Universal Healthcare

A network of senior NHS leaders, community leaders, and thought leaders, addressing concerns about the NHS’s provision of Universal Healthcare

Universal Healthcare Network

The Universal Healthcare Network at LSBU is a network of senior NHS leaders, community leaders, and thought leaders, who have mobilised to address their concerns about the NHS’s provision of Universal Healthcare.

The network aims to make visible the reality of inequalities in service provision, and work through how best to secure services that are designed around health needs.

How we do this:

  • Amplify & Make Visible: We collectively make this issue visible, through this network and from the power of our own institutions.
  • Community-building: We are growing a community of interest around this issue.
  • Convening: We are convening a learning community at the level of place by working with committed health systems to find pragmatic and practical service models to secure universal healthcare. We are answering the question: ‘What if we design health services with a focus on reducing inequalities as a core design principle?’
  • Resourcing: We are collaborating to establish a ‘practice network’ on Universal Healthcare.

Background

Covid made visible that people’s health is directly linked to their wealth (Marmot et al, 2020), and that the NHS is providing unequal healthcare, an issue previously identified in the Kings Fund’s evidence to the Joseph Rowntree Foundation (Buck and Jabbal, 2014).

The NHS Constitution requires the NHS to provide comprehensive healthcare for all based on need. It starts with the words ‘The NHS belongs to the people.’ In fact it is becoming apparent that is belongs to some of the people more than others. Charlotte Augst from National Voices (August 2021) reminded us that the Pandemic has shown that the NHS is not providing universal healthcare, as the NHS has to ration services.

We know from the Marmot Review (2020) that poverty has had and is having a disgraceful impact on health. But poverty cannot be blamed solely for the lack of universality of healthcare.

The Universal Healthcare Network proposes that the NHS has also been complicit in three ways:

  1. Medicalising poverty and providing ‘sticking plaster’ approaches, with the best intentions, that make the problem of poverty invisible.
  2. Providing services that are not accessible to all.
  3. Not being frank and open about the reality of the rationing of services. The latter is depicted in one of the National Voices ‘I’ statements – I am not forgotten. (National Voices 2020).

Find out more.

Our approach to working with Integrated Care Systems on Universal Healthcare

This 6 month laboratory will make a real shift in the way the health & care system works together and will

  • Improve outcomes/experience for local people
  • Help people that work in the NHS locally do a good job and improve their experience
  • Make best use of what resources are available
  • Secure an equitable approach to health services design and delivery

Diagram of universal healthcare

If you would like to join this community, please let us know at healthlab@lsbu.ac.uk.