One of the main headlines in the news this morning is that without extra funding, the NHS is in dire straits and patients are beginning to suffer as a result of less financial provision than is needed.
One of the things I have trained in, during my career is Solutions Focused Therapy. It’s a fantastic way of helping someone to open their mind to new possibilities once they become stuck in a rut. So, for example, when someone is struggling with depression, there can be a downward spiral of thoughts that prevents the person being able to see much hope for the future. What SFT does, is to awaken the imagination to some other possibilities. The more colour and variety that can be painted the better. So, if you’re feeling low/down/hopeless/sad/apathetic/bored/exhausted, I might invite you to imagine what life might be like if you weren’t feeling that way. You might tell me that you’d feel happy and then I would ask you to tell me what ‘happiness’ might be like for you. I’d ask you to describe in as much detail as possible how you would know that you were happy – what would be different? I’d get you to put as much colour on that as possible. And once I understood how you would know you were happy, I would ask how others around you would know – what your partner/children/friends/pets would notice about you…….suddenly your mind is alive with an alternative reality to where you are currently and although things won’t be suddenly better, your mind has been awakened to another way of being! And that brings a beautiful thing – it brings possible solutions to the problem.
There is no doubting that the problems in the NHS are vast. One of the things I have found is that if you try and enable someone to think about the solutions without allowing them to tel you what the problems are, you won’t get very far. A certain amount of catharsis and expression of the issues is important. So here goes: here is a picture of the problems the NHS faces (and these have already been stated many times over, but let’s just be clear):
The NHS is under-funded. Cuts to other services, like social care have also had a massive impact on the NHS as a system being able to work and targets are being missed as a result. People are living longer and this means more complex health problems and a rise in dementia. There is more obesity and diabetes and this has a huge impact in the cost of healthcare. The way the NHS is funded is ludicrous and puts parts of the system that should be working collaboratively in direct competition with each other. Teams across the NHS are clumsy and clunky with little ability to work smartly due to constraints of historic ways things were set up. Demand and expectation are extremely high and yet there are multiple missed appointments. And I could go on!
BUT we CANNOT stay on the merry-go-round of problems. We cannot continue to simply eat moany pie together and complain about the issues. Throwing mud and finger pointing, blaming everybody else but ourselves will solve nothing. The awful tribalism and over politicization of the NHS is preventing us from finding a way forward. What might health and social care in this country be like if open our mind to new possibilities? What if we stopped focusing on all the problems and dreamed of how things might be in 5, 10, 50, 100 years time? We’ve been doing this in Morecambe Bay and we’re moving from not only dreaming but to doing something different!
We’re working with our communities to help us all live more healthy lives, thinking about health as a social movement. 97% of all health monies are spent once people are ill. We’re taking prevention seriously! We are breaking down walls between our organisations and sharing our budgets. We’re building relationships between clinicians and managers across many diving lines. We’re collaborating to share our resources and using our budgets in a way that makes sense for our communities. We’re unashamedly talking a new language of love, building trust and establishing infrastructures of positive peace. We’ve worked out where we are being inefficient and sharing our conundrums with our communities (we do actually have to be responsible about what we spend – the NHS is not carte blanche). We’re working out how to work differently and more smartly. We’re sorting out our IT. We’re redesigning care so it makes more sense for our patients. We’re working on our consultation and communication skills. We’re being more proactive in getting positive messages out there. We’re building for the next 100+ years not just the next political cycle. This is better care together!
At this point in time, it is vital that our collaborative efforts are not allowed to fail. We are working hard at so many levels. We are doing all that is being asked of us. We are playing ball. Now we need the government to put their money where their mouth is. Holding the funding as it is will see us and many other areas trying to do the same thing fail in the process and this would be a great tragedy. The solutions, of which there are many, will be in jeopardy. But this is not the time to lose hope. This is the time for us all to make good the dreams we hold for the future.