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Local and Strategic ViewAnn James, Chief Executive NHS Devon
Devon Care Training ConferenceTuesday 28 September 2010
Westpoint09:55-10:10am
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Key Themes
• White Paper ‘Equity and Excellence: Liberating the NHS’– Key Principles– Headlines
• Challenges and Opportunities
• Future Commissioning
• Consultation documents
• Summary
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Equity and Excellence: Liberating the NHS
Announcing the paper on 12 July, the Secretary
of State for Health, Andrew Lansley, reiterated
three key principles:
• patients at the centre of the NHS • a change in the emphasis of measurement to
focus on clinical outcomes • empowering health professionals, GPs in
particular
Views and comments on the consultation to: [email protected]
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Equity and Excellence: Liberating the NHS• Is genuinely centred around patients (‘No decision about me
without me’);• Achieves quality and outcomes that are among the best in
the world;• Refuses to tolerate unsafe and substandard care;• Eliminates discrimination and works to tackle inequalities;• Puts clinicians in the driving seat – GP Consortia;• Is more transparent, with greater accountability for results;• Gives citizens more say in how the NHS is run;• Works much better across boundaries, for example with local
authorities;• Is more efficient and dynamic with less bureaucracy;• Is free from frequent and arbitrary national political meddling.
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Challenges and Opportunities• £15-20 billion of efficiency savings – QIPP• NHS Management Costs reduced by more than 45% over the next four
years• Transforming Community Services• Benefits to patients• GP-led commissioning consortia• Establishment of local Health and Wellbeing Boards to strengthen
democratic legitimacy and join up the commissioning of NHS services with social care and health improvement
• Reduction in the number of NHS bodies – review of arms length bodies in progress e.g. National Patient Safety Agency; abolition of SHAs and PCTs– Monitor will be developed into an economic regulator and the Care
Quality Commission will act as a quality inspectorate across health and social care
• National consultation until 5 October
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Future Commissioning• The opportunity of a flexible and responsive market • More freedom to innovate, improve productivity and deliver better
outcomes for patients and their families – using your unique understanding of patients and their needs
• Improving pathways - right time, right place, right services (focus on prevention / early intervention
• Better use of our staff, resources and money
Key change principles:• Subsidiarity – things should be done at the right level• Co-production – decisions in partnership• Clinical ownership and leadership• System alignment – the NHS is a system, not an organisation
Stay flexible – detail is still awaited…
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Further consultation• Documents out for consultation (closes 11.10.10):
– Commissioning for patients
– Local democratic legitimacy in health
– Regulating Healthcare Providers
– Transparency in outcomes – a framework for the NHS
• Later in the year:
– The NHS information strategy
– Choice
– Education and training
You can find out more at www.dh.gov.uk/liberatingthenhs
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Summary• Major programme of transition• The role and development of GP Consortia – for example
provision and commission• The role of Local Authorities
Timescale for change- Review of Arms Length Bodies - All PCT provider services
transferred by 1 April 2011- Shadow GP Consortia by April 2011 – Abolition of SHAs by
2012 / PCTs by 2013
• Already a major change programme already taking place e.g. QIPP, TCS
• More detail to follow……………..Useful Weblinks:
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_117353
http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_119311
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_117406.pdf
Thank you for listening
