Brave Boards

Blog post by Phil Swan, Programme Director, Shared Intelligence

Lord Crisp’s call for more hospitals to close is a useful and important contribution to the debate. As the former NHS Chief Executive he knows only too well that there is overcapacity in the hospital sector and that closing some would free up funds for community services.

The Bournemouth,Dorsetand Poole Total Place Pilot (which looked at services for older people and for which I was project director) proved this beyond doubt. The data we collected showed that about a third of older people in hospital need not be there and that their needs could be met far more cheaply at or near their homes. The challenge was a leadership one – to make the positive case for closing hospitals.

An important question for local councils and their partners is whether Health and Wellbeing Boards will have the leadership capacity and bravery to make this case.

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This entry was posted in Proposition 2: Local government is a public health org and tagged , , , , . Bookmark the permalink.

One Response to Brave Boards

  1. tony hunter says:

    Point well made Phil. Useful to bear in mind that this is not a new agenda, and many areas with forward-looking and strong health/council partnerships have seen investment in prevention and early care and support at the expense of acute care. Key to achieving further shift is confidence from the acute sector that reduced pressure on beds really will result. Working as a whole and integrated system to improve health outcomes has to be the way forward, and will be the driver for successful health and well-being boards.

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