James Illman @Jamesillman
Award winning journalist. Bureau chief at Health Service Journal. Popbitch's favourite health reporter (see banner pic). DMs open or [email protected] hsj.co.uk Behind the bowler's arm Joined May 2009-
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So that's another 5 years to get the waiting list roughly back to where it was before Covid - assuming all goes to plan, which ofc it will from @Jamesillman hsj.co.uk/exclusive-nhse…
New analysis from @kathmarszalek is covered by @Jamesillman in this week’s @HSJnews. Kath's analysis highlights that an unexpected drop in referrals is a big factor contributing to recent falls in the elective waiting list. Find out more ⬇️ health.org.uk/news-and-comme…
New analysis from @kathmarszalek is covered by @Jamesillman in this week’s @HSJnews. Kath's analysis highlights that an unexpected drop in referrals is a big factor contributing to recent falls in the elective waiting list. Find out more ⬇️ health.org.uk/news-and-comme…
Interesting piece, particularly this line: Goal is possible but depends "on targeted extra capacity, technology, resolution of strikes and on which other targets are set, especially around emergency waiting times" Just minor tweaks needed then, amazed no one's made them already
Interesting piece, particularly this line: Goal is possible but depends "on targeted extra capacity, technology, resolution of strikes and on which other targets are set, especially around emergency waiting times" Just minor tweaks needed then, amazed no one's made them already
The issue is not what but how
Great exclsuive from @Jamesillman - the national plan to halve the 7.5m elective waiting list during the next parliament hsj.co.uk/exclusive-nhse…
Mood music from Labour suggests, if it wins power, it would be targeting reduction in ballpark of what NHSE is discussing The party said in its May 2023 '5 Missions for a Better Britain' paper it would pledge to return NHS to meeting its 18 week waiting time target within 5 years
Mood music from Labour suggests, if it wins power, it would be targeting reduction in ballpark of what NHSE is discussing The party said in its May 2023 '5 Missions for a Better Britain' paper it would pledge to return NHS to meeting its 18 week waiting time target within 5 years
Exclusive: @NHSEngland is developing plan to cut waiting list by nearly 50% to under 4 million over next 5 years, HSJ can reveal. Plan being developed with NHS bosses braced for next government, whoever wins general election, demanding big cut to list £ hsj.co.uk/exclusive-nhse…
"The 'P word' [productivity] will b the word of the year for NHS" senior figure tells @HSJnews summit. 'Flow' thru hospital, outpatient & theatres will b main focus. Ppl get nervous about word "productivity" cos it sounds like you're saying ppl arent working hard enough, they say
Scandal of care home sex predators free to target the vulnerable independent.co.uk/news/health/ca…
This graph/story illustrates the crisis facing NHS's children's community services. No of children waiting a year+ for children's community services up 10k since last April & 85% from Jan '23. A lot of waits for ADHD/autism treatment By @mimilaunder £ hsj.co.uk/revealed-90-in…
@PippaCrerar Interesting read x.com/jamesillman/st…
@PippaCrerar Interesting read x.com/jamesillman/st…
So an uptick in performance of 3.3% points from the 70.9% recorded in February. But still not enough to meet NHS England and the government's high profile A&E target. As seen below - no real change in perfomance in the last 3yrs and still below pre-pandemic standards
BREAKING: A&E four hours performance was 74.2% in March - missing NHSE's 76% target
A complicated day for the data on @NHSEngland's waiting list. The list remained flat at c.7.5m despite an apparent drop, which was due to technical changes rather than more ppl coming off waiting list. Long waiters did however materially fall. Full details in clip:
BREAKING - new scope of Essex mental health inquiry released Probe will now investigate more recent mental health deaths, going to end of last year (not 2020) Will also cover deaths at second trust operating in county hsj.co.uk/mental-health/…
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10K Followers 1K Following Working together to help the people of #Norfolk and #Waveney live longer, healthier, and happier lives.New analysis from @kathmarszalek is covered by @Jamesillman in this week’s @HSJnews. Kath's analysis highlights that an unexpected drop in referrals is a big factor contributing to recent falls in the elective waiting list. Find out more ⬇️ health.org.uk/news-and-comme…
Recovery Watch: Why are referrals lower than expected? ift.tt/LX6bAE4
The issue is not what but how
Mood music from Labour suggests, if it wins power, it would be targeting reduction in ballpark of what NHSE is discussing The party said in its May 2023 '5 Missions for a Better Britain' paper it would pledge to return NHS to meeting its 18 week waiting time target within 5 years
Great exclsuive from @Jamesillman - the national plan to halve the 7.5m elective waiting list during the next parliament hsj.co.uk/exclusive-nhse…
@Jamesillman @HSJnews But it’s not about working harder (activity). Working hard & productivity are two completely different things. You can work really hard and produce nothing which is exactly how Health & Care feels right now.
@Jamesillman @HSJnews It would be a sign of hope if the P word became word of the year or if a better understanding of flow were developed. But a better understanding of what "productivity"means would also help: hsj.co.uk/daily-insight/…
Response from NHSE - Very little progress on this NHSE commitment for all Trusts to have bed management systems by end 2023- Eight trusts may get support in 2024/25 - Otherwise Trusts may act independently - whatdotheyknow.com/request/electr…
@PippaCrerar Interesting read x.com/jamesillman/st…
A complicated day for the data on @NHSEngland's waiting list. The list remained flat at c.7.5m despite an apparent drop, which was due to technical changes rather than more ppl coming off waiting list. Long waiters did however materially fall. Full details in clip:
Just seen the left-hand chart doing the rounds on Twitter Helpful reminder that starting points matter for time series. The chart on the right starts in 2009 and changes the story a bit! Pretty bad practice from @BBC - it was an active (and disingenuous) choice to start in 2013
I can’t believe my annual leave coincided with @reformthinktank report calling for the abolition of NHSE….
@Jamesillman @NuffieldTrust Sorry you are right. @NuffieldTrust are doing PIFU. Mid rant I forgot that. But my broader point still stands. Patients have so much insight in what works and what doesn’t re these policy shifts, so it’s depressing that we have to fight constantly to get their voices considered.
Yes the sentiment is correct. But it would be a mistake to make list size reductions a target because that would incentivise treating easy cases out of turn. I prefer 'keep up with demand', coupled with 'get 92% of the waiting list within X weeks' (ideally splitting RTT too...)
The guidance says the NHS must “[recognise] that we cannot continue to reduce long waiters while the overall waiting list grows [and] systems are asked to also focus on reducing the overall list size and improve productivity”. I think @gooroohealth will approve of this shift
@Jamesillman @NHSEngland Someone independent needs to look at those figures
SPOT THE STRIKES I am having real problems spotting a drop in hospital activity due to strikes in the NHS data yet you will read & hear of huge disruption to NHS The reality is 100,000 appts a day are normally cancelled, rescheduled or not attended Someone is spinning a story
@Jamesillman Glad to see this. Need to refocus on how primary care interface with secondary. The main route of seeking advice can not be sending patients to an outpatient department - not much has changed from below.
Bank holiday listening with @Davewwest and @Jamesillman podcasts.apple.com/gb/podcast/hsj… .. the planning guidance is here!
Really welcome the increased focus in this year's planning guidance on cancer screening - CDCs and women's health hubs have massive potential to reach people who don't engaged with breast screening and are poorly served by the current approach.
Short 🧵on what @NHSEngland's new planning guidance means for plans to cut waiting list & elective recovery *Main target still cutting long waiters (eliminate 65-week by Sept) *But mood music is NHS bosses want to shift focus to more holistic approach £ hsj.co.uk/quality-and-pe…
NHS England is reviewing its commercial & contractual situation with @TPP_SystmOne, following last week's alleged comments by TPP owner Frank Hester. CEO Amanda Pritchard said it is "not enough to just state our commitment to EDI". Full story: hsj.co.uk/technology-and…
Funny how the situation for women and girls in Afghanistan deteriorates whenever Australia are about to play them in bilateral cricket, but then improves whenever they have to play them in a World Cup. Either that or it's a boycott lacking any sort of moral fibre at all
So many congratulations to Libertine on his 501st @parkrunUK at @Lordshipparkrun today! Very well deserved cake and fizz and an inspiration to the rest of us! Only a few hundred to go for me and @SarahWHaringey 😉
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