doh final report - ara darzi 2008

8/3/2019 DoH Final Report - Ara Darzi 2008

1/17

East of England

East Midlands

London

North East

North WestSouth East Coast

South Central

South WestWest Midlands

Yorkshire & the Humber

High quality

care for allNHS Next Stage ReviewFinal Report


2/17


3/17

NHSNextStage

Review

High quality care for allNHSNextStage Review Final Report

Quality at theheart of the

NHS

High qualitycare for

patients andthe public

Freedom tofocus on

quality

High quality

care for all

Raising standards

Stronger involvement of cliniciansin decision making at every level of

the NHS

Fostering a pioneering NHS

Empowering

frontline staff tolead change thatimproves quality

for patients

Valuing the work

of NHS staff

Help to stay healthy

Empowering patients

Most effective

treatments for all

Keeping patients as

safe as possible


4/17

NHSNextStage

Review

The past yearJourney of anNHS Review

Review

launched

Interim

report

Leading

local

change

Clinical

visions

launched

High

quality

care for all

July October May May-June Today

PrimeMinister,Chancellor,Secretary ofState request

NHS review

Followingmany visitsaround thecountry, theInterim

Report ispublished

New pledgeson change inthe NHSannouncedensuring

focus onquality

The work of2,000frontlineclinicians toimprove

quality forpatients

Report toenable localchange todeliver highquality care

for all

Largest local engagement in the history of the

NHS underpins the whole process


5/17

NHSNextStage

Review

What we heard from youOverview of findings of clinical pathway groups

Support people to takeresponsibility for their own health,through reaching out todisadvantaged groups

Maternity

& new born

Childrens

Acute care

Stayinghealthy

Women want greater choice over

place of birth and a more personalexperience, with care provided by anamed midwife

Services needed to be moreeffectively designed around the needs of children and families,

delivered in schools and childrens centres too

Saving lives by creating specialised centres for major trauma,heart attack and stroke care, supported by skilled ambulanceservices


6/17

NHSNextStage

Review

What we heard from youOverview of findings of clinical pathway groups

More care should be provided closer to peoples homes, withgreater use of technology and outpatient care not alwaysmeaning a trip to hospital

Mental

health

Long-termconditions

End of life

Plannedcare

Extending services in the community, benefits to general

wellbeing and to physical health arisingfrom stronger mental health promotion

Need for true partnerships betweenpeople with long-term conditions and

the professionals and volunteers caringfor them

Necessity for greater dignity and respectand desire to have round the clockaccess to palliative services


7/17

NHSNextStage

Review

All advanced health systems face significant challengesChanges in healthcare and society

Everhigher

expectations

Advancesin treatments

Demanddriven by

demographics

ChangingNHS and

Social Careworkplace

Health in aninformation

age

Changingnature of

disease


8/17


9/17

N

HSNextStage

Review

What we will do

1

2

3

4

Helping people to stay healthyHigh quality care for patients and the public

Challenges of 21st

century are lifestylediseases

NHS has aresponsibility topromote goodhealth as well astackling illness

Real focus onprimary care toimprove health

Context

A new Coalition for Better Health.WithGovernment, private and third sectororganisations

Reduce Your Risk campaign. Raise awareness ofbiggest killer vascular diseases and how toreduce risk

Support family doctors to help individuals andtheir families stay healthy. Changes to QOF andPBC to promote prevention

Support for people to stay healthy at work.

We will pilot integrated Fit forWork services


10/17

N

HSNextStage

Review

Empowering patientsMore choice and control over their health and care

Patients want morecontrol rather thanbeing passive recipients

of services

Patients want services

that are personal totheir needs

Giving more control forhealth services should

encourage moreresponsibility forhealth

Context

Extend choice of GP. Fairer rewards for practices taking on

new patients, electronic registration

New right to choice. Draft NHS Constitution contains new

right to choose treatment and providers with qualityinformation

Personalised care plans for people with long-term

conditions. Service organised around people

Pilot personal health budgets. Learn from social care to

give greater control to individuals and families

Guaranteeing access to NICE approved drugs. NICE

appraisals will be speeded up

What we will do

1

2

3

4

5


11/17

N

HSNextStage

Review

1

Bringclarity toquality

Changing the way standards are created and set byexpanding NICE so it selects the best available, or fills

the gaps, and runs a new NHS Evidence service

2 Measurequality

Quality Metrics across service line (Patient

experience and patient related outcomes)Clinical dashboards for teams

3

Publishquality

performance

All providers of NHS services will publish QualityAccounts fromApril 2010

Comparative information on NHS choice

4

Recognise andreward qualityimprovement

New Commissioning for Quality and InnovationschemeMulti-year tariff projections, tariff for mental

health

Quality: Define, measure, publish, rewardHigh quality care throughout the NHS


12/17

N

HSNextStage

Review

Improve, regulate, and innovateHigh quality care throughout the NHS

5Raisestandards

Stronger clinical engagement in commissioningMedical Director and ClinicalAdvisoryBoard at

every SHAQuality Observatory in every region

National QualityB

oard

6Safeguardquality

Strong role for regulation by the Care QualityCommissionRegulation extended to primary care for first time

7Stayahead

Best PracticeTariffs programme from 2010/11 SHAs to promote innovation, new fund, and prizesHealth Innovation & Education ClustersAcademic Health Science Centres


13/17

N

HSNextStage

Review

Freedom to focus on qualityNew accountability and empowering staff

Empowering staff

If clinicians are to be held toaccount for quality, then they needto be empowered to make a

difference

They should set the direction forthe services they deliver, makedecisions on resources and onpeople

Practice-based commissioning willbe strengthened to empowerprimary care clinicians

Unlocking talents

Healthcare is delivered by a team

Everyone needs to pull in the same

direction

Clinicians should be practitioners,partners and leaders in the NHS

This will enable us to unlock talents

of all NHS staff

This is the new professionalism


14/17

N

HSNextStage

Review

Freedom to focus on qualityUnlocking talents and greater freedom to the frontline

Greater freedom to the frontline

Commitment for all NHSorganisations to becomefoundation trusts

More freedoms for communityservices

Right to request new professional-led model such as social enterprise

will retain pension rights

More autonomy for highperformingPCTs

New accountability

With greater freedom must comenew and enhanced accountability

Achieved through openness onquality performance

New accountability is for wholepatient pathway

Applies to care in all settings

Commissioners accountable forhealth outcomes of populations


15/17


16/17

N

HSNextStage

Review

First NHS ConstitutionSecured today for future generations

Why a constitution What it says

Secure the NHS for the nextgeneration

Empower all patients and the public

Value and empower NHS staff

Create a shared understanding ofpurpose, values and principles

Strengthen accountability throughnational standards for patients andlocal freedom to deliver

Key principles stated

Rights for patients articulated

Pledges to staff and patients

Decision-making explained

Every organisation will have legal

duty to take account of theConstitution

Requirement for Secretary of Statefor Health to renew every 10 years


17/17

N

HSNextStage

Review

We know where we are heading, weve got the map,lets get going

Local

clinicalvisions

+ +High qualitycare for all NHSConstitution

You are the people that willdeliver high quality care for all

doh final report - ara darzi 2008

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