Full Engagement with the NHS in an integrated age: reflections on past endeavours (the Wanless Report) and current challenges (the  anti-vaxxer movement)

Full Engagement with the NHS in an integrated age: reflections on past endeavours (the Wanless Report) and current challenges (the anti-vaxxer movement) Jill Manthorpe, Steve Iliffe, Richard Bourne Journal of Integrated Care, Vol. ahead-of-print, No. ahead-of-print, pp.- It is over 20 years since the publication of the Wanless Report, “Securing our Future Health: Taking a Long-Term View”. The Wanless Report argued that the National Health Service (NHS) would survive in its current form only if the population became “fully engaged” with it.In this discussion paper, the authors explored what “fully engaged” meant to Wanless, what it might mean now (allowing for the impact of the anti-vaxxer movement) and what policymakers could do to enhance public engagement.Although the Wanless Report neatly fitted into other long-term thinking about the NHS, it was unique in that it built economic models to predict the costs and impact of different patterns of NHS performance. Wanless predicted that people’s poor levels of health would put considerable pressure on the NHS. This pressure could swamp efforts to meet healthcare targets and improve health outcomes, despite its sizeable investment of money. Wanless set out three possible scenarios for public engagement with the NHS: solid progress, slow uptake and fully engaged.The authors pose questions for policymakers and practitioners. Would a reboot of the Wanless approach be worth the effort for policymakers? If yes, how woul...

Source: Journal of Integrated Care - December 28, 2023 Category: International Medicine & Public Health Authors: Jill Manthorpe Steve Iliffe Richard Bourne Source Type: research