CSP evidence to Lord Darzi review

The review will examine solutions for protecting and strengthening services in the face of current pressures as the NHS approaches its 70th year.

Summary of CSP recommendations:

  • Ongoing commitment to the principles of the NHS, that it is tax-funded and free at the point of use – move the discussion on from options to investing in change
  • Develop the health and care system to be more preventative, more rehabilitative, support maximum recovery, reduce health inequalities and empower people
  • Continue progress with widening the GP team, including a national roll out of First Contact Physiotherapists linked to General Practice
  • Expand multi-disciplinary community teams to support rehabilitation and long-term condition management, integrating health and social care, linked to General Practice.
  • Where appropriate, move away from disease-specific rehabilitation programmes to reflect that our ageing population has multi- morbidities
  • Provide an immediate increase in funding for the NHS and social care and introduce a formula for Parliament to decide minimum spending levels and annual spending plans
  • Target additional funding to rebalance the system by developing primary, community and social care services
  • Urgent reform of contracting and payment systems that are acting as a block on improvement and innovation.
  • Evaluate the costs of market based commissioning and use this to formulate evidence-based policy on future commissioning
  • Remove PFI debts from Trust budgets, and negotiate a payment holiday with companies while debts are reviewed and action decided for how they can be ended.
  • Expansion and development of the non-medical registered workforce and the non-registered workforce in health and care.

Download the document below to see our full recommendations.

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