'You've got to have curiosity and frankly, you've got to be willing to hear what you don't want to hear' Sir Jim Mackey #PPW2025

By tracking performance against the "I Statements" over time we can help the Government understand if their reforms are actually delivering for people.

Over time we want the Gov itself to be tracking performance in this way.

We wanted to do this snap poll to provide a baseline of how NHS is doing on the "I Statements" at the point the 10 Yr Plan is published.

From what we've heard to date, Gov is keen on patient power, more agency + choice and using outcomes rather than output as the measure of success. All good stuff.

On that last I Statement about fair and inclusive, the polling also revealed ethnic minorities 3x more likely to say they didn't feel treated with dignity and respect than people of white ethnicity.

Read the full story and the data behind it here - www.nationalvoices.org.uk/newsitem/mor...

- I can stay healthy and manage my health in a way that works for me
- I can access the high quality and effective care I need, when and where I need it
- My care is integrated around my needs and wishes, and I am listened to
- I am treated in a fair and inclusive way, irrespective of who I am

For those who don't remember the I Statements the DHSC used, i have set them out below.

These were drawn from work done by @nationalvoices.bsky.social + @tlap.bsky.social

Using them showed real willingness to consider the challenges in health and care from the perspective users.

Yeah but the integration index has actually been developed and in the testing it showed some really useful insights that were both actionable for local services and shed light on how well integrated services actually feel for people. The risk is is lands at the wrong time to gain traction.

It was published on Friday when I was on leave. Back today though so will be giving it a second push. :)

If you’ve not see the report before here it is - www.kingsfund.org.uk/insight-and-....

We set the scene for the scale of the admin challenge in the NHS, and the impact it’s having on patient experience, perceptions of waste in the NHS and affecting future health seeking behaviour.

Also great to have so many @nationalvoices.bsky.social members on the agenda for the day:

@cancerresearchuk.org
@diabetesuk.bsky.social
@itsgroundswell.bsky.social and Macmillan Cancer Support

Friends @healthwatchengland.bsky.social @nhs-rho.bsky.social and Prof Bola Owolabi also on the stage!

- shift the money flow and how staff are deployed so we address the inverse care law, which Lord Darzi said in his review last year is still very real.

- tap in to patient agency and self-management, but acknowledge that this isn’t equitable and that not everyone starts in the same place.

ICBs to look at these things together and see where they can improve, working in partnership with people with lived experience and their communities. :)

www.cqc.org.uk/news/new-sel...

I was pleasantly surprise by that too. Time will tell what it means in practice, especially with staffing cuts in ICBs, but it’s a good sign. Also positive to see health inequalities on the list of growth areas for ICBs as well. If only someone had produced some sort of self-assessment tool kit for

This excellent work Will.

I’d a third, which is an unwillingness or unresponsiveness from services when errors or gaps are highlighted to them. It’s almost as if the record is believed over the patient at times, when the system should work with patients to fix problems when they are identified.