NHS England

Report from the Taskforce on Multiple Conditions

The Taskforce on Multiple Conditions has published the results of its ethnographic research into living with multiple long term conditions. This report uncovers the factors that impact their daily lives, towards improving systems and services based on what matters to them.


Public Accounts Committee: report on the interface between health and adult social care

This report concludes that the government still lacks an effective overall strategy or plan to achieve its long-held aim to integrate the health and adult social care sectors. It calls for the government to set out a costed 10-year plan for social care to go with its 10-year NHS plan.


Patients in special circumstances will now be able to access medicinal cannabis, after a decision by the Home Office to reschedule cannabis-based products for medicinal use. This follows an outcry earlier this year relating to children with treatment-resistant epilepsy being denied access to the cannabis oil which had been helping to control their seizures. See website update.

Living Better Longer

This document sets out the government’s vision for putting prevention at the heart of the nation’s health.

The document sets out the government’s vision for:

  • stopping health problems from arising in the first place
  • supporting people to manage their health problems when they do arise

The goal is to improve healthy life expectancy by at least 5 extra years, by 2035, and to close the gap between the richest and poorest.

collection of case studies has been published, showing examples of good practice in preventing health problems from happening.

Published 5 November 2018

NHS Continuing healthcare briefing

NHS continuing healthcare is a package of care arranged and funded solely by the NHS to meet physical and/or mental health needs that have arisen because of disability, accident or illness. Eligibility decisions for NHS continuing healthcare rest on whether someone’s need for care is primarily due to health needs. For example, people who are eligible may have complex medical conditions that require highly specialised nursing support.

As services provided by the NHS are free, whereas those arranged by local authority social services are means tested, the outcome of any decision as to who has responsibility for providing care can have significant financial consequences for the individual concerned. A separate Library briefing paper, Financing care home charges(SN01911), is designed to help answer constituents’ queries about the local authority means-test for care home charges.

Following concerns about the local criteria used for making decisions about eligibility for NHS continuing healthcare, and challenges to the legality of individual eligibility decisions in the courts, in 2007 the Department of Health issued a National Framework for NHS Continuing Healthcare. This Framework was intended to improve the consistency of approach taken by local NHS bodies by providing a common framework for decision making and the resolution of disputes. The latest version of this Framework was published in March 2018 and will be in operation from 1 October 2018.

This briefing paper provides a summary of the key areas within the National Framework and other important Department of Health and Social Care documents. Links to these documents, and briefings from other organisations, can be found at the end of this note. The official guidance should be consulted for a fuller account of the rules and duties that apply to NHS bodies responsible for determining eligibility for NHS continuing healthcare.

Clinical Commissioning Groups are responsible for commissioning NHS continuing healthcare in England, although NHS England also has commissioning responsibilities for some specified groups of people (for example, prisoners and military personnel).

NHS continuing healthcare in England was recently the subject of a report authored by the National Audit Office, published in July 2017, as well as an inquiry undertaken by the Public Accounts Committee, which reported in January 2018.  Both these reports were critical in particular of the difficulties experienced by individuals in accessing NHS continuing healthcare.  In its response, published in March 2018, the Government accepted many of these criticisms and set out further work to improve the accessibility and efficacy of the current system and its processes.  This briefing paper details the findings and recommendations of these reports, as well as the Government’s response to them.

A separate Library briefing paper, Background to the National Framework for NHS Continuing Healthcare (SN04643) provides an account of the preceding guidance and case law.

Commons Briefing papers SN06128

Authors: Tom Powell; Andrew Mackley

Topic: Health services



The future of healthcare: vision for digital, data and technology in health and care

This paper outlines what is needed to enable the health and care system to make the best use of technology to support preventative, predictive and personalised care.


Published October 2018


Knowledge session: What it means to be a facilitator 23rd October 2-4.30 pm  Holiday Inn, Haydock

 From the Innovation Agency
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For the third in our series of knowledge sessions, we’re continuing our learning exchange by revisiting the Health Foundation’s habits of an improver, this time looking at what it means to be a facilitator.
This session will explore why facilitation is important and the skills and methods we can bring to our teams and beyond.

We’ll be trying out some practical methods and tools that will help you get better results from meetings and groups, including simple coaching techniques and an introduction to Liberating Structures, which are new ways of organising the way we interact to get work done.

This session is for you no matter what your role – clinician, manager, technician, administrator.  We’ll also be giving a free copy of the Liberating Structures handbook to all participants.

To book your place at the event, please register below:
Register now

House of Commons debate on acquired brain injury Monday 18 June.

This was a great opportunity to raise awareness of acquired brain injury in parliament and the UK Acquired Brain Injury Forum was keen to ensure the event was well attended.

We were delighted to have John Woodcock MP for Furness, another survivor in parliament discuss honestly what a difficult time people faced after a brain injury

It was excellent too to hear mention of the need for a rehabilitation prescription and need for rehab consultants in all Major Trauma Centres by  MP in the

Many of us watched the live screening of the debate and this comment was made on Twitter by our treasurer Nicola Hughes:

“Feeling quite emotional that the parliamentary debate on is happening right now! Thank you from someone who is quite exhausted due to how irresponsible the current process is! Living is so much more than surviving! Rehab rebuilds a life!

CQC Local System Review of Health and Social Care in Cumbria

In February 2018 the Care Quality Commission carried out a Local System Review of Health and Social Care in Cumbria.

The purpose of this review was to understand how people over 65 move through the health and social care system with a focus on the interfaces between services and it is one of 20 targeted reviews taking place across the country.

The review report has been published by the Care Quality Commission and is available on their website: http://www.cqc.org.uk/news/releases/cqc-publishes-review-how-local-health-social-care-systems-work-together-cumbria

The next step is to develop a plan which sets out how the local system will implement the recommendations. Cumbria CVS would like to involve you in helping to shape this plan before it is agreed by the Health and Wellbeing Board. They are holding three workshops on the following dates:


11 June 2018              9:30 – 11:30                The Oval Centre, Workington

12 June 2018              9:30 – 11:30                Botcherby Community Centre, Carlisle

14 June 2018              9:30 – 11:30                Castle Street Community Centre, Kendal

The objectives of these sessions are to:

  • share the findings of the system review, update on progress that has already been made and the next steps
  • discuss and shape the action plan for Cumbria

We would be pleased if you could attend one of these sessions. To confirm your attendance please email cqcsystemreview@cumbria.gov.uk by Friday 8 June 2018 confirming your details and which session you are attending.

Kind regards

Jozi Brown  Senior Engagement Officer   Cumbria CVS

 Shaddongate Resource Centre     Shaddongate    Carlisle    Cumbria CA2 5TY

 Tel: 01768 800350    Email: jozib@cumbriacvs.org.uk


  Registered Charity No: 1119671

Funding pressure on NHS and social care set to grow

Funding pressure on NHS and social care set to grow: This Institute for Fiscal Studies (IFFS) report finds that UK spending on healthcare will have to rise by an average 3.3% a year over the next 15 years just to maintain NHS provision at current levels, and by at least 4% a year if services are to be improved.

Social care funding will need to increase by 3.9% a year to meet the needs of an ageing population and an increasing number of younger adults living with disabilities. It will need to increase by more to accommodate much needed social care reform. Read more