Vision to Action Prof. Robert Harris Director of Strategy - NHS England

Size: px
Start display at page:

Download "Vision to Action Prof. Robert Harris Director of Strategy - NHS England"

Transcription

1 Vision without action is a daydream; Action without vision is a nightmare Vision to Action Prof. Robert Harris Director of Strategy - NHS England

2 65 years ago, the NHS began Founding Context Founded in 1948 The population of Britain was 47 million Food rationing was still in place A quarter of homes had no electricity Life expectancy for men was 66 2

3 Current Context Today and every day the NHS saves lives and helps people stay well and live well for longer. The NHS treats 1,000,000 people every 36 hours Between 1990 and 2010, life expectancy in England increased by 4.2 years 88% of patients in the UK described the quality of care they received as excellent or very good

4 The NHS continues to be highly valued by the public. Source: Ipsos Mori 2013

5 Current challenges We know there is more to do and recommendations for improvement already exist

6 Demographic pressures: we are living longer, but living with more LTCs Nearly two-thirds of people admitted to hospital are over 65 years old There are more than 2 million unplanned admissions per year for people over 65 The greatest growth is expected in the number of people aged 85 or older the most intensive users of health and social care

7 Demographic pressures: Long term conditions Those with more than one long-term condition have the greatest needs and absorb more healthcare resources; for example, patients with a single long-term condition cost about 3,000 per year whilst those with three or more conditions cost nearly 8,000 per year These multi morbid, high-cost patients are projected to grow from 1.9 million in 2008 to 2.9 million in 2018 If predictions are correct, and 46% of men and 40% of women are obese by 2035, the result is likely to be 550,000 additional cases of diabetes, and 400,000 additional cases of stroke and heart disease.

8 There is an estimated financial challenge of 8.4 billion in 2015/16 but 30 Historical billion Funding pressures by 20/21 on the NHS in England Real terms freeze through to 2020/21 Funding b /14 14/15 15/16 8.4b 16/17 17/18 18/19 19/20 20/21 30b FY 13/14 FY 14/15 FY 15/16 FY 16/17 FY 17/18 FY 18/19 FY 19/20 FY 20/21 bns bns bns bns bns bns bns bns Total Projected Costs Projected Resource Surplus / (Shortfall) (0.0) (3.0) (8.4) (12.0) (15.8) (20.0) (24.5) (29.5) SOURCE: NHS England

9 Reasons to focus on patient need and identify population segments Patient Segments Cost Breakdown Multiple complex conditions 5% 45% A&E over-utilisation, high care variation Single chronic disease/ At risk of a major procedure 20% 40% Infections, complications, readmissions Healthy, minor Health issues If any 75% 15% Multiple complex conditions

10 The UK healthcare system will undergo waves of innovation, transforming care delivery Early effects already impacting the UK, continuing over the next decade Future waves Wave 0 BASIC SAFETY AND EFFICIENCY Wave 1 PATIENT-CENTRED CARE Wave 2 CONSUMER ENGAGEMENT Wave 3 SCIENCE OF PREVENTION Baseline established for: Quality Safety Primary Care and Hospital efficiency Integrated, team-based delivery Shift to prevention and wellness Transformed outcomes and value for money, partly through selective partnerships New non-traditional healthcare players Intent to improve accessibility and wellness Extensive use of partnerships Widespread genomics sequencing Likely to change entirely health systems

11 Organise Care Around patient Medical Conditions: Migraine Care in Germany Existing Model: Organise by Specialty & Discrete Service New Model: Organise into Integrated Practice Units Imaging Centres Affiliated Imaging Unit Outpatient Psychologists Outpatients Neurologists Outpatient Physical Therapists Primary Care Physicians West German Headache Centre: Neurologists Psychologists Physical Therapists Day Hospital Essen Univ Hospital Inpatient Unit Primary Care Inpatient Treatment & Detox Centres Affiliated Network of Neurologists

12 NHS England needs to focus on system levers it can use to drive change Examples of WHAT type of value system players could release Examples of HOW NHS England can help the system create value Acute productivity gain Integrated care gain Shift to the most efficient care setting Reduced input costs Promote self management Create the right incentives Free up managerial capacity by reducing bureaucratic burden Build capability to implement change Ensure the right organisational structure Flex rules

13 Drivers of Change Citizen Expectations Demographics Technology & Innovation Patients of the Future Prevention Agenda Healthy / infrequent user Low/Moderate single LTC Multiple/ Complex conditions NHS England Strategic Characteristics Empowered patients: codesigning the service /managing their condition Wider primary care, provided at scale A modern model of integrated care Access to the highest quality urgent and emergency care Consequences People and carers are active participants in their own care Most care provided outside hospital setting Flexible workforce, trained for people and disease not organs or site Economic Pressures High expectations of Quality 5 A step-change in the productivity of elective care Year of Care / Pathway Budgets Outcome Standards Units of need and provision across complex boundaries 6 Specialised services concentrated in Centres of Clinical Excellence Community pooled resources risk/reward sharing commonplace

14 Major Value Creating Opportunities in NHS Reduce process variation that lowers efficiency & raises inventory without improving outcomes Eliminate low or non value added services or tests - sometimes driven by outdated / low confidence protocols Rationalise the oversupply in administrative and scheduling units Improve utilisation of expensive physicians, staff, clinical space, and facilities by reducing duplication and service fragmentation Make far greater use of generalists to manage complex care patient needs Reduce the provision of routine or uncomplicated services in highly resourced places Reduce cycle times across the care cycle Empower citizens to make choices about their own care provision

15 The Future: Move the money; change behaviours The future does not just pose challenges, it also presents opportunities A health service, not just an illness service we must get better at preventing disease. Giving patients greater control over their health Developing effective preventative approaches, giving service users greater control over their health Harnessing transformational technologies Exploiting the full potential of transparent data Moving away from a one-size fits all model of care

16 Preserve the magic Preserving the values that underpin a universal health service, free at the point of use, will mean fundamental changes to how we deliver and use health care services. This is NOT about: Privatising the NHS Charging for services Restricting access

Introduction to Value-Based Health Care Delivery

Introduction to Value-Based Health Care Delivery Introduction to Value-Based Health Care Delivery Prof. Michael E. Porter Harvard Business School January 6, 2009 This presentation draws on Michael E. Porter and Elizabeth Olmsted Teisberg: Redefining

More information

Workforce Transformation

Workforce Transformation 1 Workforce Transformation Prof Lis Paice OBE FRCP North West London Whole Systems Integrated Care Julie Screaton, Managing Director, Health Education South London 5 themes from 30 enquiries into major

More information

Integrated heart failure service working across the hospital and the community

Integrated heart failure service working across the hospital and the community Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

NHS West Cheshire Clinical Commissioning Group

NHS West Cheshire Clinical Commissioning Group NHS West Cheshire Clinical Commissioning Group Five Year Strategy: 2014/15-2018/19 1 Our Planning Footprint In developing our system vision for 2018/2019 NHS West Cheshire Clinical Commissioning Group

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 March NHS Providers ON THE DAY BRIEFING Page 1 21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269

More information

Personalised Health and Care 2020: Next steps

Personalised Health and Care 2020: Next steps Personalised Health and Care 2020: Next steps Paul Rice PhD Head of Technology Strategy NHS England www.england.nhs.uk Better use of data and technology has the power to improve health, transforming

More information

Five year strategy for Leeds A view from the Leeds Unit of Planning June submission.

Five year strategy for Leeds A view from the Leeds Unit of Planning June submission. Five year strategy for Leeds A view from the Leeds Unit of Planning June submission. Background - Leeds Leeds has an ambition to be internationally renowned for its excellent health and social care economy

More information

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES Agenda item A4(i) 1. Executive Team Particular attention is drawn to: i) Executive arrangements during the period

More information

Value-Based Health Care Delivery

Value-Based Health Care Delivery Value-Based Health Care Delivery Professor Michael E. Porter Harvard Business School HBS Reunion October 2, 2009 This presentation draws on Michael E. Porter and Elizabeth Olmsted Teisberg: Redefining

More information

Dalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014

Dalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014 Dalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014 Radiology services in the UK are in crisis. The ever-increasing role of imaging in modern clinical

More information

NHS GRAMPIAN. Grampian Clinical Strategy - Planned Care

NHS GRAMPIAN. Grampian Clinical Strategy - Planned Care NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which

More information

Reducing Variation in Primary Care Strategy

Reducing Variation in Primary Care Strategy Reducing Variation in Primary Care Strategy September 2014 Page 1 of 14 REDUCING VARIATION IN PRIMARY CARE STRATEGY 1. Introduction The Reducing Variation in Primary Care Strategy should be seen as one

More information

The operating framework for. the NHS in England 2009/10. Background

The operating framework for. the NHS in England 2009/10. Background the voice of NHS leadership briefing DECEMBER 2008 ISSUE 172 The operating framework for the NHS in England 2009/10 Key points No new national targets. National priorities are the same as last year. but

More information

Emergency admissions to hospital: managing the demand

Emergency admissions to hospital: managing the demand Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:

More information

Health and Care Framework

Health and Care Framework Annex 1 Health and Care Framework The NHS Grampian 2020 A Possible Future 1. NHS Grampian has agreed its Health Plan and has embarked on its Health and Care Framework (H&CF) process to determine in detail

More information

Transforming health and social care in South Nottinghamshire. Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme

Transforming health and social care in South Nottinghamshire. Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme Transforming health and social care in South Nottinghamshire Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme National case for change 1 July 2013 - A Call to Action:

More information

North West London Sustainability and Transformation Plan Summary

North West London Sustainability and Transformation Plan Summary North West London Sustainability and Transformation Plan Summary Being well, living well: a sustainability and transformation plan for North West London November 2016 Have your say We want to hear your

More information

Sustainability and transformation plan (STP)

Sustainability and transformation plan (STP) Sustainability and transformation plan (STP) David Bowen-Cassie, Harrow CCG Alex Dewsnap, London Borough of Harrow Sanjay Dighe, Lay Member, Harrow CCG About Harrow A population of more than 239,000 people

More information

Chapter 2. At a glance. What is health coaching? How is health coaching defined?

Chapter 2. At a glance. What is health coaching? How is health coaching defined? Chapter 2 What is health coaching? This chapter describes: What health coaching is and it s applications How health coaching relates to wider systems and programmes of care How health coaching relates

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW Date of the meeting 19/03/2014 Author Sponsoring Board Member Purpose of Report Recommendation

More information

Quality and Leadership: Improving outcomes

Quality and Leadership: Improving outcomes Quality and Leadership: Improving outcomes Podiatry Managers/Allied Health Managers and Leaders 5 March 2014 Shelagh Morris OBE Acting Chief Allied Health Professions Officer 2 http://www.nhsemployers.org/aboutus/latest-news/pages/the-new-nhs-in-2013-infographic.aspx

More information

Norfolk and Waveney STP. Meeting with East Suffolk Partnership 27 September 2017

Norfolk and Waveney STP. Meeting with East Suffolk Partnership 27 September 2017 Norfolk and Waveney STP Meeting with East Suffolk Partnership 27 September 2017 2 The Norfolk and Waveney STP Members Waveney District Council Focus of Norfolk and Waveney STP Our plan is in line with

More information

Vanguard Programme: Acute Care Collaboration Value Proposition

Vanguard Programme: Acute Care Collaboration Value Proposition Vanguard Programme: Acute Care Collaboration Value Proposition 2015-16 November 2015 Version: 1 30 November 2015 ACC Vanguard: Moorfields Eye Hospital Value Proposition 1 Contents Section Page Section

More information

Healthy London Partnership. Transforming London s health and care together

Healthy London Partnership. Transforming London s health and care together Healthy London Partnership Transforming London s health and care together London-wide transformation In 2014, two publications set out London s transformation priorities NHS Five Year Forward View Better

More information

Council of Members. 20 January 2016

Council of Members. 20 January 2016 Council of Members 20 January 2016 Feedback on election process: Council of Members Chair and Deputy Chair Malcolm Hines, Chief Financial Officer Minutes of last meeting: 14 October 2015 Dr. Richard Proctor,

More information

Child Health 2020 A Strategic Framework for Children and Young People s Health

Child Health 2020 A Strategic Framework for Children and Young People s Health Child Health 2020 A Strategic Framework for Children and Young People s Health Consultation Paper Please Give Us Your Views Consultation: 10 September 2013 21 October 2013 Our Child Health 2020 Vision

More information

Metrics for integrated care: What should we measure to know that care is improving?

Metrics for integrated care: What should we measure to know that care is improving? Metrics for integrated care: What should we measure to know that care is improving? Better Care Support Team Webinar Deborah Rozansky, SCIE Associate 27 June 2018 Webinar learning objectives To understand

More information

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008 End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November

More information

Cranbrook a healthy new town: health and wellbeing strategy

Cranbrook a healthy new town: health and wellbeing strategy Cranbrook a healthy new town: health and wellbeing strategy 2016 2028 Executive Summary 1 1. Introduction: why this strategy is needed, its vision and audience Neighbourhoods and communities are the building

More information

The PCT Guide to Applying the 10 High Impact Changes

The PCT Guide to Applying the 10 High Impact Changes The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk

More information

Agenda Item No. 9. Key Information

Agenda Item No. 9. Key Information Key Information Name of footprint and no: Sussex and East Surrey (33) Region: NHSE South Nominated lead of the footprint including organisation/function: Michael Wilson, Chief Executive, Surrey and Sussex

More information

Norfolk and Waveney STP - summary of key elements

Norfolk and Waveney STP - summary of key elements Our Vision Norfolk and Waveney STP - summary of key elements 1. We have agreed our vision: To support more people to live independently at home, especially the frail elderly and those with long term conditions.

More information

What are ACOs and how are they performing?

What are ACOs and how are they performing? What are ACOs and how are they performing? What is an accountable care organisation (ACO)? ACOs involve groups of providers taking responsibility for all care for a given population within a capitated

More information

COMMON GROUND EAST REGION. DEVELOPING A HEALTH AND SOCIAL CARE PLAN FOR THE EAST OF SCOTLAND Staff Briefing

COMMON GROUND EAST REGION. DEVELOPING A HEALTH AND SOCIAL CARE PLAN FOR THE EAST OF SCOTLAND Staff Briefing COMMON GROUND EAST REGION DEVELOPING A HEALTH AND SOCIAL CARE PLAN FOR THE EAST OF SCOTLAND Staff Briefing SEPTEMBER 2018 1 COMMON GROUND It is fitting that in the 70th anniversary year of our National

More information

Delivering Local Health Care

Delivering Local Health Care Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by

More information

DRAFT. Rehabilitation and Enablement Services Redesign

DRAFT. Rehabilitation and Enablement Services Redesign DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to

More information

London Councils: Diabetes Integrated Care Research

London Councils: Diabetes Integrated Care Research London Councils: Diabetes Integrated Care Research SUMMARY REPORT Date: 13 th September 2011 In partnership with Contents 1 Introduction... 4 2 Opportunities within the context of health & social care

More information

A new mindset: the Five Year Forward View for mental health

A new mindset: the Five Year Forward View for mental health A new mindset: the Five Year Forward View for mental health Paul Farmer Chief Executive mind.org.uk Five Year Forward View for Mental Health Simon Stevens: Putting mental and physical health on an equal

More information

Reducing emergency admissions

Reducing emergency admissions A picture of the National Audit Office logo Report by the Comptroller and Auditor General Department of Health & Social Care NHS England Reducing emergency admissions HC 833 SESSION 2017 2019 2 MARCH 2018

More information

Health and care services in Herefordshire & Worcestershire are changing

Health and care services in Herefordshire & Worcestershire are changing Health and care services in Herefordshire & Worcestershire are changing An update on a five year plan to provide safe, effective and sustainable care in our area www.yourconversationhw.nhs.uk Your Health

More information

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition

More information

Professor Ian Cumming, OBE Chief Executive

Professor Ian Cumming, OBE Chief Executive Professor Ian Cumming, OBE Chief Executive Our purpose Health is all about people. Beyond the glittering surface of modern technology, the core space of every health care system is occupied by the unique

More information

Aintree University Hospital NHS Foundation Trust Corporate Strategy

Aintree University Hospital NHS Foundation Trust Corporate Strategy Aintree University Hospital NHS Foundation Trust Corporate Strategy 2015 2020 Aintree University Hospital NHS Foundation Trust 1 SECTION ONE: BACKGROUND AND CONTEXT 1 Introduction Aintree University Hospital

More information

Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan. October 2016 submission to NHS England Public summary

Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan. October 2016 submission to NHS England Public summary Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan October 2016 submission to NHS England Public summary 15 November 2016 Contents 1 Introduction what is the STP all about?...

More information

Medical and Clinical Services Directorate Clinical Strategy

Medical and Clinical Services Directorate Clinical Strategy www.ambulance.wales.nhs.uk Medical and Clinical Services Clinical Strategy Unique reference No: Version: 1.4 Title of author: Medical and Clinical Services No of Pages: 11 Implementation date: Next review

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information

The prevention and self care workshop 16 th September Dr. Jenny Harries Regional Director PHE South Regional Office

The prevention and self care workshop 16 th September Dr. Jenny Harries Regional Director PHE South Regional Office The prevention and self care workshop 16 th September 2016 Dr. Jenny Harries Regional Director PHE South Regional Office Jenny.harries@phe.gov.uk The health and wellbeing gap If the nation fails to get

More information

NHS Providers Strategy Directors Network meeting Five Year Forward View and Vanguards - Birmingham Community Healthcare NHS Trust our story

NHS Providers Strategy Directors Network meeting Five Year Forward View and Vanguards - Birmingham Community Healthcare NHS Trust our story NHS Providers Strategy Directors Network meeting Five Year Forward View and Vanguards - Birmingham Community Healthcare NHS Trust our story Lorraine Thomas Director of Business and Organisational Development

More information

South West London Commissioning Intentions 2015/16

South West London Commissioning Intentions 2015/16 Attach 5 NHS SOUTH WEST LONDON COMMISSIONING COLLABORATIVE South West London Commissioning Intentions 2015/16 Draft v0.7 8/21/2014 Document version Date of revision Document Iterations made Status v0.1

More information

A Draft Health and Care Workforce Strategy for consultation

A Draft Health and Care Workforce Strategy for consultation A Draft Health and Care Workforce Strategy for consultation What is it? Will lead to first system-wide workforce strategy for twenty five years Covers health and social care, and carers, self-carers and

More information

What the future hospital report means for patients. Commission to the Royal College of Physicians

What the future hospital report means for patients. Commission to the Royal College of Physicians What the future hospital report means for patients Summary of Future hospital: caring for medical patients, a report from the Future Hospital Commission to the Royal College of Physicians The case for

More information

Our five year plan to improve health and wellbeing in Portsmouth

Our five year plan to improve health and wellbeing in Portsmouth Our five year plan to improve health and wellbeing in Portsmouth Contents Page 3 Page 4 Page 5 A Message from Dr Jim Hogan Who we are What we do Page 6 Page 7 Page 10 Who we work with Why do we need a

More information

HOSPICE CARE FOR EVERYONE

HOSPICE CARE FOR EVERYONE 2017-2022 HOSPICE CARE FOR EVERYONE A five-year strategy for clinical services StBarnabasHospice.co.uk @StBarnabasLinc StBarnabasLinc OUR FIVE-YEAR VISION We are delighted to share with you the five-year

More information

Herefordshire Clinical Commissioning Group Long Term Conditions Strategy & Implementation Plan

Herefordshire Clinical Commissioning Group Long Term Conditions Strategy & Implementation Plan Herefordshire Clinical Commissioning Group Long Term Conditions Strategy & Implementation Plan 2013-2016 1 Contents Definition.3 Background.3 Framework for Long Term Conditions 4 Chronic disease management

More information

Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition

Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme Frequently Asked Questions Second Edition Contents Introduction to the Sustainability and Transformation

More information

A view from Across the Pond. Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights

A view from Across the Pond. Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights A view from Across the Pond Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights Working with the people of Camden to achieve the best health for all Away from the past

More information

Transforming the NHS from within

Transforming the NHS from within Transforming the NHS from within Ed Smith, CBE, Deputy Chairman, NHS England Kings Fund 13 th November 2014 Our Collective 5 year forward view NHS - Recognise progress and sheer hard work by 000,000 s

More information

City and Hackney Clinical Commissioning Group Prospectus May 2013

City and Hackney Clinical Commissioning Group Prospectus May 2013 City and Hackney Clinical Commissioning Group Prospectus May 2013 Foreword We are excited to be finally live as a CCG, picking up our responsibilities as commissioners for the bulk of the NHS. The changeover

More information

North Central London Sustainability and Transformation Plan. A summary

North Central London Sustainability and Transformation Plan. A summary Sustainability and Transformation Plan A summary N C L Introduction Hospitals, local authorities, GPs, commissioners, and mental health trusts across north central London have all come together to transform

More information

Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care

Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care WelshConfed18 Integration learning to support responding

More information

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE SCOPE

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE SCOPE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE 1 Guideline title SCOPE Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes 1.1 Short title Medicines

More information

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES Agenda item A4(i) THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES 1. Executive Team Particular attention is drawn to: i) Half year trading positions with actions

More information

Milton Keynes CCG Strategic Plan

Milton Keynes CCG Strategic Plan Milton Keynes CCG Strategic Plan 2012-2015 Introduction Milton Keynes CCG is responsible for planning the delivery of health care for its population and this document sets out our goals over the next three

More information

Shaping Future Care. A sustainability and transformation plan for Devon.

Shaping Future Care. A sustainability and transformation plan for Devon. Shaping Future Care A sustainability and transformation plan for Devon www.devonstp.org.uk October 2014 Who is involved? Foreword: what is the STP? Delivering a Sustainability and Transformation Plan (STP)

More information

Strategic Plan for Fife ( )

Strategic Plan for Fife ( ) www.fifehealthandsocialcare.org Strategic Plan for Fife (2016-2019) Summary Document Supporting the people of Fife together Foreword NHS Fife and Fife Council are working together in a new Integrated Health

More information

Vertical integration: who should join up primary and secondary care?

Vertical integration: who should join up primary and secondary care? Vertical integration: who should join up primary and secondary care? Summary of ippr seminar 27 th February, 2006 A discussion note by ippr was distributed to participants, along with Monitor s paper on

More information

Our next phase of regulation A more targeted, responsive and collaborative approach

Our next phase of regulation A more targeted, responsive and collaborative approach Consultation Our next phase of regulation A more targeted, responsive and collaborative approach Cross-sector and NHS trusts December 2016 Contents Foreword...3 Introduction...4 1. Regulating new models

More information

2020 Objectives July 2016

2020 Objectives July 2016 ... 2020 Objectives July 2016 1 About NHS Improvement NHS Improvement is responsible for overseeing NHS foundation trusts, NHS trusts and independent providers. We offer the support these providers need

More information

Learning from best Practice. Musculoskeletal conditions as a health priority. The role of clinical networks

Learning from best Practice. Musculoskeletal conditions as a health priority. The role of clinical networks Learning from best Practice Musculoskeletal conditions as a health priority The role of clinical networks Presenter: Peter Kay National Clinical Director MSK NHS England Date: 13 October 2014 MSK in the

More information

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0 Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and

More information

Clinical Strategy

Clinical Strategy Clinical Strategy 2012-2017 www.hacw.nhs.uk CLINICAL STRATEGY 2012-2017 Our Clinical Strategy describes how we are going to deliver high quality care in response to patient and carer feedback and commissioner

More information

Delivering the Five Year Forward View. through Business Intelligence

Delivering the Five Year Forward View. through Business Intelligence Delivering the Five Year Forward View through Business Intelligence Introduction The market for analytics has matured significantly in the past five years and, although the health sector in the UK has

More information

SWLCC Update. Update December 2015

SWLCC Update. Update December 2015 SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West

More information

General Practice Commissioning Strategy Development

General Practice Commissioning Strategy Development General Practice Commissioning Strategy Development Katharine Denton (Wandsworth CCG) 3 December 2014 Version 5. 03.12.2014 1 1. Introduction Strong General Practice is at the heart of any high quality

More information

REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 686 SESSION DECEMBER Department of Health. Progress in making NHS efficiency savings

REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 686 SESSION DECEMBER Department of Health. Progress in making NHS efficiency savings REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 686 SESSION 2012-13 13 DECEMBER 2012 Department of Health Progress in making NHS efficiency savings Progress in making NHS efficiency savings Summary 5

More information

MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014

MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 Title: Bedfordshire and Milton Keynes Healthcare Review: The way forward Agenda Item: 4 From: Jane Meggitt, Director of Communications and Engagement

More information

Foundation Pharmacy Framework

Foundation Pharmacy Framework Association of Pharmacy Technicians UK Foundation Pharmacy Framework A framework for professional development in foundation across pharmacy APTUK Foundation Pharmacy Framework The Professional Leadership

More information

Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014

Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014 Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014 Current Referral Route options - Information 1. Horizon Health Choices Horizon Musculoskeletal Triage & Treatment Chronic

More information

Our Health & Care Strategy

Our Health & Care Strategy MO Our Health & Care Strategy 2015-2020 Norfolk Community Health and Care NHS Trust Final September 2015 Version control Date Changes 1 19 th July 2015 Initial document 2 29 th July 2015 Following feedback

More information

The state of health care and adult social care in England 2016/17 Summary

The state of health care and adult social care in England 2016/17 Summary The state of health care and adult social care in England 2016/17 Summary Foreword Peter Wyman Chair Sir David Behan Chief Executive This year s State of Care shows that the quality of health and social

More information

Consultant Radiographers Education and CPD 2013

Consultant Radiographers Education and CPD 2013 Consultant Radiographers Education and CPD 2013 Consultant Radiographers Education and Continuing Professional Development Background Although consultant radiographer posts are relatively new to the National

More information

Dr Stephen Pavis NHS National Services Scotland

Dr Stephen Pavis NHS National Services Scotland Dr Stephen Pavis NHS National Services Scotland s.pavis@nhs.net The next 25 minutes Brief overview of Scotland and its health service Scotland s vision around data use The Farr Institute What it is? How

More information

Delivering the Five Year Forward View Personalised Health and Care 2020

Delivering the Five Year Forward View Personalised Health and Care 2020 Paper Ref: NIB 0607-006 Delivering the Five Year Forward View Personalised Health and Care 2020 INTRODUCTION The Five Year Forward View set out a clear direction for the NHS showing why change is needed

More information

Transforming NHS ambulance services

Transforming NHS ambulance services REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1086 SESSION 2010 2012 10 JUNE 2011 Department of Health Transforming NHS ambulance services 4 Summary Transforming NHS ambulance services Summary 1 In

More information

Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP)

Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP) Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP) UPDATE Toby Sanders, STP Lead 13 September, 2016 What is the STP? Health and care place based plan for Leicester, Leicestershire

More information

COMMISSIONING AN INTEGRATED SYSTEM FOR POPULATION HEALTH AND WELLBEING ONE SYSTEM ONE BUDGET ENHANCED AND SPECIALISED CARE COMMUNITY

COMMISSIONING AN INTEGRATED SYSTEM FOR POPULATION HEALTH AND WELLBEING ONE SYSTEM ONE BUDGET ENHANCED AND SPECIALISED CARE COMMUNITY WELLBEING CHILDREN AND YOUNG PEOPLE ONE SYSTEM ONE BUDGET ENHANCED AND SPECIALISED CARE COMMUNITY COMMISSIONING AN INTEGRATED SYSTEM FOR POPULATION HEALTH AND WELLBEING CONTENTS Introduction and Strategic

More information

Operational Focus: Performance

Operational Focus: Performance Operational Focus: Performance Sandra Iskander Changes for 2015/16 Change of focus of 18-weeks and A&E 4-hour wait targets as recommended by Sir Bruce Keogh, Medical Director, NHS England. 18-weeks to

More information

The incentives framework for ACOs

The incentives framework for ACOs New care models The incentives framework for ACOs Accountable Care Organisation (ACO) Contract package - supporting document Our values: clinical engagement, patient involvement, local ownership, national

More information

Quality Framework Supplemental

Quality Framework Supplemental Quality Framework 2013-2018 Supplemental Staffordshire and Stoke on Trent Partnership Trust Quality Framework 2013-2018 Supplemental Robin Sasaru, Quality Team Manager Simon Kent, Quality Team Manager

More information

Suffolk Health and Care Review

Suffolk Health and Care Review Suffolk Health and Care Review Update on Health and Social Care System Redesign and Re-commissioning of GP Out of Hours, 111 and Community Healthcare services An Insight into the Health and Social Care

More information

Report to Governing Body 19 September 2018

Report to Governing Body 19 September 2018 Report to Governing Body 19 September 2018 Report Title Author(s) Governing Body/Clinical Lead(s) Management Lead(s) CCG Programme Purpose of Report Summary NHS Lambeth Clinical Commissioning Group (CCG)

More information

FINANCE COMMITTEE DEMOGRAPHIC CHANGE AND AGEING POPULATION INQUIRY SUBMISSION FROM NHS NATIONAL SERVICES SCOTLAND

FINANCE COMMITTEE DEMOGRAPHIC CHANGE AND AGEING POPULATION INQUIRY SUBMISSION FROM NHS NATIONAL SERVICES SCOTLAND FINANCE COMMITTEE DEMOGRAPHIC CHANGE AND AGEING POPULATION INQUIRY SUBMISSION FROM NHS NATIONAL SERVICES SCOTLAND Background 1. It is clear from consultation carried out for the National Information and

More information

2018 Optional Special Interest Groups

2018 Optional Special Interest Groups 2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve

More information

South East London: Sustainability and Transformation Plan

South East London: Sustainability and Transformation Plan South East London: Sustainability and Transformation Plan 21 October 2016 Key information details Name of footprint and no: South east London; no. 30 Region: South east London (Bexley; Bromley; Greenwich;

More information

Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Technologies

Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Technologies Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Technologies Contents Executive Summary... 2 1. Transparency... 4 2. Predictability & Consistency... 4 3. Stakeholder

More information

ENCLOSURE: J. Date of Trust Board 29 February Pressure Ulcer Clinical Improvement Programme. Purpose of Report

ENCLOSURE: J. Date of Trust Board 29 February Pressure Ulcer Clinical Improvement Programme. Purpose of Report ENCLOSURE: J Date of Trust Board 29 February 2012 Title of Report Purpose of Report Abstract Pressure Ulcer Clinical Improvement Programme This paper provides a progress report on our work in support of

More information

Redefining Global Health Care Delivery Narrowing the Gap Between Aspiration and Action

Redefining Global Health Care Delivery Narrowing the Gap Between Aspiration and Action Redefining Global Health Care Delivery Narrowing the Gap Between Aspiration and Action Michael E. Porter, PhD Bishop Lawrence University Professor Harvard University Jim Yong Kim, MD, PhD Chairman, Department

More information

A consultation on the Government's mandate to NHS England to 2020

A consultation on the Government's mandate to NHS England to 2020 A consultation on the Government's mandate to NHS England to 2020 October 2015 You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of

More information

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016 Mid and South Essex Success Regime Overview and next steps Andy Vowles, Programme Director 18 April 2016 What s in this briefing Part 1 overview Background to the Success Regime Action to date The challenge

More information