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Chris Hopson

@ChrisHopsonNHS

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Chief Strategy Officer @NHSEngland . On a mission to inform and explain what is going on in the NHS.

London
Joined February 2014
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
10 days
Very welcome announcement today on new NHS drug treatment that will help 1,000s of sickle cell patients have a better quality of life. Part of wider NHS drive to improve quality of care and tackle the stigma & challenges sickle cell patients face. New🧵1/x
@NHSEngland
NHS England
@NHSEngland
10 days
Thousands of sickle cell patients have been given a new treatment lifeline by the NHS from today, following the approval of a new drug for the disease. This innovative treatment could help up to 4,000 people with sickle cell disease.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
Deeply uncomfortable with references to Home Secretary’s work being challenging and this providing some justification of, or explanation for, inappropriate behaviour. All top public service leadership roles are challenging. Whole point is to absorb pressure & lead well, isn’t it?
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
4 years
Q. How, as a Government, do you really irritate NHS trust CEOs at the end of another difficult, busy, hard, week? A. Announce two major operational policy changes on visiting and PPE usage at 1700 on a Friday afternoon without any notice or consultation. They are not amused!
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
How's NHS doing at moment in relation to omicron and other pressures? New thread based on latest data. Note that we prefer to use numbers of covid-19 patients in hospital, rather than new admissions, as two days more up to date and better represents whole picture...1/19
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
On 12 Dec @BorisJohnson asked NHS & local govt to massively expand booster campaign at huge pace. Latest data & like for like days (Tues 7 Dec to Tues 21) show boosters administered has gone from 391k to 968k a day (a 2.5x increase) in fortnight. R/T if you agree this is amazing!
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Describing the NHS as “feckless”, as @Telegraph did last week, is insulting and inaccurate. NHS staff are working completely flat out to provide the best possible care amidst a wide range of very difficult challenges. Letter in today’s @Telegraph 👇. R/T or like if you agree.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
93k NHS staff vacancies. £6bn spend on temporary staff to fill gaps. 55% of staff working unpaid extra hours each week. 44% saying they've felt ill with work related stress. NHS desperately needs long term workforce planning. Govt must make this happen this week. R/T if you agree
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
How’s NHS? Staff completely flat out & beyond full stretch. Busier than ever before at this time of year. Major workforce/demand challenges. Before full impact of winter/omicron. Worrying. But as committed as ever to providing outstanding patient care to all who need it!🧵. 1/25
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Chris Hopson
@ChrisHopsonNHS
2 years
1/25 NEW THREAD. Where's NHS up to? Flat out, doing its best for patients, as ever. But struggling with covid and impact of long term fault lines. Concerning pressure, despite front line effort. Sits alongside interview today with @thesundaytimes :
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
London NHS pressure mounting rapidly. Hospitalised covid patients up 30% in week vs national 4%. At 1,534 yesterday (vs 8k in Jan'21 peak). Covid linked staff absences up 140% from 1,900 Sunday to 4,700 Thurs. Some trusts now having to postpone non essential activity 🧵..1/6
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Chris Hopson
@ChrisHopsonNHS
2 years
NEW thread 5 Jan. SUMMARY. NHS stretched like never before. London still showing lower hospitalisation growth. But growing concerns that the assumption the rest of country will match London pattern may be wrong. Also must recognise impact of pressure on patients & staff. 1/24
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Chris Hopson
@ChrisHopsonNHS
2 years
Another, new, update thread on where the NHS is up to, given fast moving situation. Draws on latest performance and covid data and recent intelligence from trust CEOs. Also looks at staff absences, access to tests and NHS work to create extra surge capacity. Happy New Year! 1/25
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Chris Hopson
@ChrisHopsonNHS
3 years
1/25 Update thread on where NHS hospitals are at the moment, concentrating on 3 things: a) hotspot hospital admission rates. b) overall pressure. c) what this may mean for easing lockdown measures (spoiler alert - we will need a full, evidence based, debate given trade offs!)
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Chris Hopson
@ChrisHopsonNHS
2 years
Another, NEW, update thread for Mon Jan 3, given fast moving NHS situation. Looks at NHS pressures incl staff absences, covid caseload & what trusts are doing to meet pressure. Particular emphasis on latest hospitalisation data and why trusts may declare critical incidents. 1/25
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Chris Hopson
@ChrisHopsonNHS
3 years
1/5 Lots of talk today about “being over the peak” and what that means for how quickly we can relax restrictions on social contact. But there are still 26,000 covid-19 patients in hospitals. That's 40% more than the peak in the first phase of covid last April…
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
1/20 Government lockdown exit roadmap due next week. NHS trust leaders clear, as they’ve been throughout the pandemic, that we need to be cautious. With a strong focus on data, not dates, they think there are four tests to meet before lifting restrictions. New thread below.
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Chris Hopson
@ChrisHopsonNHS
2 years
This keeps coming back to the same underlying strategic point. Pre-covid NHS didn’t have enough capacity to meet demand. And we are asking our staff to work harder and harder to try to close gap. This is unsustainable. These issues must be addressed for the long term. 24/24
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Chris Hopson
@ChrisHopsonNHS
3 years
Very disappointing Govt is erroneously arguing that only 1% 21/22 NHS pay rise is affordable when Long Term Plan assumed 2.1%. Cost covered by May Govt NHS settlement, now enacted in law. Only possible argument is extra COVID costs - but Chancellor promised he'd cover those.
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Chris Hopson
@ChrisHopsonNHS
3 years
1/31 Lots of media coverage, rightly, on huge NHS pressure. What’s cause of, and how widespread, is pressure? How is NHS responding? How serious is this & what’s impact on patients & staff? What’s likely to happen over next few weeks? Long new explainer thread below in two parts.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
BBC reporting record 4.9 million with covid-19: . Now 4.9 million and one. It has finally struck, two years in. Sorry if I have unknowingly infected anyone over the last 24 hours. Any tips for getting through welcome.
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Chris Hopson
@ChrisHopsonNHS
4 years
1/24 It’s clear from London CEOs that London trusts are now in the full flow of managing explosion of covid19 related demand we were all expecting. Thought it would be helpful to share impressions of what’s happening and what others can start to learn from London’s experiences….
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Chris Hopson
@ChrisHopsonNHS
2 years
1/2 Honoured & delighted to be joining @AmandaPritchard 's team @NHSEngland as Chief Strategy Officer. I'll lead on strategy, policy, stakeholders, communications and green agenda. Excited! Pleased to carry on supporting NHS frontline to deliver outstanding care/improve outcomes.
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3 years
1/27 Lots of current focus on interaction between increasing levels of COVID-19 cases and NHS, in the context of relaxing restrictions on 19 July. New thread follows. Key questions to answer: what's the likely impact on NHS, can it cope and what does this mean for 19 July?
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Chris Hopson
@ChrisHopsonNHS
2 years
Chief Executives incredibly grateful for commitment and professionalism of front line staff to cope with these pressures. At present, optimistic they can cope with current caseload. But worried about what may be coming. Preparing for the worst but hoping for the best. 19/19
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Chris Hopson
@ChrisHopsonNHS
3 years
1/21 Parliament votes on the new tiered restctions on Tuesday. A lot of comment in today’s papers on what’s happening in the hospital sector. Important questions on NHS capacity, demand, preparedness, Nightingales etc. Thread below sets out NHS hospital trust perspective.
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Chris Hopson
@ChrisHopsonNHS
2 years
Talking to trust chief executives this morning, what’s very interesting is how many are talking about number of asymptomatic patients being admitted to hospital for other reasons and then testing positive for covid. Some are describing this as ‘incidental covid’… 7/19
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Chris Hopson
@ChrisHopsonNHS
2 years
NHS preparing for worst & hoping for best. Staff flat out, esp. given level of staff absences. We will need to ask them to perform flexible heroics again if hospital covid numbers continue to rise. We can’t keep doing this. Long term NHS capacity issues must be addressed. 25/25
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Chris Hopson
@ChrisHopsonNHS
4 years
Trust leaders disappointed to hear the superhuman work they and front line staff have been doing over the last 8 weeks described as "panic and chaos". What's been achieved is unprecedented in the NHS's 72 year history. Our new press comment on @TheLancet editorial.
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Chris Hopson
@ChrisHopsonNHS
2 years
In the words of one hospital chief executive in the South West this morning: “we’ve seen a 30% increase in covid positive inpatient numbers compared to 7 days ago. But largest proportion are incidental finding on admission, so covid-19 is not the reason for admission….11/19
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
9 years
Look what my mum found - we think it was given to my dad when he left the Navy in 1948. Love the words at the bottom! http://t.co/C1FzC132EX
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Chris Hopson
@ChrisHopsonNHS
3 years
1/42 Good to see yesterday’s @thetimes editorial attacking the pandemic of covid misinformation. Here’s my twitter contribution to fighting it, as suggested. Lockdown and covid sceptics continue to consistently misuse cherry picked data to argue NHS not unusually busy.
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Chris Hopson
@ChrisHopsonNHS
2 years
Striking how many chief executives are saying that, on current evidence, they think omicron related staff absences may be a greater challenge than number of omicron related severely ill patients they have to treat. Several trusts told me today they’re now at point…17/19
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Chris Hopson
@ChrisHopsonNHS
3 years
Always delightful to wake up to reasoned argument emails having done @BBCNewsnight the night before! Sigh.
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Chris Hopson
@ChrisHopsonNHS
4 years
Just about to do @BBCr4today . Will share NHS trust leader frustration at being on the end yesterday agternnon, once again, of two major operational announcements from Government without notice or consultation.
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Chris Hopson
@ChrisHopsonNHS
3 years
1/25 New update thread with latest on covid-19 infections and hospital admissions and what these might mean for June 21 decision on easing lockdown measures in England. Quick reminder: @NHSProviders is the voice of English NHS trusts:
Press office

Details of who to contact with media enquiries

nhsproviders.org
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Chris Hopson
@ChrisHopsonNHS
2 years
SUMMARY Rest of country now under pressure. Some trusts declaring critical incidents to manage staff absences. Recent London data, fact that London/NHS currently "coping" & absence of large nos. of seriously ill offer grounds for optimism. But future still uncertain. 25/25
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Chris Hopson
@ChrisHopsonNHS
2 years
Trusts not, at moment, reporting large numbers of patients with severe Covid type respiratory problems needing critical care. Also not needing to massively increase use of oxygen. Both of which we saw in last Jan’s delta variant peak + very difficult critical care surge…8/19
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Chris Hopson
@ChrisHopsonNHS
2 years
Frustrating though it may be, we need more data before we can reach any firm conclusions on what the full risk from omicron is. It’s still far too early to say that we don’t need to worry about omicron and hospitalisations as some are unhelpfully saying / implying. 14/19
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Chris Hopson
@ChrisHopsonNHS
2 years
We should therefore be cautious about over-interpreting current raw covid admission data. As covid community infection rate rises rapidly due to omicron, we will get more cases of this type of incidental covid-19 in hospital. Raw data doesn’t distinguish between two. 9/19
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Chris Hopson
@ChrisHopsonNHS
3 years
25/25 We need a real quality of informed, evidence based, debate on the trade offs here. A debate led by political leaders, supported by high quality media coverage. A better quality and richer debate than we have had on these issues in previous phases, perhaps? Here’s hoping!
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Chris Hopson
@ChrisHopsonNHS
3 years
COVID-19 alert level may have dropped to level 4 but no-one in NHS anywhere near declaring this phase of battle won. 13,000 C-19 patients still in hospitals. c1,000 new cases being admitted a day. 46% more critical care beds occupied than this time last year. Long way to go yet.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
25/27 …In the words of one CEO today “We are really worried in our system about the number of unvaccinated young people we are seeing with mild covid-19 disease who are then developing serious long covid type symptoms shortly after. Not just a few, a significant number”
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
1/12 NHS monthly stats due out tomorrow. Although the number of covid hospital cases is significantly lower than many were predicting/fearing, the NHS is still under huge pressure due to a combination of six factors. Stats will show this tomorrow. Shorter thread (🤣) follows!
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
25/25 We need right funding, right size of workforce, right support for social care, right level of NHS capacity to meet growing demand and a funded change programme. To make existing model work. Calls for new model & unwarranted criticism of NHS leaders/efficiency a distraction.
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Chris Hopson
@ChrisHopsonNHS
4 years
If you have spare time today, you could read this briefing which sets out why the NHS will be able to successfully meet this initial peak of demand and what happens next. It's been described as "outstanding", "fascinating" and "mercifully waffle free"!
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Chris Hopson
@ChrisHopsonNHS
2 years
We must also remember that, as a whole, NHS remains under huge pressure. Trust leaders are telling us that, whilst they can cope with current covid caseloads, staff are at full stretch. Trusts also expect to come under greater pressure as they head into January. 15/19
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Chris Hopson
@ChrisHopsonNHS
2 years
“It’s therefore important to look at the total number of patients admitted, not just the raw number of covid patients admitted, particularly if they don’t need full covid care. For our trust as a whole, overall admissions are no higher than they were seven days ago”…12/19
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Chris Hopson
@ChrisHopsonNHS
3 years
5/5 We saw last year what happened when we released restrictions on social contact too quickly. The impact of the vaccination will help significantly...over time. But to save lives and reduce patient harm, we need a cautious, evidence based, approach to relaxing the restrictions.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Trust leaders tell us the vast majority of hospitalised covid patients in London are not vaccinated, which they find frustrating. Especially since it prevents their trusts from providing the best possible care to all those who need it, covid and non-covid patients alike...5/6
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Chris Hopson
@ChrisHopsonNHS
2 years
SUMMARY. NHS is experiencing significantly higher pressure than we have ever seen before at this time of year. This is putting pressure on staff, quality of care and patient safety. But everyone in NHS working flat out to deliver best possible care to all those who need it. 25/25
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Chris Hopson
@ChrisHopsonNHS
2 years
Important to note these cases will bring complications for hospital/community services as patients will need to be isolated to avoid cross infection and they will add to overall pressure. But these cases are, obviously, not same as covid driven serious respiratory illness. 10/19
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Chris Hopson
@ChrisHopsonNHS
2 years
…Where they need to redeploy staff to keep essential services going. If current trajectory in covid staff absences is maintained, these pressures will grow significantly. In this context even relatively small numbers of extra covid cases will bring big difficulties...18/19
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Chris Hopson
@ChrisHopsonNHS
2 years
The impact on staff is also significant given that we are asking them, once again, to make an extraordinary effort. The cumulative impact of what we have asked staff to do over the last 18 months can be significant and distressing. For example: 21/24
@LBC
LBC
@LBC
2 years
'I come home, I cry. This morning I didn't want to go. I cried before I went, but I went.' This Eddie Mair caller, who works in A&E, speaks of the 'totally unsustainable' situation at her workplace. @eddiemair
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Chris Hopson
@ChrisHopsonNHS
2 years
Staff absences having greater impact in many trusts. Much greater pressure on social & primary care. All having big impact. NHS – community, mental health, ambulances and hospitals alike – and social care beyond full stretch. Staff facing mountainous workload day in day out. 5/25
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Chris Hopson
@ChrisHopsonNHS
2 years
Short🧵on NHS covid surge capacity and how it would be staffed as this seems to be one of the NHS media topics of the day. It is important to understand the purpose and context in which NHS trusts will use extra covid surge capacity as this is linked to the staffing model. 1/11
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Chris Hopson
@ChrisHopsonNHS
2 years
Some important detail/nuance here. ICU occupancy broadly stable. Unlike last Jan, there are currently many fewer, seriously ill, older people needing critical care. Therefore less pressure to expand critical care & increase oxygen usage vs last year. Length of stay lower... 9/25
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Chris Hopson
@ChrisHopsonNHS
2 years
Other piece of positive news is that hospitals are still not seeing large numbers of seriously ill older people. Striking that CEOs across country are echoing London colleague in pointing to the fact that care home omicron outbreaks not translating into hospital admissions. 20/25
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Chris Hopson
@ChrisHopsonNHS
2 years
Problem therefore less one of patient acuity, intensity of care and length of stay required. More one of sheer volume of patient numbers needing general & acute (G&A) beds. Particularly if numbers grow fast. Relentless demand growth, if sustained, becoming biggest concern. 10/25
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Chris Hopson
@ChrisHopsonNHS
2 years
Trust leaders looking at data very carefully. Number of patients with covid-19 in English hospitals is definitely rising, but not precipitately so. Numbers across country as a whole have risen by 27% in a week - comparing figures for 27 December (released today) to 20 Dec...2/19
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Chris Hopson
@ChrisHopsonNHS
2 years
The current combination of staff absences, very busy urgent care pathway, planned care cases that can no longer be delayed & extending booster campaign all bring significant pressure. Right across GPs, social care, ambulances, mental health and community services…16/19
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Chris Hopson
@ChrisHopsonNHS
2 years
Equivalent figures for England as a whole are 8,474 covid patients in English hospitals today versus 34,336 in January peak (18/1/21) – 25% of that peak. So whilst numbers are growing, we are currently some way from number of hospitalised covid patients in previous peaks. 6/19
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Chris Hopson
@ChrisHopsonNHS
2 years
London data, in particular, is important as it’s been the clear epicentre of omicron up to now. Number of covid-19 patients in London hospitals has grown by 45% from 20 Dec to 27 Dec. There's currently a 14 day doubling time (1,360 on Dec 13 to 2,640 on Dec 27)….4/19
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Chris Hopson
@ChrisHopsonNHS
2 years
Public in London can help by getting vaccinated as fast as possible. Despite best NHS/local govt efforts, vaccination rates in London worryingly much lower than rest of England. Today's data: 1st dose 68% vs national 89%; 2nd dose 61% vs 82% & boosters 30% vs national 47%. 6/6.
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Chris Hopson
@ChrisHopsonNHS
6 years
I’d like to publicly applaud the fantastic work of frontline NHS staff in delivering a year on year improvement in Nov 2017 A&E performance (+0.5%) despite higher attendances (+1.9%), higher admissions (+1.1%) and less capacity (c-2%). Amazing and well worth celebrating!
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Chris Hopson
@ChrisHopsonNHS
2 years
We must, though, keep broader omicron context in mind. We still don’t know, and are unlikely to know for some time, whether we’ll see large numbers of seriously ill older people in hospital as omicron reaches older population and effects of Xmas mixing work through… 13/19
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@ChrisHopsonNHS
2 years
NHS now under different, arguably more, pressure compared to last Jan. Much busier urgent and emergency care pathway. Many more planned care cases that cannot be delayed without patient harm. Booster vaccination campaign significantly more resource intensive/complex…4/25
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Chris Hopson
@ChrisHopsonNHS
3 years
1/17 It's a been a year since the first COVID-19 patients were admitted to NHS hospitals. A year that's tested the NHS like no other. There are things we would do differently, now that we know more. But the NHS has done extraordinary things in near impossible circumstances...
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Thanks for all the congratulations on my new role @NHSEngland . It's humbling to have so many lovely messages of support. And it's great to have the chance to make this contribution to the success of our National Health Service, which is so important to us all.
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@ChrisHopsonNHS
3 years
31/31 FINAL THOUGHT. Trust leaders angry that, despite pressure, anti-lockdown/anti-NHS ideologues are still spreading lies & disinformation on how quiet, or badly prepared, the NHS is. They feel it's disrespectful to NHS staff giving their all in near impossible circumstances.
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@ChrisHopsonNHS
2 years
NHS not been able to grow capacity to meet growing demand. Had to try to close gap by asking staff to work harder, giving them an impossible workload, meaning they can’t provide care they feel patients need. And successive Govts failed to solve growing social care problems…19/25
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@ChrisHopsonNHS
2 years
…Serious capacity/demand mismatch & broken workforce model. We must sustainably address both including proper long term workforce planning. Given what's happened over last few weeks Omicron will also have significant impact on timeline / speed of care backlog recovery. 24/25
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@ChrisHopsonNHS
2 years
We need to give proportionate focus to daily London hospital admissions data. The data is important as it should give the earliest clinical evidence, and a good sense, of likely severity of omicron and hospitalisation/mortality rates for the specific UK context...1/10
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@ChrisHopsonNHS
4 years
24/24 Every member of the public can play our part too – STAY AT HOME and follow the guidance. Can’t stress how important this is and that this is for real. Hope helpful.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
I’ve had conversations with more than a dozen NHS trust CEOs outside London over the last 24 hours. They all, unanimously, challenged the assumption that the rest of country will automatically follow London on the shape and scale of, and ability to “cope” with, pressure. 7/24
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@ChrisHopsonNHS
2 years
Covid-19 keeps throwing up policy decisions requiring difficult judgements between competing objectives. Reducing covid isolation from 7 days to 5 is another one of these. There is often no “obvious single right answer” to these complex decisions, whatever some argue…1/19
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@ChrisHopsonNHS
2 years
COVID INFECTIONS AND HOSPITALISATIONS. Latest infection data shows rapid increase in community infections. Now turning, as expected, into increasing numbers of hospital admissions. 31st Dec data shows fifth day in a row of c1,000 extra new patients with covid in hospitals 2/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
@jonny5chins One reason was the longest and deepest financial squeeze in NHS history between 2010 and 2019 when real terms NHS funding increased by only 1.5% per year versus long term average of 3.8%.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
4 years
1/13 There is understandably a lot of concern around access to Personal Protection Equipment (PPE) for frontline staff. We are in real time dialogue with our member trust CEOs so I thought it might be helpful to set out what they have told us over the last 24 hours on this issue.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
And daily growth rates over the last week have been, from the 20th, 9%, 5%, 7%, 3%, 8%, 7% and 9%. Important to look at overall numbers as well as growth rates. 2,640 covid-19 patients in London hospitals versus 7,917 in last January’s peak (18/1/21) - a third of that peak…5/19
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
It's notable that we are now seeing growth in these numbers across the country, not just in London, as before. North West numbers up 38% in a week, East of England up 33% and Midlands up 23%. All comparing number of covid hospital patients 20 to 27 December…3/19
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
24/25 ...But overwhelming majority of public agree with NHS's founding principles. 94% believe NHS should be free of charge when you need it. 86% believe NHS should primarily be funded through taxes. And 84 % believe NHS should be available to everyone.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
20/20 ...We all want this to be the last national lockdown. But only by passing these four tests can we have reasonable confidence that the virus has been contained and that any future outbreaks can be similarly contained. Blog format of this thread here:
Tweet card media
Trust leaders highlight four key tests before lockdown should be eased

Chris Hopson and Saffron Cordery discuss four key tests trust leaders say must be passed before lockdown restrictions should be eased.

nhsproviders.org
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Important to focus on two longer term workforce elements of this. First we are, once again, making huge demands on our frontline staff. This is unsustainable. EG couple of worrying responses to my last thread: “I didn’t sign up for this” and “Looking for another job now”. 22/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
National covid hospital patients up by 68% in a week. 12,400 hospital patients with covid-19 vs last January’s 34,300 peak. But remember that comparing numbers of hospitalised covid-19 patients between now and last January peak is not a good measure of overall NHS pressure. 3/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
1/3 Today's data on NHS hospital beds occupied by confirmed COVID-19 patients continues to be really worrying and shows how difficult this is now becoming for NHS. Two things to note. 1. Very large increases overnight for London, SE and E (+8%, +6% and 5% in just ONE day)
Tweet media one
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
1/9 Just to give a sense of how the 50 hospital hubs are actually managing their covid-19 vaccination campaigns, here's an anonymised plan from one trust we have been talking to today. Gives good picture of complexities, inter-dependencies and huge effort at pace involved.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
Incredibly moving portrayal of what being a front line ICU nurse is really like at the moment. Thank you Vicky for sharing this. H/T @RoyLilley .
Tweet card media
Open letter from an ICU nurse: ‘I need to be strong enough to fight for a bit longer’

This year, 2020, has been recognised as the year of the nurse, I’ve fortunately had the pleasure...

www.nursingtimes.net
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
1/23 We haven't had a lot to celebrate during this pandemic. But achieving the milestone of offering vaccine to the over 70s, health and care workers and the most clinically vulnerable just before target date is a huge cause for celebration, given the scale of the achievement.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Important to understand it's not just hospital trusts beyond full stretch. Same applies to community, mental health and ambulance trusts too. For example, London Ambulance Service is taking c2,500 more calls a day than it usually does alongside significant staff absences...4/6
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
My thread this morning seems to have stimulated two sets of responses. Strong support from NHS community. A lot of repetitive, non evidence based, anti lockdown tweets. I have taken the very rare step, for me, of blockng a couple of the latter to keep my timeline clear.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
4 years
1/19 Given today is April 30th, there will be an understandable focus on testing. We've published a major new briefing which argues that the 100k tests target is a red herring distracting us from the key issue: the need for an updated testing strategy.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
1/18 From early next week, probably Tuesday, 50 of our NHS hospital trust members will start to administer Pfizer vaccine. Who will they vaccinate, where, and what are issues involved? Explainer thread follows. Spoiler alert – large, complex, important logistical challenge!
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Covid now spreading more rapidly across England. 7 day increases in hospitalised patients with Covid-19. NW & N East/Yorks both ⬆️ 93%. Midlands ⬆️ 67%. London and East of England ⬆️ 61%. SE ⬆️ 55% SW ⬆️ 44%. London still at the front of the curve in terms of…6/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
So we still need to watch and wait. Govt must be ready to introduce new restrictions at pace if they’re needed. Positive news is that we are still not seeing the large numbers of severely ill older people that we have seen in previous peaks. Vaccine effect very pronounced….24/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
5/25 …either because they are too young or, although patient was eligible, they haven’t had their vaccinations. This sends a very clear message about the overwhelming importance of getting both doses and the key role of surge vaccination in speeding up protection.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Providing more evidence vaccines work with omicron and risk of serious illness for fully vaccinated elderly looks much lower than before. Latest primary diagnosis data shows growing incidental covid – patients coming to hospital for another reason and testing positive…13/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
3 years
4/5 The NHS has barely crested the peak and it's still at an extremely high altitude under huge pressure. The descent down the mountain has only just started and we don't know how steep the down slope will be. We also know that the descent will likely take months, not days/weeks.
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Increasingly clear, therefore, that the issue for NHS is not acuity/size of very ill older people covid caseload. But the number of staff absences and general admissions with covid on top of existing pressures. This is still stretching the NHS very significantly. 21/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
STAFFING ABSENCES. Latest data shows staff absences have doubled in a fortnight. A major and growing problem for many trusts - impact varies. Rapid appropriate staff access to LFT and PCR tests remains a major issue that Government and NHS working together need to address. 17/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
But issue is G&A bed pressure, whatever reason for admission. Covid cases require isolation, potentially reducing capacity. So important not to over-emphasise “beneficial impact” of incidental covid, as some doing today. Hope this is a tall thin peak that plateaus soon.…14/25
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@ChrisHopsonNHS
Chris Hopson
@ChrisHopsonNHS
2 years
Due up on @BBCr4today shortly to discuss today’s NHS performance figures. NHS staff working flat out and making good progress on key priority of reducing numbers of long waiters. But NHS, across the board, under huge pressure with worrying impact on frontline staff.
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