1. The NHS Reforms – a Policy Analyst’s View
The Procurement and Distribution
Interest Group Conference : 9th June 2011
Dr Patricia Oakley, Director
Practices made Perfect Ltd.
Teaching and Research Fellow
Organisational Psychology and HRM
King’s College London
Tel: Fax:

2. The NHS Reforms – Key Qs
What are the key changes for the NHS and the Medicines Market?
How can hospital pharmacy services survive the changes?
Who will be buying medicines in the future?

3. The Next 30 Years
Care of the Elderly – physically well and mobile, socially engaged and psychologically content.
Chronic Disease Management including Mental Health and Carer Support.
Specialist Surgical and Therapeutic Interventions.
New Science: Pharmaco-Therapeutics and Genetics, Molecular Imaging and Diagnostics.
Building technologies and flexible designs underpinned with real-time information e.g. Electronic Transfer of Prescriptions, Digital X-ray, Just-in-Time Training Programmes.

4. Health and Social Care Services
Acute Care Services
Acute Care and Interventions
Day Surgery and Treatment Centres
Specialist Centres
Intensive Centres
Research Centres
Aided Living Centre
Rehabilitation and Resettlement Services
Equipment Services
Carer Support Services
Education Services
Self-Help Services
HOME
Self Care
Aided Self Care
Advisory Service
Managed Care Practices
Maternity and Child Care Services
Diagnostic and Imaging Services
Minor Surgery Centres
Mental Health Care Services
GP – Wellness Centres
End Stage Support Services
Nursing Support and Night Sitting Services
Palliation and Symptom Control Services
Respite Services and Carer Support
Preparation for Death Support Services
Bereavement Support Services

5. Focus on the Future – The Wheel Turns Again Proposed Streamlined Public Service Architecture*
Dept. of [Public] Health Permanent Secretary and Chief Medical Officer.
Independent Reconfiguration Panel
Care Quality Commission
Monitor-Market Regulator
Workforce Regulators
Pay Review Bodies
Independent NHS Board and its Regional Directorates
Service Commissioning Agencies
Chief Executive.
Commissioning Director.
Medical Director (inc. Workforce).
Chief Officers (inc. workforce).
Nursing Director (inc. workforce).
Workforce Director.
R&D Director.
£ Controller.
Service Providers Network
Local Authority
Commissioning Agency:
Multi-agency service commissioning;
Public Health Programmes;
“residual” services commissioning.
GP Commissioning Groups – Managed Agencies for majority of local people’s needs.
GP-Patients Commissioning Partners:
Individual Choice;
Co-Payment Choice;
Means-Tested Services.
Subsume most of regional specialist commissioning groups’ work?
Subsume the “Cancer Drugs Fund”?
National Specialist Commissioning Group e.g. Transplant Programmes, Proton Beam Therapy and “Orphan” Drugs.
Foundation Trusts and Academic Health Science Centres.
Social Enterprises and Charities.
Companies.
Partnerships.
Workforce – Human Resources Development Shared Service Agency
Deanery Schools and HIECs.
Assessment Centres.
Leadership and organisational Development Consortia.
Workforce – Strategic Planning and Investment Shared Service Agency
Recruitment and Payroll Agencies.
Workforce Planning and Information Consortium.
Education and Training Commissioning Consortium.
*2nd to be revised once White Paper has cleared Parliament and become the Health Act 2010.

6. The NHS Reforms – Impact Assessment for Medicines Supply Chain Management
Care of the Elderly and those with long-term conditions  growth rate of prescriptions and costs of medicines.
Organisation of and long-term investment in the supply chain  critical mass and rate of capitalisation.
Economies of scale and localisation  cluster hospital pharmacy investments and services (?Noel Hall?).
Group purchasing arrangements to support prescribing groups  Boards, LHBs, GP clusters.
Interlacing of public and private sectors in England  public service commissioners, supply chain management, and professional services.