Worried about winter in the NHS? Experts answer your questions

Published: 17th July 2019
NHS experts from Luton, SE London and The King's Fund shared their top tips for easing all-year winter pressures during our recent "Worried about Winter?" webinar. During the Q&A section of the webinar, delegates posed some interesting questions!

NHS experts from Luton, SE London and The King’s Fund shared their top tips for easing all-year winter pressures during our recent “Worried about Winter?” webinar. During the Q&A section of the webinar, delegates posed some interesting questions (shown below).  To access the answers click on the download link: PDF Final Q&A Winter Webinar July 2019

Questions to Siva Anandaciva, Chief Analyst, The King’s Fund.

  1. You mentioned (in a podcast in May) that ‘sharing staff where needed over a region’ would be a good idea to consider – can you explain this idea in more detail please?
  2. What are your predictions for winter 2019/20 in the NHS? How will it compare to previous NHS winters?
  3. Do you have any funding advice to share?
  4. How does the NHS compare with other countries during winter?

Questions to Caroline Capell, Associate Director of Unplanned Care at NHS Luton CCG (NHS Luton & Dunstable University Hospital).

For context, Caroline talked in the webinar about using bookable appointments to stop inappropriate use of A&E.

  1. What is the clinical grade of the streamer who sends patients to bookable appointments, can you give us an idea of their seniority?
  2. I think you actually made the point that some of the early comms around (bookable appointments) were challenging, particularly in the national media, so could you say a little bit about what you have done to communicate the improvements in the 111 service to the public, and the wider community?
  3. Caroline, could you say a little bit about what you feel about selecting the people who are doing the streaming, just picking up on that issue of there’s more to it than just professional competency, what other things are you looking for in the people coming through?

Questions to David Smith, Associate Director for Performance – Planned Care, SE London CCGs

  1. You have six CCGs that you look after, could you say a little bit about how you implement change across six CCGs?
  2. You have talked about how you work together with your 6 CCGs; do you have regular formal channels of communications between you all to share ideas e.g. meetings/newsletters/forums?
  3. A question around response, and the GP consultant pharmacist pathway for the rapid response team, do they actually physically travel to see the patients or is it a virtual consultation service, and if it is physically, could you say a little bit more about how you made this work, because the question is would it be applicable to other settings that are perhaps less urban
  4. Just a follow-up question on the example you used of someone who turns up and might be offered an appointment booked tomorrow, could you say something about the grade, and it’s a common theme I think, the grade and seniority of the decision maker who’s doing that?

Same question directed at both David and Caroline

  1. Could you say a little bit about how you got clinicians to buy into these new initiatives, both in secondary care and primary care, how easy was it and was there any hold out? And are these schemes cost neutral, and how you sustain the initiatives without any additional incentives to the providers of care?
To access a recording of the webinar, click here. 
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