional partners, businesses and the public. These regional events will give people who have not had a chance to contribute locally the opportunity to participate in regional discussions.

National engagement events

There will also be a number of national events focusing on national level partner organisations to the NHS. These will include Royal Colleges, patient groups and charities, the private sector and other stakeholders.

Your NHS needs your help. Have your say. 


The 44 comments posted are personal views. Any information they give has not been checked and may not be accurate.

Bann1ster said on 02 September 2014

I welcome the opportunity to contribute to the development of the NHS. I recognise the need to change hoping that as we transform the many good things stay the same. The need for some things, like care and compassion, hasn't change since biblical times (see the parable of the Good Samaritan).

I'm an NHS employee and a carer. As a carer I'm one of the many people throughout England with the privilage of supporting a family member at home; helping them to enjoy life.

I want the NHS to engage with carers in a partnership of mutual respect and appreciation. I want the NHS to welcome those who care for relatives of all ages. I want the NHS to faciltate this by making room for relatives. Providing them with physical space where it is needed. These days most schools work with parents and the outcomes for children are much better for this. How many teachers can listen to each child read every day?

The government has to address the inequalities in the current system. The financial system that will pay for the care of a disabled person outside the family home but won't pay for care provided by a family member who shares the same home.

Many carers don't depend on the welfare state. Where are the advocates for these people? Make room for them - they won't dissappoint.

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voodoo said on 09 June 2014

I have many things to say about the nhs, and most of it is about the care and treatment of the staff, but putting most of my comments and suggestions to one side, (mainly because they will never be acted on) I have just one question. Why is it, that no-one who has any authority in the nhs has ever fought for the staff to have a lighter uniform? Especially in the summer? Staff work so hard, and most of the time are now made to work long shifts (not that this really matters) and can be uncomfortable for the duration of the shift, sweaty & hot. Now if there was a uniform such as the material similar to the scrub tops available, they would be able to change at least once throughout their busy shift to make them feel more comfortable, but basically, everything is about patients patients patients, forget the staff, no-one seems to care, and the way things are going, no-one will ever care, least of all to be a little bit mindful of what they have to go through every day. The so called 'top bods' can have tea/coffee/ and a break usually whenever it suits them, staff get a 15 minute break, if they are lucky, a great deal of time to relax and rest before slogging onwards again. I was on a long day, took a patient into the shower room complete with my apron and gloves, and spent the whole shift from 7am to 9.30pm damp, I done my duty in assisting the patient as well as the others on my ward, yet no-one gives a thought to me, least of all the government, or the nhs top bods who are meant to care as well as the staff below them. It's a joke, but I am not laughing, only looking at leaving.

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Susanne Emhart said on 18 March 2014

Stop the over production of pharmacists .
Allow pharmacists to help take relive the pressures that GPs face,
Decriminalise dispensing errors
Give more flexibility and jurisdiction over medicines. After all we have the expertise.

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LANMAN said on 14 March 2014

Government running of the NHS definitely has to change. Fining hospitals for not reaching or meeting targets is so utterly wrong unless your intention is run down and bankrupt hospitals into non-existence. The process that I would put in place would have NHS managers investigating in detail all cases where targets have not been met then this information would be collected and debated at the next hierarchy level of management to try to solve the problems. I love problem solving but a financial penalty is solving nothing and slowly creating more problems for the near and long term future of the service. Hospitals need help and this is not it.

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Ensnair said on 02 March 2014

Ask patients to consent for all treatments and ask patients to consent to the sharing of their data. Never presume consent.

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Petrosino said on 16 February 2014

When I was nursing (an auxiliary at a geriatric hospital in Suffolk) daily care of patients was mandatory and was enforced by the management structure, i.e. staff nurse, enrolled nurse, sister & chief nursing officer, not that it really needed enforcing.
Every day we bathed, changed, toileted, fed, watered and cared for our patients. It was a lovely place to work and the patients were like looking after your granny or granddad. Their life stories were hilarious and none of us would have ignored any of our patients or walked away when one of them was uncomfortable or upset and as for leaving their food and water out of reach, that would have been unthinkable.
Why are nursing staff not taught that this sort of behaviour is paramount to the care and recovery of their patients and why on earth are the sisters and higher medical providers not insisting this is carried out?
A good nurse is born, not created, so employ people who enjoy looking after their patients, not ignoring them.

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Pedro2288 said on 08 February 2014

I have found over the years that the biggest problem in the NHS is the huge variations in service quality. More stringent CQC inspections in the last couple of years are starting to help with this, but more needs to be done to take best practice and cutting edge techniques used at some hospitals and encourage their roll-out throughout the country. Poor quality services, including long waiting times for GPs, outpatients appointments, at A+E and for surgery, should not be tolerated.

There should also be more standarsisation around things like what drugs are available fore a particular condition across the country.

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Artvaard said on 29 January 2014

The new EMIS Patient Access is a joke, yet another internet flop by a Government agency we pay for and it doesn't work.

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suelin said on 25 January 2014

I am getting very upset with the NHS, they keep telling every one how good they are doing but I think this is just to keep the Health Secretary happy. I saw a heart consultant in November 2013, who said that he would like to see me in four months time after I had some further treatment so that appointment should have been February/March time in 2014, the appointment I got was for late August 2014, is that four months?.
Also is just taken me three months to get an appointment with my G.P.
Even when you do get an appointment it like being on a round about with no one doing anything to solve your problems.
Very disappointed with the NHS,

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slipperyjim said on 22 January 2014

I have just received a leaflet "Better information means better care". It seems the bureaucrats are still trying to set up a national database. They failed to get the answer they wanted before, so they are asking the question again. Say no. Note that if you said no last time, it doesn't count, you have to go down to the surgery and say it again.
Having your details available in London will not help your heart problem in Scotland or remove your tumour in Yorkshire. The reasons given are a mix of guff and outright dishonesty e.g. these details are not needed so that "NHS organisations receive the correct payments...", that can be done without this data. The leaflet does not restrict who they pass the data to. Suppose they sell it to the insurance industry? Wouldn't that be nice?
Of course, data will not have your name on it - just your NHS number, post code, date of birth, height, weight etc. A computer matching program could identify you very easily from that lot.
Why do they really want this? The money spent on collecting, storing, and processing all this data would be much better spent on doctors and nurses, not to mention hygiene training to further reduce MRSA.

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jools05 said on 16 January 2014

It infuriates me when making an appointment with my local GP that we are limited to one or two ailments per appointment. The majority of us have to arrange appointments around work and other commitments. There have been incidents where I had a problem with my feet and also with my thumb and was told I would have to make a separate appointment for my thumb, therefore, having to suffer longer and make another appointment (usually about 10 days later) to go back to the doctors about a problem that I have had for a very long time and could have resolved well before with one appointment. My husband has a history of problems with his legs (RLS) and sleeping problems. He has now started having stomach problems and after calling the surgery was told that he would have to make several appointments for the various problems. I have a problem with continuous numbness in my hands and my local doctor asked me what I thought the problem was, how I thought it could be cured and then advised me to take paracetamol!!! Its so sad that what used to one of the greatest health systems in the world has now become so scares and pitiful.

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jools05 said on 16 January 2014

I lived in Italy for many years and considered their medical system a waste of time. Over there you pay for specialist appointments and sometimes you can wait hours to be seen to. They freely give you medicines for common symptoms and refer you to specialists for almost everything but after returning to this country, I now realise how well their system works. Over here, the family doctor very rarely refers you to a specialist and very rarely give you any medicines to remedy medical problems. I get the impression that doctors over here are so afraid of 'making mistakes' that they prefer not to do anything! I recently went to the doctor with a problem where I am losing feeling in my hands, mainly during the night but now its also happening during the day. The 'doctor' asked me what I thought the problem was and how I thought it could be cured. She then suggested I take some paracetamol. I sincerely doubt her validity as a doctor and these are the people that we go to when we are suffering. Makes me feel so sad that we have no voice in the matter. Since returning to this country I have started to notice that we have a huge amount of disabled, chair ridden people here. I can only imagine that the reason being that we are not getting the healthcare that we should and the lack of medicines and carrying out the necessary tests when reporting an illness is reducing us to this.

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Alex Dunn said on 10 January 2014

I have been a volunteer driver for about 5 years taking patients to hospital appointments. I have been enormously impressed by the dedication of the NHS staff and their competence and resources. I don't think we can expect any more from them but there is a vast untapped resource of retired people like me who could do so much more to help. When I tell people about my voluntary work, however, although they are always quick to say how worthy it is, I still think that they find it rather an odd thing to do. How you overcome the inertia and inhibitions of the average retired Brit I do not know. One inhibition seems to be 'What if something goes wrong? Maybe I'll be blamed and sued'. Another Is perhaps ' It feels inappropriate to intervene in the lives of perfect strangers, what if they have problems I can't deal with?' Perhaps one of your clever psychologists could devise a recruitment/incentive scheme along the line of the WW1 poster 'Your NHS Needs You'.

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Healthyretired1 said on 30 December 2013

As far as I can see the 2 major things that need to be addressed above all else and they are linked are 1 getting funding to NHS right – a lay persons guide to this showing international comparisons would be good…so that we know how we compare and can then form an opinion on whether it is reasonable to support higher levels of funding to the NHS from us the tax payers. Given ageing population etc trying to save a further £20 billion over next 5 years or whatever – isn’t realistic – so while it is always a good idea to be looking for efficiencies – I’m guessing inefficiency isn’t the main problem of the NHS. I know this is for the government but absolutely essential.

2. Building up primary and community health and social care. This has been known for years but has only happened to a modest degree probably because most of money of NHS goes to hospitals and you need to get ahead of the curve to reduce the demand on hospitals. Therefore there needs to be a major centre stage national strategy on this and recruitment –probably from abroad as we don’t have enough up and coming GPs, nurses etc out there currently…also I doubt local GP groups will be prepared to change fast enough without national strategy imperative.

You have had a behind the scenes reorganisation recently that has had some merit but also got rid of managers so have hamstrung yourselves to deliver the above at a local level.

There are many other things of course but above is fundamental.

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BuffyandSpike said on 24 December 2013

The NHS has become the worst example of a state run service, riddled with bureaucracy, jobs worth, lacking in customer service and poor healthcare when you can eventually get it! No other service collapse in standards would be tolerated but because it is venerated by a gullible public who are told to think it is the best in the world, it is accepted! In fact there are many health systems in both Europe and North America which surpass the tired old NHS any day. The whole system should be dismantled, it has brought my family nothing but grief, pain and second rate service.

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razvanuk said on 24 December 2013

NHS care is not meeting patients needs most of the time. There's no personal touch and the service offered is many times of poor quality. There is so much waste and the NHS locally should engage with patients who can make suggestions how to make it work better. I cannot choose private health insurance but I think it's unfair that the care provided is not comparable to private providers. The demand will continue to grow and the NHS has to work more to prevent than cure - surgeries to educate more in schools, local libraries etc

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Moneywaste said on 20 December 2013

I have recently heard that NHS England send their staff to Paris and Florida for training courses. How can they justify the cost when the NHS is in the financial turmoil they say and are cutting back on front line staff. This is shocking and I would really like to know how NHS England will respond to this.

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saffy339 said on 08 December 2013

As patients arrive in A and E make sure the 'timewasters'ie. The drunks and druggies are left til the end of the shift-thses people have inflicted themselves with whatever and as long as they aren't in urgent need,leave them til the last. That will 'sort ' the Ill from these ungrateful, thoughtless people who expect honest hardworking doctors and nurses to care for them,when their expertise can be better used elsewhere.
Also, charge these people from their benefits for the cost for their treatment-and they have to provide their ni they do for their benefits! That'll also cut waiting times and pressure on our brilliant docs and nurses that put up with alsorts on a daily basis to make us better.
I cannot praise the docs and nurses at the Hallamshire and Northern General Hospital in Sheffield for their care and support in my continued treatment-Give them all a well-deserved pay rise!

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Sick and Fed Up said on 24 November 2013

As an NHS Organisation what are you doing about our Confused/Disorientated clients that aren't diagnosed with Dementia?

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Michelle2808 said on 22 November 2013

I think we should change the name A&E to 'Emergency Only' at least people might consider if they need emergency care or not, splinters, coughs and colds, or needing ibruprofen are not life threatening. These people should be turned away at reception.

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Sick and Fed Up said on 20 November 2013

Here we go again...Winter Pressures, over loaded A/E's....throwing money at A/E's won't solve the problem, why do pts. keep returning to A/E's repeatedly??? Well that will be because when the pt is discharged they go back to the same circumstance they were admitted from! The investment needs to be in the Community NOT Hospitals! Community staff try tirelessly to improve pts situations but without finance and services this is never going to happen. Social Services have had budgets slashed and don't invest in elderly services anywhere near enough. Day Care Services are non existent as are good, decent Home Care Services. Pts are supposed to have care 'tailored' to their, no, no, they are told what is available from 'Private' agencies. Plus many Hospitals have been closed or sold off to make extra finance for Hospital Trusts, well the more 'beds' we lose the less chance a pt has of being admitted for an appropriate time to receive their treatment, therefore the pt is discharged home far too soon and hence they return to Hospital far quicker and more often. Pts are sent home to await investigations as out pts, but that means as they wait they are going to re admit again before they are diagnosed or received their treatment i.e surgery. Posting Staff numbers on Wards isn't going to help any of these problems, especially as no one ever bothers to check how many staff are on duty each day in the Community to follow on the pts care! And giving pts named G.P's??? This is already available, plus anyone can already ring their G.P Practice and request a phone consultation, so no improvement there then. What pts and carers want are enough G.P's to actually leave their Practices and visit them in their homes on a regular basis....going back to basics!! Also has anyone tried to get good, continuity in pt care when G.P Practices are fundamentally 'run' by Locum G.P's? The reason for these Practices.....profit!! There we go, rant over!!!

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Annie Me said on 20 November 2013

Having just had some ongoing treatment for retinal tears I am very impressed by the treatment I received at a very busy eye clinic by the specialists, however some comments about my experiences here:
I had to keep going back for more laser treatment, the hospital said to go to the gp to get a sick note for work, when I rang the gp surgery I was told there were no appointments for 3 weeks unless I rang at 8 in the morning for an urgent appointment. This I did but was in the surgery for less than a minute for the time it took to print the sick note out. This was a waste of an urgent appointment, yet I couldnt go back to work without a sick note which could have meant me being off for a further three weeks. Why cant the surgery just print these off. I had no treatment at all at the gp surgery but they had the details of my hospital treatment on the pc so why not just let admin staff or nurses print these off and get a gp to sign them. It was a waste of an urgent appointment as I was fully fit when I went. Also for all my hospital appointments it was clear that to all waiting that our appointments were all for the same time, this meant waiting hours, why not stagger the appointments as happens any where else. The only ones who gain from these extended waits are the car parks and coffee shops. Also in the eye clinics we all generally need eye drops to dilate the pupils then wait half an eye, why not give these to returning patients to administer before they arrive instead of waiting half an hour to have them given, then wait several hours to be seen by which time they have worn off and you have to be given some more. Why do I have to give my name and address to so many different people at the hospital especially when I have just handed them my appointment letter with it printed on. These time wasting practices must stop. Time costs money and patients also have lives and other things to do than sitting in uncomfortable chairs for four or five hours at a time.

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TimAber said on 20 November 2013

The long route to recovery of a future for the NHS would be helped by:
1) Restrictive contracts for all qualified NHS staff, no playing both ends against the middle (having NHS and private patients is like insider trading)
2) Managers who control ALL the resources, not being the puppets of the senior consultants who actually run the whole show.
3) Ensure that hospital trusts and health boards are composed of qualified professionals. You wouldn't tolerate an airliner run by part time amateurs, a hospital?
4) Employ only qualified staff and stop devaluing their jobs by replacing them with amateurs
5) Charge people who don't turn up for appointments
6) Hypothecate health tax
7) Ensure 24 hour GP access, then
7) Charge GPs when their patients present at A&E for minor complaints without referral
Look out for stealthy planning blight, driven by political and vested interests.

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User820079 said on 14 November 2013

Nigel Acheson repeats like many others that £20 billion savings must be found if the NHS is to be sustainable. We are a rich country that can afford to bail out the bankers and turn a blind eye to massive tax evasion by big companies as well as invading foreign countries. Where does the figure of £20 billion come from and does it have any credible basis? Is it not more a matter of spending priorities? Why have a huge and costly reorganisation that no one wanted except coalition MPs and a few entrepreneurial GPs if times are so hard? If demand is increasing do we not need more investment in health care and a commitment to cooperation as in Scotland? Getting rid of the artificial and unnecessary purchaser-provider split would save a massive amount, currently reckoned to account for at least 12% of NHS expenditure. Lets share a vision of collective responsibility to each other rather than praying that the market will solve all problems and putting the clock back to pre-1948 while calling it 'modernisation'.

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Boromad805 said on 29 October 2013

And one more thing
if all school leavers this term had have joined the NHS
The nhs would still be under staffed

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Boromad805 said on 29 October 2013

Keogh Report £20 Million
Francis report £34 Million
what more can you say about a waste of money?
how many doctors and nurses could be trained with that money
Also to become a nurse you have to earn a degree
how is a degree going to make someone a better nurse or have some compassion if what's coming out in the news it' certainly hasn't worked

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Call To Action said on 29 October 2013

Thank you for your comment UKGP .‘The NHS belongs to the people – A Call to Action’ is committed to supporting the NHS to deliver long term improvements in health outcomes and quality, and to live within its resources.

Your points have been noted and we would encourage further debate and opinion on this NHS Choices website.

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Call To Action said on 29 October 2013

Thank you for your comment User 17969. We do think Healthwatch will become an important voice for patients and the public. We have shared your concern with Healthwatch England as you are obviously disappointed with your local situation. They have asked that you make contact with Susan Robinson so that they can hear a little more from you and look into the situation. Her contact details are – 07879 633578.

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gmhb said on 28 October 2013

I thing we need to have groups for diabetes type 2 as more people are geeting this and look at the doctor in horror and Some doctors don't put in 100% effort to tell you what to expect so I'm thinking if we could get volunteers e.g myself who have diabetes type two and had it for year or more to help new people change their ways the way we changed ours. Its OK these people who r trained but some of them don't have diabetes and don't live the life style we have to. A lady came over to me in bus shelter and asked where got booklet from that tesco are running for type 2 diabetes after 10 min chat with her she said she learned more of me in 10mind that's she did when told she was diabetic last week by doctor

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mada0305 said on 23 October 2013

A lot more needs to be done to help young people with problems such as bullying, anxiety and depression. These young people are not often capable of coming forward with these problems themselves and therefore more needs to be done to locate and help these young people in order to begin to solve these issues as early as possible before they develop into much greater issues in later life. I believe young people should recieve regular checkups in school or in a health centre which could give them a chance to speak up about any problems they have. This would be great.

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Phoeeeeb said on 11 October 2013

1) more colour and pictures and posters in the wards in hospitals to keep patients at ease.

2) counselling service for people under 18 but old enough for the counselling over 18s have.

3)A ward for younger people ages 15-30

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realandy008 said on 09 October 2013

1 I beileve that Skype is a good way to make communcation to the Doctor In the future,

2. The Goverment need to put more moeny in the nhs funding and no cuts so everybody is treated well and not like a third world Country

3 Nhs needs to look more in flues like bird flue example there need to cope with it better,

4. in Hospitals not to leave patients hanging around on there beds. ie in coriadors so long without attention need more staff to cope the demand

5. in Hospitals we need to cut the waiting time in accident emergancies get people seen right away with no delay.

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User17969 said on 01 October 2013

. Here we are a year into the new healthwatch, and so far, I have heard nothing from them, other than an E Mail to say they will be holding a meeting at some time in the future, how decent of them to let me know. I transferred from the link a year ago so If I was asked now, to compare this group to the old link or PPIF which I was also a member off ,regarding activities’ and information received in my area, then I would have to give them 0 out of 10, As they have remained anonymous throughout this time ,I have no idea where they meet, or when they meet ,nor do I know who is the chairman in our area . May be that is just what this government wanted all along, anonymity, what do other members think.

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aUKGP said on 20 September 2013

"a comprehensive service providing high quality healthcare, free at the point of use for everyone"

1) comprensive? - there are lists of low priority procedures / not routinely funded care or whatever euphemism you want to use, excluding patients from receiving medicaitons or treatments they need. The Kings fund has published a review of all the types of rationing in place.

2) free at the point of use? In 1954 dentistry and optitians were removed from the NHS, in 1952 prescription charges were introduced.

3) high quality? - it depends, what use is high quality care if you cannot access it? Ans some will argue that quality is variable and that it therefore depends who you see and where you are seen, i.e. maybe for the majority but certainly not "for everyone".

I seem to remember it was Dr Wilson who told an enquiry that you can have only two out of three: quick, good, or cheap.

We need an injection of honesty and some purging of hypocrisy before any debate has a chance of really making a difference.

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Call To Action said on 30 August 2013

Rod Whiteley:

Thank you for your comment Rod. We do think Healthwatch will become an important voice for patients and the public. We hope local chapters will be key players in our wider CCG engagement events during Autumn, alongside Health and Wellbeing Boards. In addition, we will be hosting national events which will further enable public and patients to contribute to the Call to Action.

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Rod Whiteley said on 18 August 2013

Interesting that there's no mention whatsoever of Healthwatch. I take it that means the official view of Healthwatch is the same as my view. Sigh. And I had such high hopes...

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millieanne said on 01 August 2013

I do hope that someone from NHS England picks up runwellian's comments and finds out which practice he belongs to. What he describes is NOT the way to run a PPG. PPG stands for Patient Participation Group Not Doctor's PG. There are rules which can be found on the National Assn For Patient Participation web site as well as a constitution and many many more ideas and help. So please go there.

As to the CCG, if it's anything like ours, they don't really want to hear; they just want to tell and run. It's a bit, "we are the masters now". We are restricted to 10 minutes for questions, preferably written so they can formulate an answer that says nothing.

We will, at some point, be allowed one "champion" to speak for 350,000 people who will be "appointed". So someone who is not going to go against what "they" want.

This is surely not what it's about! Join your PPG, make it better and engage properly with the "masters" and take control of your own destiny.

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runwellian said on 31 July 2013

Our practice has a PPG group.
We are told we do not represent patients views.
Anything said in the meetings is private and confidential and musn't be discussed outside the meeting if if it affects us personally!

If were do discuss anything outside of the meeting we will be banned form future meetings.

We have also been threatened with disciplinary action if we discuss items outside of the meeting .. although the meetings are open to all patients!

The practice manager is aware of what goes on but ten to feel this is his way of gagging us.

the 'chair' can only be selected from the core group of about 8 people, all of whom happen to be close friends, other patients cannot be nominated!

Whilst PPG's should work fro the benefit of the practice and patients, and could be a good things, it depends very much on how it is run and what 'chair's ' can getaway with.

There needs to be set rules that apply to every PPG to standardise their practice and ensure fair play.

At the moment this does not happen and is very open to abuse by a few megalomaniacs!

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TimBenson said on 23 July 2013

We cannot improve what we do not measure. It is therefore imperative that measurement of patient-reported outcomes and patient experience be built into the fabric of care pathways, and that patients, clinicians, managers and payers have close to real-time feedback about how they are doing. Such measures need to be "ultra-short", taking no more than a few seconds to complete. Good examples are howRU and howRwe, which appear to be fit for purpose, although more testing may be needed. The absolute need for this is not new (Florence Nightingale was saying this 150 years ago, Ernest Codman 100 years ago).

We need to understand why it has been so slow in coming. Atul Gawande has just published a brilliant article in the New Yorker explaining why some good ideas take so long to spread ( He says that "We yearn for frictionless, technological solutions. But people talking to people is still the way that norms and standards change."

The Friends and Family Test is a start in the right direction, but as Sir Bruce Keough says "Realtime patient feedback and comment must become a normal part of provider organisations’ customer service and reach well beyond the Friends and Family Test."

The Friends and Family Test is a start in the right direction, but as Sir Bruce Keough says "Realtime patient feedback and comment must become a normal part of provider organisations’ customer service and reach well beyond the Friends and Family Test."

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millieanne said on 19 July 2013

Conspicuously absent from your web site is ANY MENTION of Patient Participation Groups. This absence once again goes to prove that ALL NHS talk the talk but they don't walk the walk.
Patient Participation Groups serve a very useful purpose for ordinary people to be able to feedback to their GP and through them, to the CCG overall, to improve healthcare.
So come on NHS London, support PPGs now

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Call To Action said on 18 July 2013


NHS England is planning to run pilot events with a few CCGs during July & August. The feedback from this will enable all CCGs to kick start engagement events with the public starting in September 2013. If you would like further information on this, please contact your local CCG and they will inform you as to how to get more involved in the engagement so we capture your views on the shape of local services.

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Call To Action said on 18 July 2013

ALHarveyUK :

Thank you for your comments. We agree that the more patients can be empowered with better and accessible information, the more people can be in control of their own health. We are very interested in receiving suggestions about how the NHS can improve the services it commissions and provides, and we will consider your feedback as part of the evaluation we will undertake for the Call to Action. We also encourage you to look out for engagement events run by your local clinical commissioning group, where you can meet and share your ideas with directly with the teams commissioning health services in your area.

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TinyTonyH said on 11 July 2013

I believe that the patient should be empowered to look after their own electronic record, rather than the focus on hospitals and GP's. This would encourage the person to take an interest in their health with the care of their own record.
The health record could then be used as a communication tool between patient and GP so that you could indicate why you were trying to contact the Doctor by adding your problems and symptoms, or you are concerned about a medication.
The GP or Hospital could also add and update the patients record.
I do not believe that every blood pressure and temperature needs to be given to the patient rather an overview such as a discharge summary with medical codes embedded that could automatically update the record.
But we need to simplify the clinical content for the patient so that it can be clearly understood!
We may need to move away from clinical words and terminology for the patient probably using visual interpretation rather than written words.
By collecting data on self medication and symptoms that we do not see a doctor for, we could then build a better picture before long term conditions start to manifest.
Systems could then be used to start to keep an eye on our health, then warns you and perhaps also your GP when things start to go wrong rather than finding ourselves in ill health before approaching the NHS.
This will allow for flexibility, if you work away and the need arises you could drop into any health centre, pick up medication prescriptions without the need for the process to keep having to be signed by your GP.
I believe that the development of telecommunications, Skype, even Twitter will then complement the patients care if we focus on the patient and giving them responsibility, improving the health of the nation.
There are many barriers to overcome, from healthcare professionals to patients and importantly their carers, but until the person, the consumer of the NHS takes that step we cannot drive true efficiency.

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User517479 said on 11 July 2013

If I contact my CCG, how will they register my feedback?

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Page last reviewed: 11/07/2013

Next review due: 11/07/2015

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