Joint guidance – from NHS England, Monitor, the NHS Trust Development Authority (TDA), the Care Quality Commission, Public Health England and Health Education England – has been released on fulfilling the aims of the NHS Five Year Forward View. Recommendations include: investment in prevention of illness; financial investment in the transformation of primary care, mental health services and local health economies; and further commitment to high-quality data for staff and carers.
The Forward View into action: Planning for 2015/16. London: NHS England, December 2014.
This relates to:
The Forward View into action: planning for 2015/16. London: NHS England, December 19th 2014.
This guidance has been backed by £1.98 billion of additional funding, with specific financial allocations for healthcare commissioners:
NHS England publishes allocation of commissioning resources for 2015/16. London: NHS England, December 19th 2014.
New Appointees to Support Forward View Care Models
NHS England (with Monitor and the TDA), acting in pursuit of the NHS Five Year Forward View, have appointed two national leaders to support implementation of new care models:
Samantha Jones: Chief Executive of Watford St Albans and Hemel Hempstead Hospitals has been appointed as Director of New Models of Care at NHS England.
Sir Sam Everington: Senior GP in Tower Hamlets will lead national work on primary care-driven care models and service redesign.
Further, Dr Don Berwick will advise on international models of care integration
NHS Trust Chief Executive and GP leader appointed to support local NHS in developing new Forward View care models. London: NHS England, January 7th 2015.
Local Enhanced Services Payments
Taking integration in diabetes care as an example:
“In Wolverhampton, patient centred care in diabetes has been encouraged by removing the incentives that often lead to fragmentation of care—principally, the payment by results tariff that encourages hospitals to admit and retain patients. A block contract was placed with Royal Wolverhampton NHS Trust for specialist care and a shared IT system enables specialists to identify people who need specialist attention without a referral from a GP. This is achieved through a central portal that extracts data from general practices and uses a locally developed algorithm to stratify patients by risk as red, amber, or green. This is used to determine how and where a patient should be treated. If a patient falls into the red band specialist treatment can be provided without having to wait for a referral. The trust also delivers community care services, removing another barrier to integration”. (p.2)
Hawkes, N. (2015). Seeing things from the patients’ view: what will it take? BMJ. February 10th 2015; 350: g7757.
NHS England’s Latest Transformation Leaders
NHS England has announced the appointment of three NHS leaders to work on primary care, drive improved cancer services, and lead the commissioning of specialised hospital services.
- Dr Arvind Madan: NHS England’s Director of Primary Care, who will provide clinical leadership for the transformation of primary care.
- Cally Palmer: NHS England’s NHS National Cancer Director, who will lead implementation of the NHS Cancer Taskforce’s five year strategy for cancer care improvement and the new Cancer Vanguards.
- Dr Jonathan Fielden: NHS England’s Director of Specialised Commissioning, who will lead national specialised commissioning within NHS England and development of a national strategy for specialised services.
NHS England appoints senior clinicians and frontline leaders to drive next phase of Five Year Forward View implementation. London: NHS England, October 13th 2015.