DH External Gateway

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DH External Gateway
Kate Turner Section Head 07736 352837
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Background

• Introduced by Nigel Crisp and Departmental Board
  in December 2001
• Designed as a means of ensuring guidance issued
  to the service
• reflects a light-touch approach to planning and
  performance management
• reduces the burden of bureaucracy on the NHS

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Gateway Objectives

• Reduce the planning burden placed on the service
  (regulatory and non-regulatory)
• Limit the number of new targets introduced to the
  service ensure the focus is on core priorities
• Manage down the volume and influence the style of
  guidance issued to the service

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Underlying Criteria

• Streamline plan requirements
• Streamline targets
• Encourage the use of Executive Summaries
• Integration/Avoid Duplication
• Take a light touch approach
• Encourage production of toolkits
• Encourage use of Bulletins Websites and avoid
  Health Service Circulars

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Underlying Criteria cont

• Mainstream monitoring requirements
• Avoid milestone setting - greater flexibility
  around pace of delivery
• Shift in focus to actual delivery rather than
  planned delivery
• Streamline guidance to no more than 30 pages

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Gateway Intervention Stats over 600 dropped
Items Aug 03 - April 05
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Gateway Intervention StatsCases by Decision Aug
03 - April 05
27 of all cases rejected/modified
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Points to consider

• Have you seen any difference since the
  introduction of Gateway?
• Good examples
• Bad examples
• Has there been a move away from requiring action
  and instead using best practice or guidance
  examples?
• What more could we (DH) be doing?
• To make the Gateway more effective
• To link to local initiatives

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Points to consider (cont)

• What more could be done locally?
• SHA level
• Trust level
• Apart from the DH where do the majority of
  demands come from?
• How could / should this be alleviated?
• What is the biggest bureaucratic burden you would
  like to be rid of?

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How can you help us?

• Become the eyes and ears of the Gateway
• Email MB-NHSGateway_at_dh.gsi.gov.uk with details of
  any issues / documents dont seem to follow
  Gateway principles
• Watch out for the NEW Reducing Burdens website

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Next steps

• Visiting all the SHAs in England, finishing in
  October
• That information collected will be used to inform
  future work of the Gateway
• We will publish the overall findings in a report
  by the end 2005