5YFV & transformation

programmes National Voices Influencing and Campaigning

Locally Network 18 April 2016 Charlotte Goldman, Strategic Programme Manager

Strategic Programme Office for the 5YFV

Outline for today

The 5YFV – background and aims

Delivering the 5YFV – STPs

Transformation initiatives

Questions and discussion

The 5YFV – background

and aims

Published in October 2014 by seven of the leading health arm’s length bodies (CQC, HEE, Monitor, NHS England, NHS TDA, NICE, PHE).

The aim was to reframe the terms of debate: to set out a shared view of the challenges ahead and the choices we face about the kind of health and care service we want in 2020.

Working with patient groups, clinicians, local government and think tanks, we tapped into an overwhelming consensus on the need for change, and a shared ambition for the future.

The Five Year Forward View

The NHS 2020 vision

2020

Patients, families and carers are

empowered to take more

control over their care and

treatment Integration: No divide between family doctors and hospitals, physical and

mental health, or health and social care

Serious about prevention - a

proactive agent of change, taking bold action to on

predicted trends Organised to

support people with multiple

conditions not just a single

disease

More efficient, and meets the needs of future

patients in a sustainable

way

Greater health equality –

regardless of where you are

treated

The Five Year Forward View For the NHS to meet the needs of future patients in a

sustainable way, we need to close all three of these gaps:

Achieving the 5YFV vision

Radical

upgrade in

prevention

Health &

wellbeing

gap

1

New Care

Models +

new

support

Care &

quality

gap

2

Efficiency

&

investment

Funding

and

efficiency

gap

3

Delivering the Forward

View: STPs

Sustainability and Transformation Plans (STPs) will be place-based,

multi-year plans built around the needs of local populations:

• used to drive a genuine and sustainable transformation in patient

experience and health outcomes over the longer-term

• not an end in themselves, but a means to build and strengthen local

relationships, enabling a shared understanding of where we are now,

our ambition for 2020 and the concrete steps needed to get us there

• will be delivered by local health and care systems or ‘footprints’:

organisations working together to deliver transformation and

sustainability

Delivering the Forward View: STPs

The NHS Shared Planning Guidance (December 2015) asked every health

and care system to come together to create their own ambitious local

blueprint for accelerating implementation of the 5YFV

Forming and managing footprints

• Majority agreed by local health & care organisations as submitted. In one or two

areas, further conversations required to ensure planned footprints fit for purpose

• Local areas considered: geography, scale, fit with existing programmes,

leadership etc.

• Approaches varied across the country to take account of local circumstances

• Each footprint has been asked to set out governance arrangements for

agreeing and implementing their STP

• The majority of individuals who will lead the development of STPs within each

footprint are now confirmed https://www.england.nhs.uk/2016/03/leaders-

confirmed/

• 44 footprints collectively cover the whole of England

• Footprints range in size and population – around 300,000 to 2.8 million people

https://www.england.nhs.uk/wp-content/uploads/2016/02/stp-footprints-march-

2016.pdf

Footprints are local geographic areas where people and organisations

have agreed to work together to develop robust plans to transform the way

that health and care is planned and delivered in for their populations over

the next five years

North region

Midlands and East region

South region

London region

Next steps:

What

When

Short submission by footprints to

national bodies setting out:

1.Governance arrangements (including

lead)

2.Emerging priorities for action

15 April 2016

Regional development days for STP

footprint leads

Late April/Early May 2016

Each footprint to submit their STP to

the national bodies

30 June 2016

Series of regional conversations

between national bodies and footprints

Throughout July 2016

Vanguards, pioneers

and success regime

areas

Clinical engagement

Patient involvement

Local ownership

National support

New Care Models core values

16

Integrated primary and acute care systems

Multispecialty community providers

Enhanced health in care homes

Urgent and emergency care

Acute care collaboration

5 new models of care with a total of 50 vanguards:

9

14

6

8

13

50 vanguards selected

17

What will success look like?

• Nationally replicable models

• More accessible, more responsive and

more effective health, care and support

services

• Fewer trips to hospitals

• Care closer to home

• Better co-ordinated support

• 24/7 access to information and advice

• Access to urgent help easily and

effectively, seven days a week

Our values: clinical engagement, patient involvement, local ownership, national support

www.england.nhs.uk/vanguards #futureNHS 18

25 Integrated care pioneers • The integrated care pioneers programme was launched in November

2013 and is focussed on the integration of health and social care – with

arm’s length bodies supporting them to develop their new models of care

• The programme is supporting change and innovation at a local level,

sharing learning across the pioneer network – with support from national

experts

• Some sites are also vanguards

• Leadership and development

• Workforce

• Commissioning and contracting

• Evaluation

• Information management and technology

Common challenges across all sites

Our values: clinical engagement, patient involvement, local ownership, national support

www.england.nhs.uk/vanguards #futureNHS 20

Addressing the key enablers of transformation

Our values: clinical engagement, patient involvement, local ownership, national support

www.england.nhs.uk/vanguards #futureNHS

1.

Designing new care models 2.

Evaluation and metrics

3.

Integrated commissioning and provision

4.

New operating model

5. Governance, accountability and provider

regulation 6. Empowering patients and communities

7. Harnessing technology

8.

Workforce redesign

9.

Local leadership and

delivery

10. Communications and engagement

21

Success regime - addressing issues

across whole health and care systems

Aim

Locations

Process &

support

1) North, East and West Devon; 2) West, North and East Cumbria; and

3) Essex

To provide challenge and support to some of the most challenged health

economies in the country

• Tailored to local circumstances

• National bodies oversee a process that:

o diagnoses the key underlying issues

o develops solutions to address these issues

o ensures that the solutions are implemented

• Current work to develop and appraise clinical models

• Focus on developing the capacity and capability of local leaders

Consultation

• Conversations with the public regarding emerging findings and future

service models are increasing as part of pre-consultation

engagement.

• Significant work undertaken to engage MPs and ministers

• Public consultation planned in the summer for Cumbria and Devon

with consultation in Essex planned for the autumn

Discussion

The 6 Principles must be embedded in

every part of the health and care system

‘A new model of partnership with people and communities’ setting out the 6

principles for person-centred, community-focused care

People are fully engaged in their own health and care

Services are co-produced with communities

Focus on equality and reducing inequalities

Carers are better identified, supported and involved

Health and care systems are fully realising the potential of volunteering and social action

Health and care systems are fully realising the potential of VCSE organisations

1

2

3

4

5

6

Discussion: What does this mean for you?

Opportunities for you to be involved

Think how you could be part of the delivery solution

Be proactive!

More details can be found at:

www.england.nhs.uk/futureNHS

www.england.nhs.uk/deliver-

forward-view

www.england.nhs.uk/vanguards

www.england.nhs.uk/stp

Please email:

england.fiveyearview@nhs.net

Or join the conversation on

Twitter using #futureNHS

Further information…

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