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Local and Strategic View Ann James, Chief Executive NHS Devon Devon Care Training Conference Tuesday 28 September 2010 W

Local and Strategic View Ann James, Chief Executive NHS Devon Devon Care Training Conference Tuesday 28 September 2010 Westpoint 09:55-10:10am. Respect, Quality, Effectiveness, Openness, Improvement. Key Themes. White Paper ‘Equity and Excellence: Liberating the NHS’ Key Principles

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Local and Strategic View Ann James, Chief Executive NHS Devon Devon Care Training Conference Tuesday 28 September 2010 W

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  1. Local and Strategic View Ann James, Chief Executive NHS Devon Devon Care Training Conference Tuesday 28 September 2010 Westpoint 09:55-10:10am Respect, Quality, Effectiveness, Openness, Improvement

  2. Key Themes • White Paper ‘Equity and Excellence: Liberating the NHS’ • Key Principles • Headlines • Challenges and Opportunities • Future Commissioning • Consultation documents • Summary

  3. 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: nhswhitepaper@dh.gsi.gov.uk

  4. 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.

  5. 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

  6. 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…

  7. 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

  8. 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

  9. Thank you for listening Respect, Quality, Effectiveness, Openness, Improvement

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