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伊薇特·库珀在强烈反对后放弃废除NHS患者权益机构的计划Yvette Cooper drops plans to abolish NHS patient champion after outcry

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英国健康观察组织与地方健康观察组织将得到加强,以确保患者的声音被听到。图片来源:SolStock/GettyHealthwatch England and Local Healthwatch will be strengthened to ensure patient voices are heard. Photograph: SolStock/Getty

Healthwatch England 和地方 Healthwatch 将得到加强,以确保患者的声音被听到。

Healthwatch England and Local Healthwatch will be strengthened to ensure patient voices are heard.

照片:SolStock/Getty 独家:卫生大臣将延长监督机构的职责,支持者称其有助于监督英格兰的医疗服务 叶薇·库珀在来自各党派议员的强烈抗议后,放弃了废除 NHS 独立患者维权机构的计划。

Photograph: SolStock/Getty Exclusive: Health secretary to extend role of watchdog, which backers say helps hold service in England to account Yvette Cooper has abandoned plans to abolish the NHS’s independent patient champion after an outcry from MPs across the political spectrum.

卫生大臣决定保留并延长 Healthwatch England 的职责,该机构原本将作为政府在英格兰重组医疗服务的一部分被撤销。

The health secretary has decided to keep and extend the role of Healthwatch England which was due to be axed as part of the government’s reorganisation of the health service in England.

自安迪·伯纳姆 7 月成为首相以来,这是部长们在健康法案核心要素上的一系列政策大转弯中的最新一次。

The move is the latest in a series of U-turns by ministers on core elements of the health bill since Andy Burnham became prime minister in July.

这一反悔意味着 Healthwatch England 及其 150 家分支机构将继续收集和分析患者关于其 NHS 经历的反馈,以及其服务需要改进的地方。议会中的许多支持者表示,该法定机构有助于找出 NHS 护理滞后于患者需求的领域,并监督其服务。

The rethink means Healthwatch England and its 150 branches will continue to collect and analyse feedback from patients about their experiences of the NHS and where its services need to improve. Its many supporters in parliament say the statutory body helps to identify areas where NHS care is lagging behind patient needs and hold the service to account.

库珀对《卫报》表示:“患者需要在我们的……我一直清楚地说明过,民众和社区在地方服务中拥有发言权的重要性,这也是我表示将审查该领域所有改革的原因。

Cooper told the Guardian: “Patients need a voice in our I’ve always been clear on the importance of people and communities having a say in local services and that’s why I said I would review all reforms in this area.

“我们将保留 Healthwatch England 和地方 Healthwatch,同时加强它们,以确保患者的声音被听到,并能影响整个医疗和护理服务的真正变革。” 卫生和社会护理部 (DHSC) 的上议院部长吉利安·梅龙将在周三上议院辩论健康法案时确认这一计划变更。工党、保守党和自由民主党议员均曾批评这一拟议的废除计划。

“We will retain Healthwatch England and Local Healthwatch, while strengthening them to ensure patient voices are heard and can influence real change across health and care services.”Gillian Merron, the Department of Health and Social Care (DHSC) minister in the Lords, will confirm the change of plan when peers debate the health bill on Wednesday. Labour Conservative and Liberal Democrat parliamentarians had criticised the planned abolition.

Healthwatch因发布报告指出的种种问题而赢得了尊重,这些问题包括患者获得国民保健制度(NHS)资助的牙科治疗机会减少,以及注意力缺陷多动障碍(ADHD)评估需要数年长的等待时间。它还暴露了该服务与患者沟通方式中的缺陷,例如在预约日期已经过去之后才将此事告知部分患者。

Healthwatch has gained respect for publishing reports highlighting issues such as declining patient access to NHS-funded dental treatment and years-long waiting times for ADHD assessments. It has also exposed flaws in the way the service communicates with patients, for example telling some of them about appointments after the date has already passed.

在议会各党派的议员和贵族们严重担忧废除该机构将意味着失去对NHS的重要监督之后,库珀对Healthwatch网开一面。

Cooper reprieved Healthwatch after MPs and peers from all sides in parliament raised serious concern that scrapping it would mean the loss of important oversight of the NHS.

纳菲尔德信托智库首席执行官、利兹NHS信托前负责人西娅·斯坦表示:“废除Healthwatch会丢掉赋予其公信力的独立性,且对解决NHS经常不听取意见的原因毫无帮助。”

Thea Stein, the chief executive of the Nuffield Trust thinktank and a former head of an NHS trust in Leeds, said: “Abolishing Healthwatch would have thrown away the independence that gave it credibility, without doing anything to address the reasons the NHS often don’t listen.

“这是针对真实问题给出的错误解法。Healthwatch发挥了宝贵的作用,使NHS更难忽视患者在使用该服务时常常令人沮丧的经历。”

“It was the wrong solution to a real problem. Healthwatch has played a valuable role in making it more difficult for the NHS to ignore patients’ often frustrating experience of using it.”

在此之前,政府曾计划将Healthwatch的职能移交给NHS区域综合护理委员会(ICB)和地方议会。但现在,Healthwatch将在识别反复出现的问题以及指出需要在哪些地方采取行动以改善质量、安全和患者体验方面发挥更大作用。

Until now, the government had planned to transfer Healthwatch’s functions into NHS regional integrated care boards (ICBs) and local councils. But Healthwatch will now play a greater role in identifying recurring concerns and highlighting where action is needed to improve quality, safety and patient experience.

地方政府协会曾警告称,废除Healthwatch“有使(NHS)机构被视为自己给自己打分的风险”,并可能给患者造成“混乱”。

The Local Government Association had warned that abolishing Healthwatch “risks [NHS] organisations being seen to mark their own homework” and could create “confusion” for patients.

政府在卫生法案上最近做出的其他妥协还包括,大臣们放弃了以下计划:取消卫生服务安全调查局。终止地方议会在综合护理委员会董事会中的自动代表权。取消每个NHS基础信托董事会必须配备一名护士的要求。

Other recent government climbdowns on the health bill include ministers dropping plans to: axe the Health Services Safety Investigations Body. end councils’ automatic representation on the boards of ICBs. remove the requirement for a nurse on every NHS foundation trust board.

这些急转弯表明,库珀正在仔细审视其前任韦斯·斯特廷留给她的政治遗产,并推翻她认为误入歧途的法案内容。

The U-turns show Cooper is closely examining the legacy bequeathed to her by her predecessor, Wes Streeting, and tearing up elements of the bill she thinks are misguided.

DHSC消息人士表示,她决定保留并加强Healthwatch及其分支机构网络,体现了她对公众和地方问责制的坚定信念——伯纳姆也持这一观点。

DHSC sources said her decision to retain and strengthen Healthwatch and its network of branches illustrated her strong belief – which Burnham shares – in public and local accountability.

斯坦说:“这次退却需要随后出现一种文化转变,远离那种患者声音往往被排在漫长且不可能完成的清单末尾的医疗服务。”

Stein said: “This retreat needs to be followed by a cultural shift away from a health service where patients’ voices are all too often at the bottom of a long and impossible list.”

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