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16649 Commissioning Newspaper-A4_Layout 1 04/08/2015 15:46 Page 18 www.healthpluscare.com/commissioning CAN THE TORIES DELIVER THEIR ELECTION PLEDGES? The UK now has a new Conservative government but can minsters deliver everything they promised before the election, a panel of key opinion leaders was asked at Health+Care 2015. “The answer to the question is - no the policies don't stack up and central to that is the money. It is complete crunch time both for the NHS and social care,” declared Norman Lamb, former care minister T he solution was to force the pace of pooling budgets and single commissioning in health and care in every locality by 2018 and to set up a non-partisan commission to achieve a new settlement for the NHS and social care. “Unless we get on and do it now in the run-up to the spending review then we face the system crashing.” Lord Philip Hunt, former health minister in the Blair Government and a Labour peer, said there were workforce shortages not just in primary care but also in many other parts of the health service as well. New migration rules would make this worse as it would force overseas nurses earning less than £35,000 to return home. He questioned whether integrated care could be delivered when the 2012 Health and Social Care Act legislated for disintegration. But Rob Webster, Chief Executive of the NHS Confederation, said: “There is determination among leaders across the system to deliver the Five Year Forward View. This is the time when commissioning should really start to drive the changes that we need to see. The narrative around all of that is a placed based approach to wellness, self-care for everyone with a long-term condition and joined-up care for people around general practice involving the third sector and social care and communities, networks.” Ray Jones, Professor of Social Work, Kingston University, said a 28% increase in demand for social care and a 31% reduction in local social authority social care budgets meant the health and social care system was out of balance. “Unless we correct that there is no solution either for the health service or social care.” Professor Maureen Baker, Chair of the Royal College of General Practitioners, said the Government could achieve its aims if it focused on making the job of the GP more attractive in order to recruit the promised additional 5,000 GPs, reviewed the requirement for seven day working in general practice and invested in the GP out of hours service and made it more visible. Saffron Cordery, Director of Policy and Strategy, NHS Providers, said to achieve its pledges the Government needed to invest as much as possible of the promised £8 bn in the NHS now, adopt a more flexible approach to workforce planning, focus on the prevention agenda in particular mental health and underpin everything by integrating services. AMBULANCE SERVICE STAKEHOLDERS MEET TO DEFINE THE FUTURE OF SERVICE PROVISION “Meeting at the Health + Care was a fantastic opportunity for ambulance commissioners and other stakeholders to come together and help shape the network’s priorities for the coming year,” said Jane Hawkard, ambulance commissioner and chair of NHS Clinical Commissioners’ National Ambulance Commissioners Network (NACN). 18 Service commissioners and providers attending the meeting were able to take home copies of a new NACN briefing paper outlining good