Insights – Understanding the
Evolving Healthcare Landscape

Why the Change?

• The changing nature of health and its population
• Population dynamics, the change in balance & disease burden
• The innovation dilemma and its impact on funding
• The public purse and the hole within it
• Impact of the banking crisis
• The 'do nothing' approach - short, medium & longer term implications
• The solution, like it or not

The Evolving System

• A sensible model of the current NHS
• Understanding current and evolving NHS structure and control
• Appreciating a system in flux – the current is not yet the vision
• NHS organisations & bodies – who does what for whom?
• Changing healthcare delivery models – Lord Darzi's legacy
• Increasing use of and reliance on the community
• What does this mean for secondary, tertiary care organisations?
• Aggregation & other changes in primary care and their impact on secondary care

Understanding Service Funding

• Understanding how services are funded in the evolving system
• Payment by results (PbR) and tariffs
• Evolution of tariffs as Monitor gains responsibility
• Income & costs – viability, sustainability & competitiveness
• What does CIP really mean?
• Market forces and their impact on service funding
• Evolving roles and how this contributes financially
• The role different staff play in service income, cost & competitiveness
• The role & responsibilities of Monitor, the economic regulator

Commissioning, Change & Competition

• From PCT to GP Consortia to Clinical Commissioning Groups
• The relationship between commissioning and the clinical coalface
• Fully understand the choice agenda & the requirements of commissioners
• What data & information will be used in commissioning, choice & regulation
• Opportunities and threats emerging from commissioning changes
• How are services & specialties targeted for reform?
• Competing provider types – understand who can do what
• Any Qualified Provider – know the mechanism & implications
• Borderless thinking – the removal of healthcare boundaries
• What does it take to be competitive?
• Best of breed competition and how the NHS must change

Performance, Quality & Experience

• The performance imperative of modern healthcare
• The implications of poor performance in the modern era
• How will quality be assessed and assured
• The role of the Care Quality Commission in quality regulation
• Quality risk for provider services
• The impact of quality on service remuneration
• Patient experience as a quality measure
• The link between experience & service funding
• The role & impact of different staff on patient experience

Adapting our model of service effectiveness

• How do NHS services need to change in light of this agenda?
• Broad scanning – ensuring you are ahead of the agenda
• The 6 critical success factors of service success in the new system
• Assessing whether your service is fighting fit or vulnerable
• The 7th factor for academic services
• Ensuring that services excel across all 7 critical success factors
• Organising principles for ensuring success in all factors
• Future perspectives and likely further evolution