Jeremy Hunt visits Treliske

Last week Health Secretary Jeremy Hunt visited Treliske – his second visit in three months – to thank staff and have a conversation about patient safety.

The independent Commonwealth Fund said of the 11 countries analysed, the UK has the safest healthcare system in the world – a great tribute to NHS staff.

However there is more work to do as across England there are potentially around 150 avoidable hospital deaths every week.

Understandably, he got a number of questions about resources. He agreed that the NHS is treating more people than it ever has before, and trusts are grappling with significant financial pressures. “Some people assume that the goals of sound financial management and providing good quality care are mutually contradictory – but in fact the opposite is the case, with ‘good’ or ‘outstanding’-rated CQC trusts likely to be in surplus and ‘requires improvement/inadequate’-rated ones likely to be in deficit.

“Looking after patients and looking after pounds go hand in hand – I suspect because good financial management releases more resource for patient care, which in turn reduces the more than 10% of hospital expenditure which goes on avoidable medical mistakes or infections that people catch in hospitals.”

He agreed that we need more doctors and nurses, which is why he said “we are training tens of thousands”. But he added that culture, leadership and transparency are vital too.

“In 2012, many trusts had cut adult nursing numbers by several thousand – and were planning thousands more cuts to follow. Following the Francis report we then asked them to publish nurse numbers every month on every ward – after which instead of cutting numbers they went up by around 13,000.

“That is surely the reason why NHS in-patient satisfaction rates are currently at their highest ever level, despite ever-growing demands for care.”

First published in the West Briton 09/08/17

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