Charlie Le, MPH’s Post

This is an article from the Times 9th November. Alan Milburn, the new top health adviser to the NHS says it must stop asking for money, its survival depends on a new strategy. I have being saying this for a long time, having worked on new models in other countries since 2007. it is never money. the US spends way over any other country but on health outcomes they are rated 69th in the WHO Lexicon, the UK is 34th. I do not want to take away from the expertise and commitment of the NHS hospital staff. But how frustrating for them working in outdated and often badly maintained buildings. Health is one of three pillars- health, wellness and social interaction. The lack of strategy is emphasised by the cost of mental health to the British economy - £300 bn per year - and the lack of anticipation of the demographics - our ageing population - which is a significant contributor to bed blocking and waiting lists. I am not sure what the NHS strategy is. Internationally, with lower budgets, other countries are forging ahead. if you accept the three pillars than the solution is multisectoral. This requires the NHS to share some responsibilities in the areas of prevention. This allows new sources of capital to be employed My company's work has been in planning, building and managing hospitals to which we now add healthy living communities (UN-SDG-11) - the raison d'etre being that health and welfare start with where and how we live. Alan Milburn refers to the NHS "more, more, more culture" and the worst state for 30 years. We must stop this and reform. it works elsewhere so it could here.

Building a stronger and more modern health system in the U.S. should include bridging the gaps between healthcare and public health. Under resourced communities and households don’t always have the means or access to health services or life-saving information. As we continue to reimagine public health, TFAH is highlighting the important role Community Health Workers have long played in bringing health resources to the doorsteps of those that need them most. https://lnkd.in/exHty952

This NHS Providers survey reports 96 per cent of NHS Trusts are now identifying the cost of living as worsening health in their areas: https://lnkd.in/eHuWYbfD. Sadly this bears out my argument in the Health Service Journal last summer, based on Healthwatch Hertfordshire research: https://lnkd.in/eq8JAk37. If you don’t subscribe, I said: “Every ICS's planning assumptions were developed before the full scale and nature of this crisis became apparent. Unpalatable as it may be, systems are going to need to revisit those assumptions more radically and frequently than they may have been expecting to. It won't work just to think: we've talked about prevention and inequalities. Leaders need to go back and ask: will this be anything like enough? “The collective challenge is to get ahead of and bend the curve in terms of the future scale and nature of need. Systems need to monitor whether and how this is affecting delivery of their five-year plans and be prepared to revise them. With resources getting ever-tighter, they need to be smart and start thinking now about how to apply this lens consistently across their priorities as they review and update their plans. “This isn't simply about prevention and population health management. It's also going to affect service transformation and efforts to improve access. “If systems are going to understand and draw the right conclusions from people's experiences, they'll have to work with Healthwatch and voluntary and community organisations even more closely. People were willing to tell us anonymously about often traumatising and stigmatising experiences but didn't want to talk about the same issues in interviews or groups. Trusted, independent routes into these conversations will be vital.” You can find out more about the original findings here: https://lnkd.in/enS9n_HJ #NHS #HealthInequalities #HealthEquity ##Healthwatch

This is an article from the Times 9th November. Alan Milburn, the new top health adviser the NHS must stop asking for money, its survival depends on a new strategy. I have being saying this for a long time, having worked on new models in other countries since 2007. it is never money. the US spends way over any other country but on health outcomes they are rated 69th in the WHO Lexicon, the UK is 34th. I do not want to take away from the expertise and commitment of the NHS hospital staff. But how frustrating for them working in outdated and often badly maintained buildings. Health is one of three pillars- health, wellness and social interaction. The lack of strategy is emphasised by the cost of mental to the British economy - £300 bn per year - and the lack of anticipation of the demographics - our ageing - which is a significant contributor to bed blocking and waiting lists. I am not sure what the NHS strategy is. Internationally, with lower budgets, other countries are forging ahead. if you accept the three pillars than the solution is multisectoral. This requires the NHS to share some responsibilities in the areas of prevention. This allows new sources of capital to be employed My company's work has been in planning, building and managing hospitals to which we now add healthy living communities (UN-SDG-11) - the raison d'etre being that health and welfare start with where and how we live. Alan Milburn refers to the NHS "more, more, more culture" and the worst state for 30 years. We must stop this and reform. it works elsewhere so it could here.

Frontline public health workers are now facing budget cuts to important investments made during the pandemic. These cuts impact our ability to respond to urgent and emerging health threats, especially in underserved communities where medical deserts are common and critical health services are often hard to access. We need real, sustained funding for our public health infrastructure to protect vulnerable populations, address health disparities, and prevent future public health crises. Health is a human right.

Terrific piece by Bechara Choucair on why the U.S. needs more community health workers. "With the right strategies and public policies, we can strengthen our nation’s health system by focusing on this critical part of the workforce." Common Health Coalition https://lnkd.in/eD_gAtVY

Even if they have the very best health care, unmet social health needs -- like lack of nutritious food -- can lead to poor health outcomes for individuals and families. That’s why community health workers are the unsung heroes of our health system; they connect people to the resources required to meet these basic needs. Even more importantly, community health workers are trusted sources of health information and guidance in their communities. They often share ethnicity, language, socioeconomic status, and life experiences with the community members they serve. We have had great success working with a partner organization to bring community health workers to Kaiser Permanente members and patients in the Pacific Northwest and are now working to expand this critical effort. Meanwhile, there is an important role for policymakers to play, supporting the education, training, and retention of community health workers. Learn more. https://lnkd.in/gtDrSj2A

#AnchoringEquity: How are community health workers helping advance health justice and equity?   Read the blog from MHA and the MASSACHUSETTS ASSOCIATION OF COMMUNITY HEALTH WORKERS, which includes an upcoming webinar opportunity ⤵️

Discover how Kaiser Permanente is leveraging the power of Community Health Workers (CHWs) to make a meaningful impact in communities. CHWs play a vital role in addressing health disparities, building trust, and connecting individuals with essential resources and care. Their work is essential in improving health outcomes and promoting equity in healthcare. Learn more about Kaiser Permanente's innovative strategies and their recommendations to policymakers in this insightful article: https://lnkd.in/gbDUWKKM #CommunityHealthWorkers #HealthEquity #PublicHealth #HealthcareInnovation

Mission Possible? Are we seeing signs of a practical policy framework that could really help start a move in the right direction? Looking at the guidelines in neighbourhood health and for 25/6 use of the Better Care Fund it’s just possible that we are seeing the early results of bringing some sound people into the policy making system. People like Sally Warren, Tom Riordan and Paul Corrigan are minded towards shifts in the right direction and have been working away at the detail of how to enable this change for many years. How can those of us looking to build a better Social Care Future take proper advantage? I think we need to make strong and early connection to the various initiatives under development on early action/proactive prevention - both nationally and locally https://lnkd.in/eMAV_gFJ https://lnkd.in/emMj_nJb