Andrew Cash Director General Provider Development

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Andrew CashDirector General Provider
Development
SHA PD/0609/01

• Context
• Role
• Objectives

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FEATURES

• Two systems running side by side
• Moving from slow world to quick, volatile world
  with risk
• Key date for changeover 2008/09
• With fixed prices, market growth is on quality
  and incentives
• Main levers for change choice/commissioning
• Logic is regulation fills in the gap
• Regulation
• light touch
• development standards

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CONTEXT

• Rewarding efficient providers
• Providing incentives for others to improve

• Choice/competition (patients)
• Contestability/service redesign (commissioners)

• More diverse providers
• Freedom to innovate

Improved Care, patient experience, value for money

• System management and regulation
• Guarantees safety and quality

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• Role
• Working with SHAs to provide leadership and
  support to NHS on provider development
• Through
• Finance, performance, reform
• Mixed economy
• Changing balance of care
• Driven by commissioning and choice
• Within transparent financial and regulatory
  framework

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• Requires
• Innovative, self improving provider organisations
• Provider framework and system rules to make this
  happen

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• 1. Developing Foundation Trusts
• 100 (Dec 07), 170 (Dec 08)
• Diagnostics/Action Plans
• Exercising new freedoms
• Mental Health Foundations
• 40 (Dec 08)
• High secure, Care Trusts, PCT mental health
  provision
• Provider Framework
• National focus for new organisational models
• Regional teaching centres, district general
  hospitals, FTs in primary care etc.

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• 4. Policy Development
• Specific (improving blockages to FTs)
• General (tariff, failure regime etc)
• 5. Primary Care and Care Closer to Home
• FT Community Trusts/other models
• Care Pathways
• 6. Community Hospitals
• White paper follow up
• Nearer or closer to home

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• 7. Developing Social Enterprises
• Investment Fund (April 07)
• Pathfinder sites (15 in 06/07, 45 07/08)
• 8. Emergency Care and Urgent Care
• AE, Ambulance, NHS Direct
• Urgent Care Strategy

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• 9. Improving Performance in Providers
• Actioning minimum standards, spreading best
  practice
• Turnaround, hotspot provider organisations,
  reconfiguration
• 10. Workforce Reform, Leadership, Staff
  Engagement
• Linking workforce reform to provider reform
• Leadership competence reviews

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THE PROVIDER DEVELOPMENT SYSTEM
sequence from policy framework through to
oversight of delivery
feedback loop input to policy development based
on operational knowledge and evidence (eg. over
system issues impeding progress to FT status)
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DPD functions and teams

• DG Andrew Cash Deputy Richard Cienciala
• Foundation Trust Unit Warren Brown
• Social Enterprise Unit Sue White
• Emergency and Ambulance team Nicola Hewer
• Urgent Care and NHS Direct team Caroline Brock
• Community Hospitals and Services John Pope
• Clinical Leadership and other projects David
  Johnson
• Support to SHAs following FT diagnostic Mike
  Gill, David Meek