'Landmark moment' or 'castle built on sand?'

Healthcare leaders and stakeholders have given a mixed a response to the 10-Year Health Plan.

Matthew Taylor (c) NHS Confederation

Matthew Taylor (c) NHS Confederation

Matthew Taylor, chief executive of the NHS Confederation, said the Plan was a ‘landmark moment for both the NHS and wider health and care system' and welcomed its ‘bold ambitions'.

While welcoming plans to shift care into the community, Taylor said this will require ‘sustained investment in digital and estates, support for the NHS's workforce and a commitment to decentralise national control by empowering local leaders to do what is best for their communities'.

Chief executive of NHS Providers, Daniel Elkeles, said the Plan could be a real ‘gamechanger' and offered a ‘recipe that offers the prospect of progress where previous plans have faltered'.

Liberal Democrat leader Ed Davey, however, warned the 10-Year Plan would be a ‘castle built on sand' without fixing social care.

‘This is not the change the country is crying out for,' Davey said. ‘The Government needs to stop being scared of its own shadow and rise to this challenge. Without bold action to fix the social care crisis, our NHS will remain overwhelmed and patients will continue to suffer.'

Thea Stein, chief executive of the Nuffield Trust, said the vision to expand top quality community services lacked detail, which ‘casts doubt on whether it will stick'.

Sarah Woolnough, chief executive of The King's Fund, said while the vision for a more community based form of healthcare was nothing new, radical change would come with delivering this.

Woolnough said it was ‘critical' that general practice was at the heart of new health centres while adding capital investment will also be needed to ensure they were genuinely accessible community locations and made use of the latest technology.  

The King's Fund leader said preventative measures did not ‘feel sufficiently radical to provide the sea change that's required'.

Dr Jennifer Dixon, chief executive of The Health Foundation, welcomed the ‘scale of the Government's ambition and commitment to sustaining the NHS for decades to come' but warned a ‘clear delivery plan backed up by the right leadership and support will be needed'.

Dr Dixon there was a risk this was a plan for the NHS and not health and said a comprehensive cross-government strategy was needed for rebuilding the nation's health.

She said there was a risk of the Plan being derailed by NHS reorganisation, adding: ‘The danger is that the Prime Minister's commitment to tackling hospital waiting lists trumps the more fundamental changes needed.'

Laurie Lee, chief executive at Guy's & St Thomas' Foundation, said the Plan ‘simply does not go far enough to stop us getting sick' and called for a Government-wide approach on causes of preventable illness, including ‘tackling poverty, dirty air in our cities, and affordable homes'.

‘Getting to grips with these will mean getting more bang for the Government's buck, ensure the long-term sustainability of the NHS and support us all to live healthier lives, Lee added.

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