director of the National Institute for Health and Care Excellence says the NHS result of structural changes in the challenge
The NHS is in a period of "high risk" that the government's reforms begin to bite, according to the new chairman of Nice, the National Institute for Health and Care Excellence.
Professor David Haslam, said to ensure that all new bodies to be fully operational and functioning properly together on April 1 would be a major challenge.
"This is a moment of great danger," he told the Guardian. "We know that medical care in the hospital is the biggest risk when patients are distributed from one person to another. 'S A dangerous time for the system, it is important that the key players to work together. While we try. "
In the first in-depth interview since taking office, Haslam has also expressed concern about the complexity of the reforms and said that pharmaceutical companies face a similar problem to the reputation of banks and had to show the public that they can trust.
But his immediate focus is on structural changes in the NHS. He said it was important that all new agencies of the National Commission - Commissioning, Commissioning and clinical groups local authorities, which are responsible for public health, as well as advice and various organs control - work closely together, avoid duplication, improve communication and focus on quality.
Nice to be another organization, said take responsibility for setting standards of quality in health and social services, as well as evaluations of drugs for which he is best known.
not questioned even bring these two worlds, he said. "The professionals at different faces to see the world a little differently. Even using a different language. People use the same words, but mean different things. "But it was important that the two areas should be integrated - for the treatment and care of an elderly person with dementia, for example, should be transparent
Haslam noted how news organizations need to work together after the changes. "I see Nice as the establishment of standards, implementation advice, supporting the work that leads to attention given the standards and regulatory testing has been done." But he added: "I would like that it is as simple as that. "
warned that the complexity of the new rules could be a problem. "I really feel that if you can not explain how things work on one side of A4 without losing a tiny font, they made a mistake," he said. If people at the top of the tree do not understand how "how a patient of 33 Acacia Avenue know how it fits?" The investigation into the death of Francisco Mid Staffordshire revealed "a lot of confusion," he said.
Francis also recommended more clarity on the standards of care patients can expect. The National Council will be invited to Nice start to establish standards for nearly 180 different diseases, so that hospital trusts - and inspection, the Commission quality care -. You can determine whether they are appropriate to their patients is
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