East of England
East Midlands
London
North East
North West
South East Coast
South Central
South West
West Midlands
Yorkshire & the
Humber
NHS Integrated
Care – implications for
professional development
Angela Lennox
GP and Associate Director of Primary
Care
Department of Health
The opportunities
• Expectations
• Population
• Information society – and its implications
• The changing nature of disease
• Advances in treatment
• A changing health workplace
High quality care for all- NHS Next Stage Review Final Report
Quality at
the heart of
the NHS
High quality
care for all
High quality
care for
patients and
the public
Freedom to
focus on
quality
NHS Next Stage Review:
People
shaping
services
vision for primary and community care
Promoting
healthy lives
Continuously
improving
quality
Leading Local Change
Patient Power
& Choice
Clinical
Leadership &
Engagement
World Class
Commissioning
NHS Next Stage Review:
• Listening and
responding to people’s
views
• Services that fit
People
shaping
services
together & make sense
• Informed choices for
patients and families
• More control for
people with long-term
conditions
Promoting
healthy lives
• Piloting personal
budgets
Continuously
improving
quality
vision for primary and community care
NHS Next Stage Review:
• Listening and
responding to people’s
views
• Services that fit
• Partnerships with local
People
shaping
services
together & make sense
• Informed choices for
patients and families
• More control for
people with long-term
conditions
vision for primary and community care
Promoting
healthy lives
• Piloting personal
budgets
Continuously
improving
quality
government and other sectors to
promote health and wellbeing
•
•
•
•
Staying healthy throughout life
Access to healthy living services
Reducing health inequalities
Stronger QOF focus on public
health
NHS Next Stage Review:
vision for primary and community care
NHS Next Stage Review:
vision for primary and community care
NHS Next Stage Review:
vision for primary and community care
NHS Next Stage Review:
Examples of LIFT centres
vision for primary and community care
NHS Next Stage Review:
Bingfield Primary Care Centre
Islington, North London.
vision for primary and community care
NHS Next Stage Review:











3 GP Practices
Community Nursing Base
Pharmacy
Genito-Urinary Outpatients
Podiatry
Family Planning/Health Living
Services
Dentistry
Adult and Children’s Audiology
ENT Outpatients
Speech and language therapy
Musculoskeletal Therapy
St Peter’s Health & Leisure
Centre, Burnley, East Lancs.
vision for primary and community care
NHS Next Stage Review:



3 GP Practices
Minor operations
Podiatry

Pharmacy
Audiology
Physiotherapy and
hydrotherapy suite
Paediatric clinical services

Catalyst for re-development



Platt Bridge Health Centre
Wigan
vision for primary and community care
NHS Next Stage Review:

Shared site with extended
school

SureStart

Family support centre

Library

Housing office
Platt Bridge Health Centre
Wigan
vision for primary and community care
NHS Next Stage Review:
Barking & Havering
vision for primary and community care
NHS Next Stage Review:
Barnsley
vision for primary and community care
NHS Next Stage Review:
• Listening and
responding to people’s
views
• Services that fit
• Partnerships with local
People
shaping
services
together & make sense
• Informed choices for
patients and families
• More control for
people with long-term
conditions
vision for primary and community care
Promoting
healthy lives
government and other sectors to
promote health and wellbeing
•
•
•
•
Staying healthy throughout life
Access to healthy living services
Reducing health inequalities
Stronger QOF focus on public
health
• Piloting personal
• Transforming community health
budgets
services
• Practice accreditation
• Registration with Care
Quality Commission
Continuously
improving
quality
• Systematically measuring
quality
• Independent process for QOF
NHS Next Stage Review:
People
shaping
services
vision for primary and community care
Promoting
healthy lives
Continuously
improving
quality
Leading Local Change
Patient Power
& Choice
Clinical
Leadership &
Engagement
World Class
Commissioning
Leading local change
World Class
Commissioning
for primary care
• World class commissioning guide for primary care
• understanding needs of local communities
• clinical leadership and clinical engagement
• incentives for integrated care and upstream prevention
• information for patients and the public
• applying system rules
• stimulating innovation and choice (market making)
• Support and development
• predictive modelling and risk stratification
• public engagement and social marketing
• dataset development (including equality monitoring)
• contract management
• estates strategies
Leading local change
World Class
Commissioning
for primary care
Supporting
integration of
health and
social care
• World class commissioning guide for primary care
• understanding needs of local communities
• clinical leadership and clinical engagement
• incentives for integrated care and upstream prevention
• information for patients and the public
• applying system rules
• stimulating innovation and choice (market making)
• Support and development
• predictive modelling and risk stratification
• public engagement and social marketing
• dataset development (including equality monitoring)
• contract management
• estates strategies
• Joint strategic needs assessment & LAAs
• More integrated working between SHAs and GOs
• Ministerially-led group to identify how to support
organisations that want to go further
Leading local change
Reinvigorating
PBC
•
•
•
•
•
Repositioning PBC: clinical leadership & health outcomes
Incentives for more multi-professional engagement
Entitlement to management and financial support
Holding PCTs to account through assurance framework
Different levels of engagement
 entry-level PBC (dependent on quality of primary care)
 increasing freedoms for high-performing, multiprofessional and accountable PBC groups
Leading local change
Reinvigorating
PBC
Piloting new
models of
integrated care
•
•
•
•
•
Repositioning PBC: clinical leadership & health outcomes
Incentives for more multi-professional engagement
Entitlement to management and financial support
Holding PCTs to account through assurance framework
Different levels of engagement
 entry-level PBC (dependent on quality of primary care)
 increasing freedoms for high-performing, multiprofessional and accountable PBC groups
• Clinical collaboration across primary, community and
secondary care
• Integration between health and social care
• ‘Integrated care organisations’ managing capitated budgets
• Testing safeguards for choice and competition
• Specifying service quality and financial management
Leadership for quality- making change happen
NHS Leadership Model
Vision
where we are
going
Expectations
how people will
have to
change
Method
the way that
improvement
will happen
Embed in training. Leadership
will be included in undergraduate
curricula for nurses and doctors
New standards. Accredited health
leadership standards for both
clinicians and managers
NHS Leadership Council.
Support all leadership, with strong
focus on top 250 in the NHS
Support Boards. New
development programme for trust
boards to be commissioned
Interprofessional Education – opportunities
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Integrated Pathway Redesign - Quality, Outcomes,
Productivity and Efficiency
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Integrated Pathway Redesign - Quality, Outcomes,
Productivity and Efficiency
Promoting Healthier Lives
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Integrated Pathway Redesign - Quality, Outcomes,
Productivity and Efficiency
Promoting Healthier Lives
Continuously Improving Quality
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Integrated Pathway Redesign - Quality, Outcomes,
Productivity and Efficiency
Promoting Healthier Lives
Continuously Improving Quality
Leadership and Innovation
Interprofessional Education – opportunities
Patient Access, Choice and Empowerment
Integrated Pathway Redesign - Quality, Outcomes,
Productivity and Efficiency
Promoting Healthier Lives
Continuously Improving Quality
Leadership and Innovation