Progress since the NHS Plan and Future Challenges

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Progress since the NHS Plan and Future Challenges
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NHS Plan first phase

• grow capacity
• ensure quality
• improve services

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Grow capacity in staff
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ENSURE QUALITY
Standards and inspection Healthcare
Commission Standards National Service Frameworks

• Evaluation of therapies
• National Institute for Clinical Excellence

• Support Agencies
• National Patient Safety Agency
• National Clinical Assessment Authority

• Internal Systems
• Clinical governance integrated with
• corporate governance

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National Service Framework for coronary heart
disease

• promotion and prevention as well as services
• smoking, diet, rehabilitation
• new services and spread of good practice e.g.
  rapid
• access chest clinics
• specific targets e.g. for clot-busters and
• revascularisations
• attention to inequalities investment and
  targets
• investment in staff and facilities

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Premature death from circulatory disease is
falling very fast

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IMPROVE SERVICES

• target priorities
• spread best practice AE, cancer
• new service models
• new roles and ways of working development and
  contracts
• support with IT and technology

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Modernisation Agency

• Ten high impact changes based on 1000s of hours
  work in 100s of organisations e.g.
• Treat day surgery as the norm for elective
  surgery
• Manage variation in patient discharge
• Increase the reliability of performing
  therapeutic interventions through a Care Bundle
  approach
• Improve patient access by reducing the number of
  queues
• Optimise patient flow using process templates

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New service models in the community
NHS Direct, NHS Direct Online and NHS Direct
Interactive
Walk-in centres
Minor injuries services
GP services
Procedures and diagnostics in the community
Community prescribing
Mental health teams in the community
Increased support at home
Community pharmacy
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Patients waiting over 6 months for inpatient
admission
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Number of patients of all ages occupying an
acute hospital bed with delayed discharge
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Quality of care
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Achievements in the first phase

• capacity
• targeted improvements
• new learning, new skills, new capability
• confidence

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NHS PLAN SECOND PHASE

• health and well being promotion and partnerships
• a patient-led NHS
• reform

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National and local initiatives
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Moving from a top-down to a patient led system

• choice, involvement, information
• greater influence of GPs and primary care
• freer and stronger providers
• new quality and financial incentives including
  HCC, standards and payment by results

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Quality and value for money

• quality in all 7 domains
• reducing overheads
• more efficient delivery of activity and outcomes
• best practice, service redesign and new working
  practices
• contribution to the health and prosperity of the
  country

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The next stage

• listening to patients
• consultation on services outside hospital
• IT, working practices and service models
• roll out of reform
• quality and value for money

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