Speeches by Kinnock.

“Yes, because the strategic commissioning piece of the MSF is, by definition, about tackling or improving services for underserved areas. What you are saying is, with the finite resource we have, where should that resource be prioritised? It is absolutely clear that it should be prioritised on underserved areas, whether…”

“Yes, I think that one of the reasons that there has been fragmentation and inconsistency in the delivery of services and in tackling inequalities is that there has not been a national set of standards and goals. That is what the MSF will seek to address. We know that improving services for underserved areas is an integ…”

“ICBs have to be an umbrella organisation that looks at primary care, community care, secondary care and acute care holistically and on a level playing field, not where you just continue with the “business as usual” approach of favouring secondary and acute. If that continues, the 10-year plan will fail.”

“Absolutely. To take your point about the adult social care plan, we are not sitting on our hands and waiting for the Casey commission to report. We have done the uplift for unpaid carers, we are working on a revolutionary fair pay agreement for adult social care workers to address vacancies in the workforce, and we hav…”

“Let’s take GPs, for example. We currently have the GPwER—the general practitioners with extended roles—framework, which defines the skills, capabilities and standards to which a GP should be able to work when it comes to dealing with a patient who needs palliative or end-of-life care. That would be the basic building b…”

“I think it varies from area to area. We do see some examples of ICBs winning the argument with the trust, and the trust accepting—”

“The workforce plan is going to look at the different professions across every aspect of the workforce, so palliative and end-of-life care will absolutely be covered in that process. My colleague Karin Smyth is leading on the development of the workforce plan, and it is all being quite closely guarded until publication …”

“The independent Casey commission is going to report this year on its first piece of work to define the national care service—the standards and goals that we need to see through the national care service—and then, of course, there will be a second-phase report that will look more at the funding of adult social care.”

“I am looking at Sarah, but I am assuming that—”

“Every ICB is held to account by NHS England every year. They have to produce—”

“I completely agree. This is part of the culture change that I was discussing with the Chair earlier—how do you create an integrated approach? I think the neighbourhood health framework will help with that, as it is about almost starting with a blank sheet of paper and saying, “We now need to do away with all the old po…”

“That is what the 10-year plan is about. It is about creating a neighbourhood health framework and strategy.”

“We have the pharmacy quality scheme. Under the community pharmacy contract, pharmacies get certain payments, based on their quality criteria, one of which is palliative and end-of-life care. Do they stock the 16 end-of-life care medications? If they do, they qualify for that under the community pharmacy contract. They …”

“They were totally integrated. That is what we need to get to.”

“The Liberal Democrats were very pleased with that as well, I am sure. I also chair a cross-departmental working group with DFE, because of young carers; DWP, because of exactly the social security dimension to this; and DBT, because of the employment side, and trying to encourage employers to have a more progressive ap…”

“We have to make that work.”

“Unpaid carers have a voice in the MSF. The name of the organisation escapes me now, but one of the main voices for unpaid carers is one of the voices in the MSF stakeholder engagement process. We are also very proud of the fact that we provided the uplift to carer’s allowance, which was the largest uplift since the sch…”

“The trend from the dashboard shows that the closer you are to the community, the less likely it is that you would have to go into emergency admissions.”

“I think once every two months I meet the head of ADASS and the head of the LGA jointly, and BCF always comes up. There is good practice. I recently visited a hospital in Bradford where they had a delayed discharge team made up of a combination of hospital staff and local authority staff sitting in the same office in th…”

“Yes.”