Presentation on theme: "NHS Foundation Trusts and Changing the Market Structure : Some Messages Malcolm Lowe-Lauri CEO, King’s College Hospital NHS Foundation Trust."— Presentation transcript:
1 NHS Foundation Trusts and Changing the Market Structure : Some Messages Malcolm Lowe-Lauri CEO, King’s College Hospital NHS Foundation Trust
2 The Policy Origins of NHS Foundation Trusts Break through change through supply side deconstructionNew market entrantsPrimary care providersIndependent Sector Treatment CentresTentative deregulation of NHS hospitalsAccount to regulatorCompensated for work doneKeep profitsBorrowing powersAccount to communities, with limitationsTo sit alongside other policy changes, especially Patient Choice and Payment by Results
5 How have NHS Trusts performed? Significant variations though recent marked improvementClusters of deficit e.g. Outer S.E. LondonSome correlation with clinical quality and safety issuesAggravated by asset renewal through the Private Finance InitativeWith more pressure – legal, financial – to come
7 Responses: consolidations and planning solutions Acquisition of Good Hope Hospital by Heart of England F.T.Pre-acquisition discussion in Cambridgeshire, but FTs are cautious‘Darzi’ plan for London challenging the District General Hospital conceptDarzi now going national with Next Stage Review
8 The challenge for Commissioners This is historically a supply-led environmentThe commissioning unit – the Primary Care Trust – has been undersized and underpowered until recently with a dramatic ambition to world classIt must battle pork barrel politics and strong local sentimentSo, FTs may have an emerging leadership role
9 The Academic Health Sciences Centre Question Applies to FTs and non-FTsThe current university hospital lacks scaleThe pricing system for NHS services lags behind innovationWe need to compete globallyAcademic funding streams are currently unstable
10 So whither an Academic FT? Consolidations to create AHSCsNovel partnerships to support own service deliveryNovel partnerships to support struggling hospitals – new role for the private sector?Power in the investment potential of FTs to support policyBut of course when it comes to professional perspectives, politics and transition costs it’s not as simple as that!