Nhs 5yr plan infographic

Nhs 5yr plan infographic

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  5 Year ForwardView Prevention and self management key to new relationship with patients and public models for service 1. Multispecialty Community Providers • Extended group of GP practices • Focal point for wide range of care • Could employ, or partner with, consultants • Could take over community hospitals and in time have budgets delegated 2. Primary and Acute Care Systems: • One organisation providing primary care, hospital, mental health & community services • Potential for delegated capitated budget 3. Urgent and Emergency Care Networks • Integrate A&E, GP out-of-hours, urgent care centres, NHS 111 & ambulance 4. Viable smaller hospitals • Look at adjusting payment regime • Examine sustainable staffing and cost structures • New organisational models building on Dalton Review: • Hospital chains • Other providers on same site • Form integrated provider 5. Specialised care • Consolidation where there is strong evidence for this • Networks of services ‘over a geography’ 6. Modern maternity services • Review future models of maternity units – report by summer 2015 • Ensure tariff supports mothers’ choices • Make it easier for groups of midwives to set up NHS funded services 7. Enhanced health in care homes • New models of in-reach support working with local NHS, local authorities & care homes • No wholesale reorganisation of commissioning structures • Option for Clinical Commissioning Groups (CCGs) to have more control over wider NHS budget • Work with ambitious local areas on limited number of models of joint commissioning between the NHS and local government, including • Integrated Personal Commissioning • Better Care Fund-style pooled budgets for specific services where appropriate • Possible full joint management of social and health care commissioning, perhaps under the leadership of Health and Wellbeing Boards. • NHS England to develop new risk-based CCG assurance regime • Lighter quality assurance reporting for high performing CCGs • New ‘special measures’ support regime for struggling CCGs • Health Education England (HEE) to address gaps and identify education and training needs • Invest in Continuous Professional Development (CPD) to equip staff with skills and flexibility to deliver new models of care • Shape of Training Review and Shape of Care Review to also help address this • Recognises working patterns, pay and terms and conditions need to evolve • Invest in primary care workforce: • Expand as fast as possible number of GPs in training • Training more community nurses and other primary care staff • Increase investment in new roles, and in returner and retention schemes; ensure current rules are not putting off potential returners • NHS employers should support own staff health and wellbeing £30bn funding gap cannot be closed without more funding, alongside further action on demand and efficiency Commissioning Workforce • Expand and strengthen primary and ‘out of hospital’ care • Faster adoption of innovations that add value © Thames Valley Health Innovation & Education Cluster 2014 Supporting adoption & spread of healthcare best practice in the NHS http://www.tvhiec.org.uk @TV_HIEC