Tag: reforms

UK Government issues rallying cry to the public to help fix ‘broken’ NHS

  • Health Secretary calls on entire nation (i.e. ENGLAND) to shape the government’s plans to overhaul the NHS 
  • Public, clinicians and experts urged to submit ideas for its future as new online platform Change.NHS.uk goes live today – putting staff and patients in driving seat of reform
  • Responses will shape government’s 10 Year Health Plan to fix broken health service and deliver government mission to build an NHS fit for the future

The biggest national conversation about the future of the NHS since its birth is set to be launched today (Monday 21 October), as the entire country is called upon to share their experiences of our health service and help shape the government’s 10 Year Health Plan. 

Members of the public, as well as NHS staff and experts will be invited to share their experiences views and ideas for fixing the NHS via the online platform, change.nhs.uk, which will be live until the start of next year, and available via the NHS App.  

The public engagement exercise will help shape the Westminster government’s 10 Year Health Plan which will be published in spring 2025 and will be underlined by three big shifts in healthcare – hospital to community, analogue to digital, and sickness to prevention. 

As part of the first shift “from hospital to community”, the UK government wants to deliver plans for new neighbourhood health centres, which will be closer to homes and communities. Patients will be able to see family doctors, district nurses, care workers, physiotherapists, health visitors, or mental health specialists, all under the same roof. 

In transforming the NHS from analogue to digital, the government will create a more modern NHS by bringing together a single patient record, summarising patient health information, test results, and letters in one place, through the NHS App.

It will put patients in control of their own medical history, meaning they don’t have to repeat it at every appointment, and that staff have the full picture of patients’ health.

New laws are set to be introduced to make NHS patient health records available across all NHS trusts, GP surgeries and ambulance services in England – speeding up patient care, reducing repeat medical tests, and minimising medication errors. 

Systems will be able to share data more easily, saving NHS staff an estimated 140,000 hours of NHS staffs’ time every year, because staff will have quicker access to patient data, saving time that can then be spent face-to-face with patients who need it most and potentially saving lives.

By moving from sickness to prevention, government wants to shorten the amount of time people spend in-ill health and prevent illnesses before they happen. As an example, the 10 Year Health Plan will explore the opportunities smart watches and other wearable tech may offer patients with diabetes or high blood pressure, so they can monitor their own health from the comfort of their own home. 

The launch of the new online platform will take place at a health centre in East London, where the Secretary of State will meet with the Chief Executive of the London Ambulance Service before the first engagement event involving NHS staff from across the healthcare system as a start to the national conversation.

Prime Minister Keir Starmer said: My mum worked for the NHS, my sister worked for the NHS and my wife still works for the NHS – so I know first-hand how difficult it has been for staff, and for patients battling against a broken system for over a decade. But it’s time to roll up our sleeves and fix it.

“We have a clear plan to fix the health service, but it’s only right that we hear from the people who rely on the NHS every day to have their say and shape our plan as we deliver it. Together we can build a healthcare system that puts patients first and delivers the care that everyone deserves.

“We have a huge opportunity to put the NHS back on its feet. So, let’s be the generation that took the NHS from the worst crisis in its history and made it fit for the future.”

Health and Social Care Secretary Wes Streeting said: “When I was diagnosed with kidney cancer, the NHS saved my life, as it has for so many people across our country. We all owe the NHS a debt of gratitude for a moment in our lives when it was there for us, when we needed it. Now we have a chance to repay that debt.

“Today the NHS is going through the worst crisis in its history. But while the NHS is broken, it’s not beaten. Together, we can fix it.

“Whether you use the NHS or work in it, you see first-hand what’s great, but also what isn’t working. We need your ideas to help turn the NHS around.

“In order to save the things we love about the NHS, we need to change it. Our 10 Year Health Plan will transform the NHS to make it fit for the future, and it will have patients’ and staff’s fingerprints all over it.

“I urge everyone to go to Change.NHS.uk today and help us build a health service fit for the future.“

Investment alone won’t be enough to tackle the problems facing the NHS, why is why it must go hand in hand with fundamental reform.

The three big shifts will be our key principles for reform and will revolutionise the way people manage their health and access care. Our reforms will also shift the NHS away from late diagnosis and treatment to a model where more services are delivered in local communities and illnesses are prevented in the first place.

It is vital the government hears from patients, experts and the NHS workforce to make sure we get this right and preserve the things people value about the health service.

NHS England Chief Executive Amanda Pritchard said: “NHS staff are facing an unprecedented number of challenges – with record demand for care, alongside growing pressures from an ageing population, rising levels of multiple long-term illnesses and patients with more complex needs. And they are often hampered by working in crumbling buildings with outdated tech, meaning too many patients are waiting too long for care they need.

“So, it is vital the health service innovates and adapts – as it has always done throughout its 76-year history – to design and deliver an NHS fit for the future.

“The 10 Year Health Plan is a chance to make the best practice, normal practice across the country. So, we will be carrying out the largest ever staff engagement exercise in NHS history and leaving no stone unturned as we seek to harness frontline views, alongside those of patients and the public, to ensure this happens.

“It is your experiences – good, bad, and sometimes frustrating – that we need to help shape this once in a generation opportunity, so please get involved!”

Bold ambitions for the NHS can only be achieved by listening to the expertise and knowledge of its 1.54 million strong workforce. Their understanding of what’s holding them back from performing at their best will help us bring down waiting times and provide the world class care the public deserve.    

The government has already taken immediate action to address challenges in the health service and deliver an NHS fit for the future. Whether that’s agreeing a deal with resident doctors within weeks, securing a funding increase for GP practices to manage rising pressures or hiring an extra 1,000 GPs into the NHS by the end of this year, there are both short- and long-term reforms working hand in hand.

Lord Ara Darzi said: “As my recent Investigation found, the NHS is in need of urgent and fundamental reform. The 10 Year Health Plan comes at a crucial moment—and by describing the ultimate destination for the health service, it will help improve decision-making in the here and now.”

The start of this national conversation on the future of the NHS follows on from Lord Darzi’s independent report into the health service that diagnosed its condition. Lord Darzi concluded the NHS is in a ‘critical condition’ with surging waiting lists and a deterioration in the nation’s underlying health, identifying serious and widespread problems for people accessing services. 

The launch of the engagement exercise for the 10 Year Health Plan will build on these findings and is the next step to delivering the Government’s mission to fix the NHS and deliver a health service fit for the future.

Rachel Power, Chief Executive of The Patients Association, said: “We warmly welcome this ambitious initiative to engage with patients, staff, and the public on the future of our NHS.

“For far too long, many patients have felt their voices weren’t fully heard in shaping health services. This national conversation, initiated by the government, marks a significant step towards genuine patient partnership and puts patients at the heart of the NHS’s evolution.

“Through our work as an independent charity, we speak directly with thousands of patients living with various health conditions each year. This gives us valuable insights into diverse experiences across the health and care system, from widely shared patient needs to unique challenges faced by underrepresented groups.

“We’re eager to contribute these wide-ranging perspectives to help shape a health service that truly meets the needs of everyone it serves.”

Louise Ansari, Chief Executive of Healthwatch England said: “We know people appreciate the hard work of NHS staff, but they are all too aware that the NHS faces many challenges that need fixing. The 10-year plan provides the opportunity to do this.

“We urge everyone to have their say on how the NHS should deliver better care to people where and when it is needed, more support to help people stay well, and a culture of listening to and acting on the views of patients.

“All too often, people face unequal access to care, with disabled people and those on lower incomes being particularly at risk. The NHS belongs to us all, so you must speak up and help create a health service that is fit for the future – equal and inclusive for everyone.”

Cllr Louise Gittins, Chair of the Local Government Association said: “The NHS rightly holds a place in our nation’s heart, being there for us at moments of great joy, deep sadness, and everything in between. It is also one of local government’s most important partners. What each side does can impact the other.

“Every one of us is unique, complex and carries different ambitions. The NHS plays a key role in helping us to live the life we want to lead, but it cannot do it alone. Through social care and wider wellbeing activity, councils play an essential role in supporting people to do what matters most to them and live a meaningful life. 

“This exercise is therefore crucial for the future of health, social care and wellbeing.”

Caroline Abrahams, Charity Director at Age UK said: “We are delighted to see this first, essential part of developing the 10-year plan getting going.

“With our rapidly ageing population it’s important that the plan takes fully into account the needs of tomorrow’s older people as well as today’s and helps all of us to age confidently and well. We encourage everyone to get involved and have their say – it’s almost certainly a once in a generation opportunity to do so.”

The Deputy Chief Executive of NHS Providers, Saffron Cordery said: “This will be a landmark moment for the NHS.

“Trust leaders are ready and willing to work with the government to tackle the many challenges the NHS currently faces to create a ‘next generation’ NHS fit for the future.”

Jacob Lant, Chief Executive of National Voices said: “We are encouraged by the ambitious approach the Government is taking to involve patients and organisations from across the sector in shaping the 10 Year Plan.

“We are excited to play our part in this, and will be working with our members to ensure that people from marginalised and minoritised communities are able to shape the discussions and big decisions ahead.

“Closing the gap in healthy life expectancy is a shared ambition of this Government and the National Voices coalition, and we will work tirelessly to ensure no groups are left behind.”

Matthew Taylor, Chief Executive of the NHS Confederation said: “Following more than a decade of underinvestment and in the face of some serious challenges we are reaching a turning point for the NHS.

“The 10-year plan will set the service on a path towards being put on sustainable footing so that it can best serve our population. No one working in the NHS will argue that it works perfectly – its staff have been crying out for change and we hope the ten-year plan will deliver for them and their communities, including by listening to the reality of their experiences and by incorporating the many examples of best practice and innovation that are taking place across the country.”

Helen Walker, Chief Executive of Carers UK said: “We are excited to see this first engagement phase of the NHS 10 Year Plan, a process which will include unpaid carers and ask for their views about the kind of health service they want to see in the future.

“We wholeheartedly agree with the recommendations from the Darzi review which suggested there should be a “fresh approach to supporting unpaid carers”. Unpaid carers are critical to the NHS and the NHS is a critical service for them, but it’s not always set up to help carers and can make their lives harder.

“England’s 4.7 million unpaid carers provide the bulk of support for older, ill and disabled relatives, helping millions to live in local communities where they want to be. Their support is valued at £152 billion, the equivalent of a second NHS, but they also face greater health inequalities and poorer health outcomes.

“With one in three NHS staff also juggling work and care, there’s a real opportunity to create a service which truly supports families who provide unpaid care. We see this as a win:win situation – helping families and building an NHS which is fit for the future; delivering better outcomes for everyone.”

Cancer Research UK’s chief executive, Michelle Mitchell, said: “We welcome the UK Government’s move to start a public conversation about the future of the NHS in England.

“Despite the best efforts of its hard-working staff, the NHS is under extreme pressure. This exercise is another important step in the process towards developing a 10-Year-Plan that should ensure all cancer patients across the UK get the care they deserve.”

NO mention of Scotland? Health is a devolved issue, but I’m sure our suggestions will be welcomed, too! – Ed.

Starmer: Our NHS needs ‘major surgery, not sticking plaster solutions’

PM to pledge ‘the biggest reimagining of our NHS since its birth’ 

  • PM to set out plan for long term, fundamental reform to fix broken NHS 
  • Lord Darzi’s independent investigation concludes NHS is in ‘critical condition’
  • Findings provide a diagnosis of the challenges facing the health service, which will inform government’s 10 year plan to reform the NHS

The PM will pledge the ‘biggest reimagining of our NHS since its birth’ in a speech this morning [12 September 2024], following the publication today of a full and independent investigation into the state of the NHS.

Lord Ara Darzi’s probe has concluded the service is in a ‘critical condition’ amidst surging waiting lists and a deterioration in the nation’s underlying health, identifying serious and widespread problems for people accessing services.

The PM will say that the scale of the damage done to the NHS revealed by the report is “unforgivable”, recognising the tragic consequences for too many patients and their families: “People have every right to be angry. It’s not just because the NHS is so personal to all of us – it’s because some of these failings are life and death.

“Take the waiting times in A&E. That’s not just a source of fear and anxiety – it’s leading to avoidable deaths.

“People’s loved ones who could have been saved. Doctors and nurses whose whole vocation is to save them – hampered from doing so. It’s devastating.

He will also address the causes behind the state of the NHS, including the long term impacts of the 2012 Health and Social Care Act which is described in the report as “a calamity without international precedent” which “proved disastrous”, as well as the far reaching consequences of underinvestment throughout the 2010s. 

The PM is expected to say: “Our NHS went into the pandemic in a much more fragile state.

“We had higher bed-occupancy rates, fewer doctors, fewer nurses and fewer beds than most other high income health systems in the world.

“And let’s be clear about what caused that…a “scorched earth” approach to health reform, the effects of which are still felt to this day.

“Lord Darzi describes [the 2010s] as “the most austere decade since the NHS was founded”. Crumbling buildings, decrepit portacabins, mental health patients accommodated in Victorian-era cells infested with vermin.

“The 2010s were a lost decade for our NHS…which left the NHS unable to be there for patients today, and totally unprepared for the challenges and opportunities of tomorrow.”

As well as recognising the cost to people’s health, the PM will also address the inextricable link between the state of the NHS and the nation’s economy: It’s not just the state of our National Health Service in crisis – it’s also the state of our national health.

“There are 2.8 million people economically inactive due to long term sickness, and more than half of those on the current waiting lists for inpatient treatment are working age adults.

“Getting people back to health and work will not only reduce the costs on the NHS, it will drive economic growth – in turn creating more tax receipts to fund public services.

In the face of these dire findings and the growing pressures on the NHS from an ageing society and preventable illnesses, the PM will set out his belief in the ‘profound responsibility’ of government to do the hard work necessary to tackle them: “What we need is the courage to deliver long-term reform – major surgery not sticking plaster solutions.

“The NHS is at a fork in the road, and we have a choice about how it should meet these rising demands.

“Raise taxes on working people to meet the ever-higher costs of aging population – or reform to secure its future.

“We know working people can’t afford to pay more, so it’s reform or die.”

Rooted in Lord Darzi’s diagnoses of the challenges facing the NHS, the Prime Minister will outline three fundamental areas of reform and the imperative to work with staff and patients throughout this process. He is expected to say: “”This government is working at pace to build a Ten-Year Plan. Something so different from anything that has come before.

“Instead of the top-down approach of the past, this plan is going to have the fingerprints of NHS staff and patients all over it. 

“And as we build it together, I want to frame this plan around three big shifts – first, moving from an analogue to a digital NHS. A tomorrow service not just a today service.

“Second, we’ve got to shift more care from hospitals to communities… And third, we’ve got to be much bolder in moving from sickness to prevention.

“Only fundamental reform and a plan for the long term can turn around the NHS and build a healthy society. It won’t be easy or quick. But I know we can do it.

“The challenge is clear before us; the change could amount to the biggest reimagining of our NHS since its birth.”

Lord Darzi is an independent peer and practising surgeon with 30 years’ experience in the NHS. He examined over 600 pieces of analysis from DHSC, NHS England and external organisations during his investigation. His report will inform the government’s 10-year plan to reform the health service.

Lord Darzi said: “Although I have worked in the NHS for more than 30 years, I have been shocked by what I have found during this investigation – not just in the health service but in the state of the nation’s health.

“We want to deliver high quality care for all but far too many people are waiting for too long and in too many clinical areas, quality of care has gone backwards.

“My colleagues in the NHS are working harder than ever but our productivity has fallen. 

“We get caught up frantically trying to find beds that have been axed or using IT that is outdated or trying to work out how to get things done because operational processes are overwhelmed. It sucks the joy from our work – we became clinicians to help patients get better, not to go into battle with a broken system.

“We need to rebalance the system towards care in the community rather than adding more and more staff to hospitals. And we need a more honest conversation about performance – the NHS is now an open book.

“In the last 15 years, the NHS was hit by three shocks – austerity and starvation of investment, confusion caused by top-down reorganisation, and then the pandemic which came with resilience at an all-time low. Two out of three of those shocks were choices made in Westminster.

“It took more than a decade for the NHS to fall into disrepair so it’s going to take time to fix it. But we in the NHS have turned things around before, and I’m confident we will do it again.”

Despite the damning analysis, Lord Darzi insists the NHS’s vital signs ‘remain strong’ and he praised staff for their ‘shared passion and determination to make the NHS better for our patients’.

In carrying out the review, Lord Darzi brought more than 70 organisations together in an Expert Reference Group and sought input from NHS staff and patients through focus groups and frontline visits.   

Responding to the report, Secretary of State Wes Streeting said: “I asked Lord Darzi to tell hard truths about the state of the NHS. He has produced an honest, expert, comprehensive report on the appalling state our health service is in.

“Today’s findings will inform our 10-year plan to radically reform the NHS and get patients treated on time again.

“The damage done to the NHS has been more than a decade in the making. We clearly have a long road ahead. But while the NHS is broken, it’s not beaten. We will turn the NHS around so it is there for you when you need it, once again.”

Today’s report has been welcomed by NHS England and health organisations who have pledged to work closely with the government on its mission to rebuild the NHS.

Amanda Pritchard, NHS England Chief Executive, said: “As this report sets out, staff are the beating heart of the NHS with a shared passion and determination for making the NHS better for patients – but it is also clear they are facing unprecedented challenges.

“Our staff are treating record numbers of patients every day despite ageing equipment and crumbling buildings, a surge in multiple long-term illnesses, and managing the long-lasting effects of the pandemic.

“While teams are working hard to get services back on track, it is clear waiting times across many services are unacceptable and we need to address the underlying issues outlined in Lord Darzi’s report so we can deliver the care we all want for patients.

“As Lord Darzi rightly points out, many of the solutions can be found in parts of the NHS today. That is why we are fully committed to working with government to create a 10-year plan for healthcare to ensure the NHS recovers from Covid, strengthens its foundations and continues to reform so it is fit for future generations”

Key findings from Lord Darzi’s 142-page report include:

  • Deterioration: The health of the nation has deteriorated over the past 15 years, with a substantial increase in the number of people living with multiple long-term conditions. 
  • Spending: Too great a share of the NHS budget is being spent in hospitals, too little in the community, and productivity is too low.
  • Waiting times: Waiting lists have swelled and waiting times have surged, with A&E queues more than doubling from an average of just under 40 people on a typical evening in April 2009 to over 100 in April 2024. 1 in 10 patients are now waiting for 12 hours or more.
  • Cancer care: The UK has appreciably higher cancer mortality rates than other countries, with no progress whatsoever made in diagnosing cancer at stage one and two between 2013 and 2021.
  • Lasting damage: The Health and Social Care Act of 2012 did lasting damage to the management capacity and capability of the NHS. It took 10 years to return to a sensible structure, and the effects continue to be felt to this day.   
  • Productivity: Too many resources have been being poured into hospitals where productivity had substantially fallen, while too little has been spent in the community. 

Responding to the publication of Professor Lord Darzi’s Independent Investigation of the National Health Service in England, Nuffield Trust Chief Executive Thea Stein said: “Lord Darzi’s damning report underlines the stark realities experienced across almost every corner of the health service.

“Wide-ranging problems have been growing in plain sight for years and Darzi’s impressively comprehensive assessment will be familiar to anyone who has studied or experienced the slow deterioration of health care provision in England.

“While not surprising, the report’s findings are deeply troubling. As our research work has repeatedly shown, too often the NHS is not able to provide people with the timely care they need, despite steadfast public commitment to the core principles of the health service. The impacts of this are not felt equally: people in the poorest areas are particularly struggling to access healthcare.

“The big question now is what happens next.

“The Government has an early opportunity to make good on long-argued points on dysfunctional NHS funding in its first Budget next month. The health service is staring down the barrel of a significant shortfall in funding this current year [2] and the Chancellor will need to set out clear plans to tackle this, ahead of a longer-term funding settlement.

“Rightly, the report repeatedly references the interrelated, compounding pressures of the desperate state of social care and cuts to public health provision. But by design it does not dig into those issues. In future, we hope to see serious work by the government to address those broader societal issues that determine population health and impact health care access.

“Ultimately, the Lord Darzi’s diagnostic report sets out important aspirations to be delivered in the forthcoming 10-year plan to treat – and fix – the NHS. But the improvements we all hope for – and that patients desperately need – will take time, commitment and major financial, practical and system-wide support. There will be no quick fixes.”

More lost pets to return home as microchipping system reformed

Reforms will help reunite thousands of lost or stolen animals every year and deter pet theft

Lost or stolen pets will be reunited with their owners more quickly under reforms to the pet microchipping system announced today (29 March).

With over nine million pet dogs and nine million pet cats in England, it is devasting for owners when they are lost or stolen. Microchipping is the most effective and quickest way of identifying pets, with microchipped dogs more than twice as likely to be reunited with their owner.

Reforms set out today will help reunite stray pets by making microchip records easier to access, improving the accuracy of microchip information, and standardising database operator processes.

The new measures will help deter pet theft by creating more opportunities for suspicious activity to be flagged. This will include requiring database operators to provide a field indicating whether the pet has been reported as ‘missing’, strengthening the process for transferring keepership of a pet by ensuring the current keeper has 28 days to object, and preventing the creation of duplicate records.

The changes also include the creation of a central portal that approved users – including vets, local authorities, and police – can use to search microchip records rather than having to contact separate databases individually, which can delay the time taken for pets to be returned home.

Animal Welfare Minister Lord Douglas Miller said: ““Pets are treasured members of the family so it can be devasting for owners when they are lost or stolen.

“These vital reforms will simplify the microchipping system to make it quicker for vets, local authorities and police to access important information when they need it, helping to safeguard pets from theft and increase the likelihood of lost pets being returned home.” 

Michael Webb, Battersea’s Head of Policy & Public Affairs, said: “Battersea is incredibly pleased with these reforms to the microchipping system, which will improve services for owners, enforcers and rescues alike.

“We see dogs and cats arrive at our centres every day with out-of-date microchips, or sadly no microchip at all, making it near impossible for our staff to reunite people with their pets.

“These reforms, which we have been calling for for some time, will not only help rescues like Battersea reunite more pets in less time, but also hopefully better protect dogs and cats from theft.

“With only several weeks to go until the law requires millions of cats to be microchipped, it is vital that the country’s microchipping system is as effective and robust possible and we will continue to work with Defra and other organisations to ensure that this is the case.”

RSPCA Chief Executive Chris Sherwood said: “Microchipping our pets is so important and provides reassurance and security, should they go missing, that they’ll be able to be identified and returned home quickly.

“A centralised portal with more accurate records will ensure that animals who end up with vets, local authorities and charities, like the RSPCA, can be traced back to their owners as quickly as possible, minimising the stress and anxiety they may feel being away from everything they know.”

British Veterinary Association President Anna Judson said: “Microchipping is a vital tool for vets working to identify lost pets and to successfully reunite them with their owners. The British Veterinary Association has been pressing for action to address issues with the current database system, which have been a source of ongoing frustration.

“These new measures are a positive step forwards and the new portal should help vet teams to check multiple databases quickly, identify and reunite cats and dogs with their owners and provide prompt treatment where needed.”

Today’s announcement follows a government consultation on the issue in which over 96% of respondents expressed support for the measures, and progresses an Action Plan for Animal Welfare pledge and key recommendations from the Pet Theft Taskforce. 

It also builds upon wider work to make it easier for lost, stray, or stolen pets to be returned home safely, including making it compulsory to microchip all pet cats in England by 10 June 2024. 

Westminster is also clamping down on pet theft by taking forward key recommendations from the Pet Theft Task Force, and have recently confirmed Government support for the Pet Abduction Bill.

These commitments are part of a wider Government effort to build on our existing world-leading animal welfare standards. 

Since publishing the Action Plan for Animal Welfare in 2021, Westminster has brought in new laws to recognise animal sentience, introduced tougher penalties for animal cruelty offences; announced an extension of the ivory ban to cover other ivory bearing species; supported legislation to ban glue traps, the import of detached shark fins and measures to ban the advertising and offering for sale of low welfare activities abroad.

Scottish government consults on education and skills reform

Views sought on new qualifications body and inspectorate

People are being asked to share their views to create a new national qualifications body and new approaches to inspection, as part of reforms to Scotland’s education and skills system.

Legislation will be introduced to Parliament in 2024 to implement the Scottish Government’s commitment to replace the Scottish Qualifications Authority (SQA) with a new organisation. Views are now being sought on how this new body will involve pupils and students and the teaching professions in its decision making, as well as being accountable and transparent.

The public consultation on reform of the education and skills sector is also seeking views on changes in relation to inspection, which currently sits with Education Scotland – to maximise the positive impacts of inspection and ensure high levels of confidence in the system among teachers, other professionals, parents and carers and the public.

It was announced during a wide ranging statement on Education and Skills reform where Education Secretary Jenny Gilruth also announced the publication of the third report from the First Minister’s International Council of Education Advisers, which sets out the need for investment in education professionals to address the changing needs of young people. The Education Secretary also gave an update on planning for the proposed Centre for Teaching Excellence.  

Ms Gilruth said: “The case for reform is clear and we need to deliver tangible action, setting out the steps which are right for our education system now. 

“This consultation is an important opportunity for young people, parents and carers and, crucially, teachers to make their voices heard and is an important step in designing our national education and skills landscape in its totality.

“The new qualifications body and approaches to inspection are the foundations of delivering meaningful reform, meaning better outcomes for young people and adult learners, ensuring that the views and needs of pupils, teachers and others who rely on this service are at the heart of what they do, and how they deliver support.

“I am determined to continue to build the consensus for change. We need the system to work better for children and young people as well as the profession, ensuring it continues to support everyone to positively contribute to our country.”

UK Government cuts ‘red tape’ for thousands of growing businesses

  • More businesses to be categorised as small businesses, meaning less red tape
  • Move will potentially exempt tens of thousands of the UK’s growing businesses from relevant future regulations, saving them thousands of pounds
  • Start of a sweeping package of reforms to cut red tape for business and stimulate growth

Thousands of the UK’s fastest-growing businesses will be released from reporting requirements and other regulations in the future, as part of plans aimed at boosting productivity and supercharging growth, Prime Minister Liz Truss announced yesterday.

Currently, small businesses are presumed to be exempt from certain regulations. However, many medium sized businesses – those with between 50 and 249 employees – still report that they are spending over 22 staff days per month on average dealing with regulation, and over half of all businesses consider regulation to be a burden to their operation [source].

The Prime Minister has announced plans to widen these exemptions to businesses with fewer than 500 employees for future and reviewed regulations, meaning an additional 40,000 businesses will be freed from future bureaucracy and the accompanying paperwork that is expensive and burdensome for all but the largest firms.

The exemption will be applied in a proportionate way to ensure workers’ rights and other standards will be protected, while at the same time reducing the burden for growing businesses.

Regulatory exemptions are often granted for SMEs, which the EU defines at below 250 employees. However, we are free to take our own approach and exempt more businesses to those with under 500 employees. We will also be able to apply this to retained EU law currently under review, which we would not have been able to do without our exit from the EU.

The changed threshold will apply from today (Monday 3 October) to all new regulations under development as well as those under current and future review, including retained EU laws. The Government will also look at plans to consult in the future on potentially extending the threshold to businesses with 1000 employees, once the impact on the current extension is known.

This is the first step in a package of reforms to ensure UK business regulation works for the UK economy. The reforms will harness the freedoms the UK has since leaving the EU to remove bureaucratic and burdensome regulations on businesses, while streamlining and making it easier for them to comply with existing rules, ultimately saving them valuable time and money.

NHS Dentistry ‘at tipping point’

Over 8/10 NHS dental practices unable to offer appointments to new adult patients, in the most extensive survey of patient access ever undertaken 

The British Dental Association has pressed government to step up and deliver urgent reform, as new research from the BBC underlines the scale of the access crisis facing NHS patients across the country.  

Between May and July, BBC researchers reached out to every UK dental practice with an NHS contract to ask if they were taking on new patients. Working with the British Dental Association, the BBC identified 8,533 dental practices across the UK that were believed to hold NHS contracts and attempted to call them all.

The survey found:

  • In Scotland, 82% of NHS practices were not accepting new adult patients, 687 of 839.
  • Of those practices not taking on adults in Scotland, 39% (267) said they had an open waiting list, and 18% (124) said the wait time was a year or longer, or were unable to say how long it would be.
  • Out of 32 local authorities in Scotland, BBC researchers did not successfully reach any practices accepting new adult NHS patients in 9 (28%) local authorities.
  • In Scotland, 79% of NHS practices were not accepting new child patients, 663 of 839. Out of 32 local authorities in Scotland, BBC researchers did not successfully reach any practices accepting new child NHS patients in 7 (22%) local authorities.

Last month BDA Scotland warned the Scottish Government risked undermining the future sustainability of NHS dentistry, as they scaled down vital financial support for the service.  

From April to June practices received a 1.7 multiplier to the fees paid to provide NHS care, a reflection of the unprecedented backlog practices have faced as they try to ‘live with Covid’ and the continued suppressed activity compared with pre-pandemic levels.  This was cut down to 1.3 from July, following no discussion with the profession, leaving many dentists at risk of delivering some NHS treatments at a loss.

Official data suggests the total number of high street NHS dentists in Scotland has fallen by over 5% since the onset of Covid. The BDA has again urged the Scottish Government to, in the short term, develop a suitable interim funding package to support dentists and their teams as they work through the backlog, and begin work on a new, sustainable long-term model for NHS dentistry. 

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee, said: “The Scottish Government promised free NHS dentistry for all, but the public are now living with the harsh reality. 

“You can’t run a health service on soundbites and slogans. Ministers need to take a long hard look at the evidence, and bring forward the reforms and resources we need to deliver for patients across Scotland.”

UK-wide 90% of NHS practices were not accepting new adult patients, 6,193 of 6,880.

Of those practices not taking on adults in the UK, 25% (1,572) said they had an open waiting list, and 17% (1,039) said the wait time was a year or longer, or were unable to say how long it would be.

Out of 217 local authorities in the UK, BBC researchers did not successfully reach any practices accepting new adult NHS patients in 77 (35%) local authorities.

80% of NHS practices were not accepting new child patients, 5,506 of 6,880. Of those practices not taking on children in the UK, 1,480 (27%) said they had an open waiting list, and 16% (902) said wait time was a year or longer, or were unable to say how long it would be. 

Out of 217 local authorities in the UK, BBC researchers did not successfully reach any practices accepting new child NHS patients in 25 (12%) local authorities.

Breakdowns by nation:

NationProportion not accepting adult patientsProportion not accepting child patients
England91%79%
Northern Ireland90%88%
Scotland82%79%
Wales93%88%

Kate Forbes: Setting spending priorities for a stronger Scotland

‘We face a very difficult financial position over the new few years’

Prioritising public spending is essential to grow a stronger economy as Scotland recovers from the pandemic and faces up to the cost of living crisis, Finance Secretary Kate Forbes has said.

Speaking ahead of the publication of the Resource Spending Review, Ms Forbes said more focused government and public sector funds would achieve ambitions to tackle child poverty, reach net zero and deliver sustainable services for the future.

The Spending Review will give broad parameters for spending for the next four years and set out a series of government reforms.

Finance Secretary Kate Forbes said: “These are challenging times, and we need to be canny with our spending, but I’m confident that if we work together we can get through this cost of living crisis and still achieve our ambitions.

“That means tackling child poverty, driving our economic recovery from COVID and achieving net zero, while building a stronger public sector that is sustainable for the future.

“We face a very difficult financial position over the next few years with funding increases below inflation levels and the challenge of recovering from the pandemic without the financial tools available to every other government in the world.  That means while the spending review is not a budget, it will include difficult decisions, to ensure we can really focus on supporting households and services at this time.

“The Resource Spending Review will detail the funding available over the coming years to achieve these goals, and it will be published alongside the Medium-Term Financial Strategy (MTFS) which gives economic context to the challenges and opportunities which lie ahead.”

Ms Forbes will outline the Resource Spending Review to Parliament when it is published tomorrow (May 31).

The Scottish Government says it is doing ‘everything within its powers and fixed budgets to ensure people, communities and businesses are supported as far as possible’, including investing almost £770 million this year in cost of living support and doubling the Scottish Child Payment to £20 per week.

Earlier this year it increased eight Scottish benefits by 6%, the rate of inflation at the time, and introduced a range of benefits not available elsewhere in the UK.

Expanding free school meals and providing £150 council tax payments to low income families are included in further actions to put money back into people’s pockets at a time when they need it most.

Panic as funeral pre-payment firms collapse under new reforms

Scotland’s largest independent funeral directors, William Purves, is fielding calls from several worried customers concerned about the implications of forthcoming funeral plan reforms. 

From July 29th, organisations selling funeral plans will fall under the regulation of the Financial Conduct Authority (FCA) which will ensure that all plans are properly underwritten. 

And while good news for customers in the long term, it is feared that many buyers will be out of pocket in the short term as some smaller funeral plan providers fold as they are unable to satisfy the FCA requirements. 

Andrew Purves, Director of William Purves explains: “Customers who have purchased pre-payment plans designed to cover the cost of their funerals are naturally concerned about the implications of the reform. 

“Thankfully we can put our customers’ minds at rest as in recent years our plans have been one of the big three providers. However, the stark reality is that some customers’ pre-bought funerals, particularly those bought from smaller providers, may not be honoured.“ 

A number of funeral plan providers have already decided to stop operating and have approached larger providers to take over their plans – sadly some are expected to fold as the July deadline looms. 

Andrew continued: “My advice is if you have concerns or worries speak to the Funeral Director who you purchased the plan from, or the plan provider themselves, and ask what guarantees they can provide.

“We are in the process of contacting all William Purves pre-payment customers to update them on the situation.

“We welcome the regulation of pre-paid plans which are designed to protect customers and raise standards for plans sold in the future; however, this is of little comfort to those people who have taken steps to put their affairs in order and who may well be penalised.

“We will continue to keep our customers informed.” 

Education agencies to be reformed

Key national agencies Education Scotland (ES) and the SQA will be reformed as part of ambitious plans for Scotland’s education recovery, Education Secretary Shirley-Anne Somerville has announced.

The Education Secretary said the role, remit and purpose of both organisations will be considered, as well as their functions and governance arrangements. 

Ms Somerville announced the reforms as she outlined wide-ranging plans for education recovery in the first 100 days of government and beyond.

These include:

  • investing over £1 billion to close the poverty related attainment gap
  • recruiting 3,500 additional teachers and classroom assistants
  • ensuring every schoolchild has access to the technology they need to support their education
  • making free school lunches available to all P4 children before extending to all primary school children, all year round
  • expanding free early learning and childcare and developing the provision of wraparound care and after-school clubs
  • increasing the school clothing grant and the Best Start Food grant
  • providing interim support – including a £100 payment near the start of the summer holidays – for eligible children before the formal expansion of the Scottish Child Payment next year
  • offering a £20 million Summer Programme to help restore the wellbeing of children and young people, particularly those worst hit by COVID-19
  • removing charges for core curriculum activities and music and arts education
  • working with colleges and universities to ensure they remain sustainable and at the forefront of global education and research.

Laying out the Scottish Government’s visions and ambitions for education, the Education Secretary said the priority was to continue to deliver excellence and equity, despite the pandemic, with the health and wellbeing of pupils at the forefront of the plans.

This next phase of recovery activity builds on almost £400 million of investment committed in this area to date.

Ms Somerville said: “I hope this programme outlines our determination to deliver improvements with pace and urgency. I am open to considering what further reform is necessary, with the clear purpose of doing all we can to improve outcomes for children.  This includes reducing variability in the outcomes children and young people achieve across the country.

“I want to look at options for reform which ensure that schools get the best possible support and challenge to enable them to improve further and to do the very best for the children in their care; to enable them to focus relentlessly on providing the highest quality of learning and teaching for our children, and to ensure that those working in education outwith schools are fully focused on doing everything they can to provide the highest quality of support.

“I want to signal my intention to start this process by considering how to reform the SQA and Education Scotland. This will be a key priority for me.”

Ms Somerville said the reform plans would be informed by the findings of the OECD review into Curriculum for Excellence, which is due to be published on 21 June.

The EIS has welcomed the review. EIS General Secretary Larry Flanagan said, “We have for some time been arguing for reform of the SQA and, in particular, the need for a stronger governance model which would see the qualifications authority more accountable to the Education system and the profession, rather than to the Scottish Government or an opaque, Government appointed, Board.

“Our members have often found the SQA to be too remote from classroom practice and a significant generator of additional workload for teachers. Reform of the qualifications body should be matched by changes to the senior phase, which focus on creating time for deeper learning, breadth of study and parity between ‘academic’ and vocational’ qualifications.”

Mr Flanagan added, “With regard to Education Scotland the key issue is to create more independence for this body and move it closer to its role of supporting schools and teachers rather than being under the direction of the Scottish Government.

“Education Scotland should be free to challenge Government rather than being an extension of the civil service. There also needs to be a significant review of the usefulness of the current inspection process in what is meant to be an empowered education system.”

Communities to benefit from social housing reforms

hooses

Social tenants and landlords are set to benefit from a number of reforms announced yesterday  by Housing Minister Margaret Burgess. The reforms will  change the way social landlords allocate and manage their housing. They will allow social landlords to address the specific needs of the local community, ensuring best use of available social housing, tackling antisocial behaviour  and providing further protection for tenants.

Speaking at the Scottish Federation of Housing Associations’ Annual Conference, the Housing Minister outlined the measures, which are likely to form part of a forthcoming Housing Bill.

This includes:

  • Replacing prescriptive and outdated priority groups with a broader framework that gives landlords and their communities more local flexibility
  • Allowing landlords to consider any property that a social housing applicant already owns when allocating housing
  • Introducing a qualifying period before succession to a tenancy following the death of a tenant
  • Allowing a minimum period to be put in place before antisocial tenants are eligible for the allocation of social housing
  • Introducing a new right for tenants to appeal a landlord’s decision to suspend them from being allocated a property
  • Allowing landlords to give Short Scottish Secure Tenancies to applicants and tenants with a history of antisocial behaviour
  • Simplifying eviction procedures for tenants convicted of a serious offence

During the SFHA Conference Mrs Burgess also announced that initial or probationary tenancies will not be included in the Housing Bill.

She said:

“The changes I am announcing today will ensure that we deliver first-rate homes and services to tenants, residents and homeless people – the most vulnerable in our society. By giving landlords greater flexibility at a local level they will be able to respond to the needs of their local community.

“In order to provide affordable warm homes for people in Scotland it is vital that we continue to find ways to increase supply and quality across all tenures. Despite Westminster’s cuts to our capital budget, we have taken every opportunity to increase our investment in housing. By the end of April we had allocated £200m additional funding for housing supply, bringing total investment to almost £860m in the three years to March 2015.”