23 Feb
2020
  1. How much extra money for health can Brighton and Hove expect to get?

According to a government press release on 15.1.20, Parliament will soon legislate to raise spending on the NHS to £150bnpa in 2024/25, which represents an assured 4%pa increase for the next 5 years in our health budgets. The following table shows in £mpa what in Brighton and Hove citizens should get, the disbursement of which our councillors will decide at their budget meeting on 27.2.20, and those on the Health and Wellbeing Board (at meetings on 28.1.20, 24.3.20) who should ensure that the Clinical Commissioning Group (CCG) gets best value from that money for patients, and retention and recruitment for GPs.

Year Health (CCG) Social Care Health & Social Care Other services Total council budget
19/20 450 126 576 656 1,232
20/21 468 130 598 660 1.258
21/22 486 135 621 665 1,286
22/23 504 140 644 670 1,314
23/24 524 145 669 675 1.344
  1. On what should the extra £18 mpa for health be spent?

Better treatments to reduce health inequalities for vulnerable people, particularly those with depression and addiction, rather than bureaucracy and drugs, which lead to overprescribing, polypharmacy and adverse drug reactions. The HWB should work with the CCG to create a new social prescribing scheme whereby GPs can prescribe social interventions (such as exercise and yoga classes) and talking therapies (such as the NICE recommended Mindfulness Based Cognitive Therapy (MBCT) 8 week course)  which patients should receive in Community Care Centres, and teachers be paid on production of the used prescription form, as pharmacists are paid for drugs.  This would improve patients’ mental health, and boost recruitment and retentions of GPs.

3         How would this new social prescribing scheme improve retention and recruitment of GPs?

The Brighton Health and Wellbeing Centre, 18, Western Rd Hove BN3 1   (www.brightonhealthandwellbeingcentre.org.uk) is the only surgery in the city not to have a GP retention and recruitment problem, because they successfully integrate complementary therapy into their treatments, and subsidize them from their Robin Hood charity.  The new Primary Care Networks (PCNs) link workers should copy them by inviting personal trainers, yoga and mindfulness teachers from the Community and Voluntary Sector (CVS) to apply for a licence to teach patients bearing these new social prescriptions in licenced Community Care Centres.

4 How could this new social prescribing scheme be trialled?

We have proposed a trial of this new system at Essence, 86, Church Rd Hove BN3 2EB, opposite Hove town hall, which could treat 100 vulnerable patients annually for £300,000pa, see paper 9.117 of www.reginaldkapp.org)  To promote this campaign, I hold an open drop in surgery meeting there every Sunday morning, 10-1230pm, in Apple room, on the 2nd floor accessed upstairs at the back, to which everyone is welcome. I (John Kapp) can also be contacted at 22, Saxon Rd, Hove BN3 4LE, and on johnkapp@btinternet.com and 01273 417997. For further details see the CAmpaign for Social Prescribing Of talking Therapies CASPOTT www.caspott.org.uk, or www.prescribe.fitness.

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