Karen Middleton

1
Bercow implementation within the national policy
context for theNHS

• Karen Middleton
• Chief Health Professions Officer, England
• Karen.middleton_at_dh.gsi.gov.uk

2
The single biggest opportunity weve had to get
this right!However
3
Lets go global!

• Money, money, money
• Uncertainty
• Survival of the fittest?
• The CSR
• Have you led/managed a service in a shrinking
  economy?

4
Next Stage Review

• Quality
• Leadership
• Commissioning
• Primary and community care
• 4 principles
• Subsidiarity
• Co-production
• System alignment
• Clinical leadership

5
The improved AHP service offer SOS
announcement 21.10.08.

• Framing the contribution of allied health
• professionals Delivering high-quality
  healthcare
• available at www.dh.gov.uk
• Mandate data collection
• Improve ease of access
• Improve quality and empower patients

6
The Operating Framework for the NHS 2009/10

• 5 National priorities which include
• Access and
• Keeping adults and children well, improving their
  health and reducing
• health inequalities
• Quality
• Leadership
• Financial framework

7
Transforming Community Services Programme

• A programme to support delivery high quality of
  community
• services. Our aim is
• Excellent care for patients
• Staff who are enabled to champion quality and
  innovation
• Communities that are empowered to achieve the
  best health outcomes and to influence local
  services
• We will do this by
• Improving systems (e.g. business support
  products)
• Improving services (e.g. through the Quality
  Framework and Transformational Guides)
• Developing people - securing clinical leadership
  and ownership (e.g. through the Transformational
  attributes of effective community practitioners)

8
TCS Programme products to June 09

• December/Jan 08/9 Release business readiness
  resources
• Right to Request Social Enterprise Guide
• Resource Guide WCC of Community services
• Currency and Pricing Guidance for Community
  Services
• National Standard Contract for Community Services
• Enabling New Patterns of Provision
• Accelerated learning event for Quality Framework
• January 09 Release Quality and Transforming
  Services Guides, start Developing People
  Programme
• Information/data set for community services
  (Spring 09)
• Product Launch event (for above)
• Launch Innovation and Leadership in Community
  Services Funding
• By End April 09
• Preview Productive Community Services
• Preview Transforming Community Services Guides
• Preview of Community Quality Framework
• June 09
• Launch of Community Quality Framework
• Launch of Transforming Community Services Guides

9
Workforce

• More responsive
• More employable
• More flexible
• Competence-based approach

10
Implications for clinicians

• A refocus on quality of care
• Commissioning for outcomes
• Not being a target is not an excuse for not
  measuring
• Attention to demand/supply and processes but,
  more importantly, patient experience and clinical
  outcome
• The spotlight is shifting to primary care and
  community services, and from acute/elective care
  to long-term conditions
• The need for a more flexible and responsive
  workforce
• An even greater shift in the balance of power
  towards the patient

11

• Thank You
• www.dh.gov.uk/ahpbulletin.index.htm