The NHS Reforms – a Policy Analyst’s View
The Procurement and Distribution
Interest Group Conference : 9th June 2011
Dr Patricia Oakley, Director
Practices made Perfect Ltd.
Teaching and Research Fellow
Organisational Psychology and HRM
King’s College London
Tel: 0845 862 0372
email: office@practices.co.uk
Fax: 0845 862 0373
The NHS Reforms – Key Qs
What are the key changes for the
NHS and the Medicines Market?
How can hospital pharmacy
services survive the changes?
Who will be buying medicines in
the future?
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., 131-133 Cannon Street, London EC4N 5AX . Tel: 0845 862 0372 . Fax: 0845 862 0373 . E-mail: office@practices.co.uk
The Next 30 Years
 Care of the Elderly – physically well and mobile, socially
engaged and psychologically content.
 Chronic Disease Management including Mental Health and
Carer Support.
 Specialist Surgical and Therapeutic Interventions.
 New Science: Pharmaco-Therapeutics and Genetics,
Molecular Imaging and Diagnostics.
 Building technologies and flexible designs underpinned with
real-time information e.g. Electronic Transfer of
Prescriptions, Digital X-ray, Just-in-Time Training
Programmes.
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© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., 131-133 Cannon Street, London EC4N 5AX . Tel: 0845 862 0372 . Fax: 0845 862 0373 . E-mail: office@practices.co.uk
Health and Social Care Services
Acute Care Services
Aided Living Centre
•
•
•
•
•
•
•
•
•
•
Acute Care and Interventions
Day Surgery and Treatment Centres
Specialist Centres
Intensive Centres
Research Centres
Managed Care Practices
•
•
•
•
•
Maternity and Child Care Services
Diagnostic and Imaging Services
Minor Surgery Centres
Mental Health Care Services
GP – Wellness Centres
HOME
• Self Care
• Aided Self Care
• Advisory Service
Rehabilitation and Resettlement Services
Equipment Services
Carer Support Services
Education Services
Self-Help Services
End Stage Support Services
•
•
•
•
•
Nursing Support and Night Sitting Services
Palliation and Symptom Control Services
Respite Services and Carer Support
Preparation for Death Support Services
Bereavement Support Services
11e31449aso1
© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., 131-133 Cannon Street, London EC4N 5AX . Tel: 0845 862 0372 . Fax: 0845 862 0373 . E-mail: office@practices.co.uk
Focus on the Future – The Wheel Turns Again
Proposed Streamlined Public Service Architecture*
• Dept. of
[Public]
Independent NHS
Health
Board and its
Permanent
Regional Directorates
Secretary
Service
and
• Chief Executive.
Commissioning
Chief
• £ Controller.
Agencies
Medical
• Commissioning
Officer.
Director.
• Local Authority
• National Specialist
? Medical Director
Commissioning Commissioning Agency:
(inc. Workforce).
− Multi-agency service
Group e.g.
commissioning;
Transplant
? Chief Officers (inc.
−
Public Health
Programmes,
workforce).
Programmes;
Proton Beam
− “residual” services
? Nursing Director
Therapy and
commissioning.
(inc. workforce).
“Orphan”
Drugs.
• GP Commissioning Groups
? Workforce
– Managed Agencies for
Director.
? Subsume most
majority of local people’s
of regional
needs.
? R&D
specialist
Director.
commissioning
• GP-Patients Commissioning
groups’ work?
Partners:
− Individual Choice;
? Subsume the
− Co-Payment Choice;
“Cancer Drugs
− Means-Tested
Fund”?
Services.
£
£
Workforce
Pay Review
Regulators
Bodies
Independent
Care
MonitorReconfiguration
Quality
Market
Panel
Commission
Regulator
£
Service Providers
Network
• Foundation Trusts and Academic
Health Science Centres.
• Social Enterprises and Charities.
£
• Companies.
• Partnerships.
Workforce – Human
Resources Development
Shared Service Agency
• Deanery Schools and
HIECs.
• Assessment Centres.
• Leadership and
organisational
Development Consortia.
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*2nd draft @ 16.7.2010 to be revised once White Paper has cleared Parliament and become the Health Act 2010.
£
Workforce – Strategic
Planning and
Investment Shared
Service Agency
• Recruitment and Payroll
Agencies.
• Workforce Planning and
Information Consortium.
• Education and Training
Commissioning
Consortium.
The NHS Reforms – Impact Assessment for Medicines
Supply Chain Management
 Care of the Elderly and those with long-term conditions 
growth rate of prescriptions and costs of medicines.
 Organisation of and long-term investment in the supply
chain  critical mass and rate of capitalisation.
 Economies of scale and localisation  cluster hospital
pharmacy investments and services (?Noel Hall?).
 Group purchasing arrangements to support prescribing
groups  Boards, LHBs, GP clusters.
 Interlacing of public and private sectors in England 
public service commissioners, supply chain management,
and professional services.
11e31449aso1
© Practices Made Perfect Ltd.
*Prepared by Dr. Patricia Oakley, Director, Practices made Perfect Ltd., 131-133 Cannon Street, London EC4N 5AX . Tel: 0845 862 0372 . Fax: 0845 862 0373 . E-mail: office@practices.co.uk