Victor Adebowale, a crossbench peer and chair of the Institute for Public Policy Research, said a clear message was needed from the health secretary that NHS leaders should be able to start reforms where they are aligned with government priorities.
He described long waits for care as "the tragic new normal" for many patients and highlighted IPPR analysis showing 25 times more people waited for more than four hours in A&E this summer than during the same period in 2009.
Lord Adebowale is also chair of the NHS Confederation, the membership body for health authorities and trusts in England, Wales and Northern Ireland. Writing in his role as IPPR chair, he said several senior NHS leaders had described to the thinktank "a feeling of 'sitting and waiting' for the 10-year plan, unable to initiate major change in the meantime".
He wrote in a blog, exclusively shared with the Guardian: "A system in which local leaders have long been expected to look 'upwards' for instruction generates paralysing uncertainty, disempowerment and leadership churn.
"This must be replaced by a clear message from the secretary of state that leaders should not wait for the NHS 10-year plan, but get on with reform aligned with the government's three shifts: towards prevention, digital, and community-based care.
Leaders should be empowered to work towards these goals now, with the reassurance that these efforts will not be wasted."
この記事は The Guardian の December 27, 2024 版に掲載されています。
7 日間の Magzter GOLD 無料トライアルを開始して、何千もの厳選されたプレミアム ストーリー、9,000 以上の雑誌や新聞にアクセスしてください。
すでに購読者です ? サインイン
この記事は The Guardian の December 27, 2024 版に掲載されています。
7 日間の Magzter GOLD 無料トライアルを開始して、何千もの厳選されたプレミアム ストーリー、9,000 以上の雑誌や新聞にアクセスしてください。
すでに購読者です? サインイン
New year refresh A month-by-month guide to sorting out your finances
Rupert Jones and Hilary Osborne offer a checklist of the vital tasks you need to tackle throughout the year, from filing your tax return to making the most of your holiday cash
Lost in music How Britain's clubs are disappearing fast - and why they are worth rescuing
When the patrons of Watford's Przym nightclub celebrated New Year's Eve a year ago, they were marking the end of an era - or rather, seven eras.
Nissan shares down 15% as investors react to plan for merger
Shares in the Japanese carmaker Nissan have taken their biggest fall since August's stock market sell-off, as investors turned their attention to the company's planned tie-up with domestic rivals Honda and Mitsubishi.
Climbing out of trouble? Rise in share price suggests BA's turbulent days may be over
It's been a long and turbulent time since anyone used British Airways' old slogan \"the world's favourite airline\" with a straight face.
North-south divide flips as EU's periphery beats core economies
The European Central Bank is facing a tough balancing act in 2025, trying to navigate a reversal of fortunes in eurozone economies as the hardest-hit nations of the 2010s debt crisis outperform the traditional core.
Number of retailers on the brink of collapse up by 25%
Footfall levels up 18% on Christmas Eve compared with last year.
London-listed mining company halts operations in Mozambique
The London-listed mining company Gemfields said yesterday it had temporarily halted its ruby mining operation in Mozambique after groups \"took advantage\" of political unrest to attempt to invade and set fire to its site, resulting in two deaths.
Aid convoy reaches besieged area of Sudanese capital
An aid convoy has reached a besieged area of Khartoum for the first time since Sudan's civil war broke out in April 2023, bringing food and medicines in a country where half of the people are at risk of starvation.
Mexico The mayor who turned wasteland into a utopia
Mexico City's mayor, Clara Brugada, has never been afraid to court controversy and has taken some imaginative steps in her efforts to undo decades of economic and cultural inequality.
Crisis on cat island On Aoshima, is time finally running out for human and feline inhabitants?
The reason for Aoshima's nickname is clear before we set foot on the island.