NHS 2010-2015: from good to great
The recent NHS strategy document published alongside the NHS Operating Framework for 2011/12 referred directly to the findings of the Wanless review and makes the case that better management of long terms conditions and support for self care will lead to care that is more effective, a better experience and more productive.
The strategy document notes that ‘the dividend created by an NHS that promotes health, self careand early intervention, and that integrates services around patients, is potentially sizeable, amounting to billions of pounds’ (1.38).
It goes on to say that, ‘Compared with other countries, for example, we have high rates of emergency admissions to hospital for those with diabetes and asthma. Better management of these conditions and better support for self care and family carers could avoid such distressing experiences, leading to care that is more effective, a better experience and more productive’ (2.69) and outlines how ‘We therefore want to see care for these groups transformed, starting with care for those with diabetes, heart failure, respiratory disease (including chronic obstructive pulmonary disease – COPD), cancer as a chronic disease and dementia’ (2.70).