Emily Hough Deputy Director, Strategy Group, NHS England@emhough1

Sustainability and Transformation in the NHS

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The NHS is delivering despite tough circumstances

Often recognised as one of the world’s most equitable and efficient

More than 2/3 UK public believe the NHS “works well”

90%+ patients treated within 4 hours in A&E

90%+ patients are treated <18 weeks when it used to be 18+ months

Early deaths from heart disease are down over 40%

Last year the NHS made one of world’s biggest reductions in unneeded antibiotic prescribing

All this despite seeing 1m+ people every 36 hours

Source: NHS England, Lancet

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There are still some challenges ahead

Source: NHS Five Year Forward View

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Stabilise financial and operational performance

Get cracking on delivering priority service improvements

Develop strong Sustainability & Transformation Plans and begin implementing them

There is a lot to do in 2016/17

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Sustainability and Transformation Plans

• 44 areas across the country, each with an ‘executive chair’

• A local route-map for implementing the Forward View

• Compelling place-based visions of health and care across the country

• Multi-year plans to match multi-year allocations

• A problem solving process that unlocks local leadership

• A decisive re-focusing of the NHS on transformational change alongside operational performance

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Supporting a healthier NHS Workforce

• The NHS relies rely on a wide and diverse range of staff to deliver

• 3 things we are doing to improve staff health and wellbeing:

Working with 11 demonstrator sites to work up health and wellbeing support for staff

A new CQIUN payment for staff health and wellbeing

The introduction of an NHS sugar tax – initially in 5 hospitals

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Driving innovation through Test Beds

• Bringing together the NHS with innovators – focusing on implementing combinations of innovations to transform care delivery

• 7 partnerships announced in January looking at a range of issues:• long term conditions• dementia• diabetes• mental health

• Looking to test what works, at scale in the real world

• Robustly evaluating the impact – and how to implement

• Spreading what works quickly

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So what next….

• Reviewing STPs through July – all will be in different places

• Working with those that need help to strengthen their plans

• Checking in on progress in October

• Learning from the current programmes (e.g. NCM, Test Beds, Healthy NHS Workforce)

• Spreading what works