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CSP English Regional Networks 17 September 2013

The new health system and new ways of working Shelagh Morris Deputy Chief Allied Health Professions Officer. CSP English Regional Networks 17 September 2013. The Health and Care System from April 2013. http://media.dh.gov.uk/network/18/files/2012/09/final-system-overview.pdf.

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CSP English Regional Networks 17 September 2013

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  1. The new health system and new ways of workingShelagh MorrisDeputy Chief Allied Health Professions Officer CSP English Regional Networks 17 September 2013

  2. The Health and Care System from April 2013 http://media.dh.gov.uk/network/18/files/2012/09/final-system-overview.pdf http://healthandcare.dh.gov.uk/system/

  3. The New System…. Patients CCGs NTDA CQC DH NHS England H&WB Board Monitor PHE NHSIQ HEE AHSN Networks Senates Others (and important!)

  4. http://www.nhsemployers.org/Aboutus/latest-news/Pages/The-new-NHS-in-2013-infographic.aspxhttp://www.nhsemployers.org/Aboutus/latest-news/Pages/The-new-NHS-in-2013-infographic.aspx

  5. Department of Health

  6. Meet the Ministerial Team! Jeremy Hunt - (SofS) The Rt Hon Jeremy Hunt MP is the Secretary of State for Health Norman Lamb - MS(CS) Norman Lamb MP is the Minister of State for Care and Support MS(CS). Daniel Poulter - PS(H) Dr Daniel Poulter MP is Parliamentary Under Secretary of State for Health PS(H). Anna Soubry - PS(PH) Anna Soubry MP is the Parliamentary Under Secretary of State for Public Health PS(PH). Earl Howe – PS(Q) Earl Howe is the Parliamentary Under Secretary of State for Quality (Lords). 6

  7. NHS England

  8. Purpose of NHS England Improve health outcomes Promote the NHS Constitution Promote equality and reduce health inequalities Operate within resource limits High quality care for all, now and for future generations

  9. NHS ENGLAND Aims of NHS England • Improved health outcomes as defined by the NHS Outcomes Framework • People’s rights under the NHS Constitution are met • NHS bodies operate within resource limits These will enable: • patients and the public to have more choice and control over their care and services; • clinicians to have greater freedom to innovate to shape services around the needs and choices of patients; and • the promotion of equality and the reduction of inequality in access to healthcare.

  10. What is it? • It is the community of leaders for NHS commissioning; the ‘one team’ which will deliver better outcomes for patients. • Why have we got it? • Because we have a greater chance of maximising the impact of commissioning on outcomes working together than apart. • What is its purpose? • Create shared leadership nationally and locally. • Co-produce national strategy and direction. • Embed principles for working together and create a common voice. • Connect leaders, both within the NHS commissioning system and beyond. • What will it do in practice? • Facilitate networking and communication. • Sponsor and oversee key pieces of work, and policy development on priority areas. • Be a repository of expertise and views. • Come together once a year to review progress, share best practice and explore challenges together. Commissioning Assembly Organisational development of the commissioning system

  11. The Mandate • First Mandate published on 13th November • 2012 • Sets out what the Government expects in • return for handing over £95bn of tax payers • money to NHS England • The NHS Outcomes Framework sits at the • heart of this Mandate and the Board is • expected to demonstrate progress across the • entire framework • In turn, the NHS Outcomes Framework sits at • the heart of NHS England’s planning • guidance ‘Everyone Counts’, published in • December 2013

  12. NHS Mandate https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/127193/mandate.pdf.pdf

  13. Tools and levers of the Quality Framework

  14. How we align these tools and levers will be key to success

  15. Our focus – delivering improved outcomes NHS ENGLAND The NHS Outcomes Framework

  16. NHS Outcomes Framework NHS Outcomes Framework; 5.4 Reducing harm from error

  17. Our shared purpose 1. Analyse the prob & opp’ty 2. Understand the evidence 3. Enable and drive change 4. Sustain improvement NHS England The role of National Clinical Directors • End of life care • Major trauma • Mental health • Chronic disability and neurological conditions • Learning disability • Cardiovascular disease • Cancer • Musculoskeletal disorders • Spinal disorders • GI and liver • Respiratory • Obesity and diabetes • Pathology services • Health and Justice (offenders) • Children and young people, and transition to adulthood • Maternity and women’s health • Diagnostics, including imaging • Urgent care • Rural and Remote Care and Services • Dementia • Integration and frail elderly • Enhanced recovery and acute surgery • Rehabilitation and recovering in the community • Emergency preparedness and critical care

  18. NHS ENGLAND Commissioning structures

  19. Regions • North of England • Midlands and East of England • London • South of England

  20. http://www.networks.nhs.uk/nhs-networks/respiratory-leads/documents/NHSCB%20LATs%20-%20Specialised%20Commissioning.pdfhttp://www.networks.nhs.uk/nhs-networks/respiratory-leads/documents/NHSCB%20LATs%20-%20Specialised%20Commissioning.pdf North of England – 9 LATs Midlands and East – 8 LATs London – 3 LATs South of England – 7 LATs

  21. Specialised Commissioning

  22. Specialised Commissioning

  23. Clinical Reference Groups

  24. Programmes of Care

  25. Clinical Senates

  26. North East, north Cumbria, and the Hambleton & Richmondshire districts of North Yorks 12 Clinical Senates Yorkshire & The Humber Greater Manchester, Lancashire and south Cumbria East Midlands Cheshire & Mersey East of England West Midlands Thames Valley London South West South East Coast Wessex

  27. Strategic Clinical Networks (SCNs)

  28. Geographical Alignment

  29. Innovation ‘An idea, service or product, new to the NHS or applied in a way that is new to the NHS, which significantly improves the quality of health and care wherever it is applied.’ http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299

  30. Academic Health Science Networks • 15 – designated and licensed • 5 year contracts • Systematic delivery mechanism for diffusion of innovation and best practice and collaboration between partners including industry • Align education, clinical research, informatics, training and healthcare delivery • Improving patient and population health by translating research into practice and developing and implementing integrated health care systems

  31. AHSNs Academia Oxford Eastern Wessex UCL Partners South London East Midlands West Midlands West of England North West Coast Greater Manchester Yorkshire and Humber South West Peninsula Kent, Surrey and Sussex North East and North Cumbria Imperial College Health Partners NHS Industry

  32. CHPO team work • Rehabilitation • Non-medical prescribing • NAHPIST • 6 programmes of work: • Prevention, early diagnosis and intelligence • Community services • Acute services • Integrated care and support • Patients in control • Parity of esteem

  33. Questions to consider • How best to exert influence and where? • How to inform clinical commissioning? • National versus local? • Together and/or separately? • Others……………….?

  34. Thank youshelagh.morris@nhs.net0113 825 11680777 182 5939

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