Health On The Line

By the end of 2023, Barking, Havering and Redbridge University Hospitals NHS Trust had made the most improvement on waiting lists for emergency care than any other trust in England. How did they do it? In this episode, Matthew Taylor sits down with the trust’s chief executive, Matthew Trainer, to find out more, and they get candid about leadership and improvement in testing times. Matthew details the challenges faced since taking up post in 2021 and how investment in management, staff engagement, primary and community care and digital transformation has supported the London trust’s improvement journey.

Plus, with the results of the mayoral elections now in, Matthew Taylor unpacks why they matter to the NHS. He is joined by the NHS Confederation’s head of health economic partnerships, Michael Wood, who explains why metro mayors should be seen as ‘chief delivery officers’ and why the country is becoming more accustomed to devolution. 

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Vaccinations are one of the most effective public health interventions, but what evidence is there of their economic and social value? Is there really a return on investment and what are the interlinks with health, work and prosperity? In this episode, Matthew Taylor put these questions, and more, to Lotte Steuten, deputy chief executive of the Office of Health Economics and Chris Thomas, head of the Health and Prosperity Commission at the IPPR, whose organisations have delved into the detail of these issues.

Tune in for insights on the ROI to the economy and health service, implications on elective recovery, the impact of in-work sickness and lessons from the COVID-19 pandemic.

Advisory note: A number of licenses have now been granted for vaccinations and immunisations against respiratory syncytial virus (RSV) in the UK.

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With a general election looming, how does the public really feel about the NHS? And how are the main political parties responding? To scratch beneath the surface, Matthew Taylor sits down with Kate Duxbury and James Frayne to explore attitudes towards the health service. Delving into views on access, performance and staff and perceptions on waste, efficiency and spend, they consider where next for the NHS.

 

Kate is a research director leading health policy research at Ipsos. James Frayne is a founding partner at Public First.

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In this episode of Health on the Line, host Matthew Taylor takes a deep dive into the state of primary care in England with special guest  Professor Aruna Garcea . As a leading figure in primary care and a practising GP, Professor Garcea offers insights into the challenges and opportunities facing the sector. From increasing demand to the uncertainty surrounding funding and industrial action, they explore the complexities of sustaining quality care amid financial pressures. 

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Dr Rachel Clarke was on the front line of the NHS’s response as the COVID virus swept across the country in early 2020. Her book, Breathtaking, which captures her experiences dealing with the pandemic has now been fictionalised in an ITV series. Matthew talks to Rachel about why she wrote the book and made the TV series, the sacrifices made by staff during the pandemic and the disconnect between the public reality of the pandemic and government policy at the time.

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Vaccination is the second most effective public health policy after clean water, yet vaccination rates in the UK are falling. In this episode, Steve Russell, NHS England's chief delivery officer and national director for vaccinations and screening, debates why and how the recently published vaccination strategy has a unique opportunity to impact health gain.

 

Sitting down with Matthew Taylor, they discuss why vaccination should be a national priority, how access can be improved through deeper community engagement, and how integrated care systems can overcome delivery challenges given their pivotal role.

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Are systems set up to meet the needs of future generations? Is enough being done to act on the social determinants of health? In this episode, we hear five perspectives on these questions and get their take on why – and how – the relationship between the NHS, citizens and communities needs to change.

Recorded at the ICS Network’s conference in November and chaired by Jacob Lant, chief executive of National Voices, the episode features:

• Haris Sultan, NExT Director programme and member West Yorkshire ICB
• Oliver Coppard, Mayor, South Yorkshire
• Leanora Volpe, Anchor Programme Lead at South East London ICS
• Marsha McAdam, Service User Representative and Vice-Chair, Mental Health Network.

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People with a learning disability have poorer health and experience greater and persistent inequalities in health. So how can we shift the dial? In this episode, Dr Jane Padmore, chief executive of Sussex Partnership NHS Foundation Trust, explores how reimagining the workforce, making better use of the voluntary sector and deepening understandings of learning disability, autism and neurodiversity can go some way. Jane, who is also chair of the Mental Health Network’s Learning Disability Forum, shares how a life-changing summer placement ignited a life-long passion that has shaped her career.

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In this special episode, Matthew Taylor sits down with Sam Allen and Penny Pereira to explore the nuts and bolts of improvement at system level, its role in large-scale change and propelling transformation. Get to grips with improvement fundamentals, the factors needed for it to flourish and why building community is key to making it stick. This episode follows the launch of a new partnership between the NHS Confederation, Health Foundation and Q community to support health and care systems to learn and improve. Sam Allen is chief executive of North East and North Cumbria Integrated Care Board and Penny Pereira, managing director of Q at the Health Foundation.

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The NHS has renewed its focus on improvement, with integrated care systems charged with becoming ‘self-improving systems’ across England. While a necessary challenge, no other country in the world has undertaken improvement at this scale. In this episode, Matthew Taylor sits down with Prof Sir Chris Ham to unpack the system model of improvement – what it means, where it is working well and how it can shift the dial. It draws out key lessons from Sir Chris’ report, commissioned by the NHS Confederation, Health Foundation and Q community, on how to improve health and care at scale.

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