White Paper on NHS Reform

Policy Paper

Integration and innovation: Working together to improve health and social care for all

Updated 11 February 2021

The Government published a white paper, “Integration and innovation: Working together to improve health and social care for all” on 11 February 2021. This sets out proposals for changes in legislation with the aim of enabling integration within the NHS in England and between the NHS, local government and other health system partners. The proposals are grouped under four themes: working together and supporting integration; stripping out needless bureaucracy; enhancing public confidence and accountability; and additional proposals to support social care, public health, and quality and safety.…

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CEO update: Looking forward together

by Sue Brown, CEO ARMA

Here we are back in lockdown, with the NHS under even more pressure and MSK services severely impacted. COVID-19 response is still dominating the work of ARMA, although we are also progressing plans for other work in 2021. There are some different issues for MSK this time around, and vaccination currently dominates our work. When some people with MSK conditions are vaccinated, the timings of MSK treatment may need to be considered.

I am delighted that ARMA can host a document setting out the principles for these timing decisions.…

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MSK Together conference

ARMA’s first ever online multi-disciplinary conference was a great end to a difficult year. We wanted to bring together the whole range of stakeholders from across MSK health, including policy makers and people living with MSK conditions to talk about how we can do things differently and work together.

Two thirds of those completing the feedback described the conference as excellent.

  • Happy to be there for a brilliant day! Well done to all – great discussions, speakers and openly discussing challenges & solutions.


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Power to the people: MSK Coproduction Tweet Chat

At 7pm on 21 September 2020, people living with musculoskeletal conditions and healthcare professionals and policy influencers congregated in anticipation of a tweet chat on Twitter – ‘Power to the People.’

The tweet chat encompassed co-production of a new NHS MSK strategy – patients and healthcare professionals improving care together. The discussion for that hour involved 51 people, 279 posts, 1197 engagements. The #MSKCoPro was seen over half a million times by over 100,000 users.

If you missed it, there were too many tweets to publish them all, but here are some of the themes that emerged in response to questions about:

Please feel free to continue the chat using #MSKCoPro.



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Co-production: patients and healthcare professionals improving care together

Last month’s newsletter included a blog about how NHS England/Improvement is working in partnership with people with lived experience of MSK conditions to “co-produce” work on MSK services. In September, over fifty people joined our tweet chat on co-production. In the course of an hour, professionals and people with MSK conditions engaged in lively discussion and debate about what helps coproduction, what gets in the way and good examples in practice. A summary of the discussion has now been published.

Coproduction means that all involved feel engaged in a collaborative healthcare approach with a shared commitment to quality, where everyone is treated with respect and dignity and everyone feels that their needs matter.…

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NHS Change Challenge initiatives published

The NHS Change Challenge used crowdsourcing to identify almost 200 initiatives introduced during lockdown which proved beneficial. The project is now working to write these up in more detail so that we can publish them back onto the site for further comments and discussion. Due to the overwhelming responses received, the focus initially is on writing up the highest-scoring ideas based on impact and feasibility within each challenge area. 

The first two ideas have been published on the site. Keep checking for further ideas which will be published over the next few weeks.

Guest blog: the Change Challenge Collaborative

by Greta McLachlan, Fellow at the Strategic planning and development cell, NHS England and Improvement, part of the Change Challenge Collaborative.

The change challenge collaborative is a group of professionals who have come together to work across the MSK, orthopaedic and rheumatology specialties to try and capture beneficial changes that have occurred within the NHS during COVID- 19. The aim being to try and capture these changes and ideas to ensure that these innovations are not lost when the NHS comes out of its pandemic measures.…

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Challenges and collaboration – progress for MSK in 2020

Alongside the pain and misery of the Covid-19 pandemic there have also been some beneficial side effects – quiet streets and skies, birdsong, less pollution. This is also true in the world of MSK. ARMA has been a champion for the NHS Change Challenge, a project to identify the new and innovative ways of working that have been rapidly developed across the NHS and to ensure beneficial changes are captured and locked in. I think it is no accident that NHS Improvement chose to pilot this in MSK.…

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