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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
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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
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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
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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
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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
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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
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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
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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
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HSNextStage
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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
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HSNextStage
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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
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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
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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
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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
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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