2. The coalition aims NHS £ Uphold Investment World Class First of 3 Values and Principles of the NHS Increase spending in real terms year on year Develop an NHS which achieves the amongst the best results in the World White Papers for Health
3. Healthcare focused Patients & public first Strategic aims Strategic aims Autonomy & accountability Effective & efficient
5. “ We will put patients at the heart of the NHS, through an information revolution and greater choice and control ”
6. Patients & public first Patients and public at the heart of the NHS ? Shared decision making Choice of personalised care Strong collective voice Help making informed decisions Patients and public at the heart of the NHS Choice of GP, provider, Consultant led team, and treatment Personalised care that reflects individual needs Greater access to information about hospitals, providers and clinical teams New Health Watch body to represent patients and the public Part of the Care Quality Commission
8. “ …the service must be focused on outcomes and the quality standards that deliver them”
9. Healthcare focused Services designed & measured around healthcare outcomes NHS NICE £ Evidence based outcomes Clinical quality standards Funding by performance Culture of accountability The NHS will be measured against defined clinical outcomes thus ending process targets A culture of open information, active responsibility and openness to challenge to ensure patient safety Quality standards developed by NICE will be the basis of commissioning and measuring care within the NHS Transparent, comprehensive payment systems across the NHS which reward outcome performance
11. “ ..empower professionals and providers, giving them more autonomy.., making them more accountable for the results they achieve…”
12. Autonomy & accountability Empowering professionals to lead services Health Bill NHS NHS Social Joining local NHS & social care services New legislation; Health Bill Independent commissioning Devolved responsibility -GP consortia Responsibility for commissioning services will be devolved to those closest to patients; GP’s & their practice teams Strengthened democratic legitimacy at local level Will give the NHS greater freedoms and help prevent political micromanagement New NHS Commissioning Board will lead achievement of health outcomes and be accountable for resources
13. Autonomy & accountability Empowering professionals to lead services Q £ Monitor CareQuality Commission Expand social enterprise sector Strengthened role Funding matched to health needs Closer economic regulation Creating more NHS foundation trusts and employee led social enterprises Monitor will be an economic regulator, promoting effective, efficient healthcare, competition and directing expenditure The CQC will become a stronger inspectorate of effective quality across health & social care Ring fenced funding will be allocated to reflect population health outcomes & reduction of health inequalities
15. “ The NHS will need to achieve unprecedented efficiency gains, with saving reinvested in front line services…”
16. Effective & efficient Achieving unprecedented efficiency gains £20b Efficiency savings Delayer & simplify healthcare Reduced management costs The NHS will achieve efficiency savings by 2014, to be reinvested to support quality & outcome improvements Management costs will be reduced by 45% over the next 4 years to reallocate to frontline services Radical delaying & simplifying of DH,NHS, & Quango bodies
19. Summary Patients & public first Autonomy & accountability Effective & efficient Healthcare focused Patients and public at the heart of the NHS Services designed & measured around healthcare outcomes Empowering professionals to lead services Achieving unprecedented efficiency gains
