Presentation on theme: "The NHS Reforms – a Policy Analyst’s View"— Presentation transcript:
1The NHS Reforms – a Policy Analyst’s View The Procurement and DistributionInterest Group Conference : 9th June 2011Dr Patricia Oakley, DirectorPractices made Perfect Ltd.Teaching and Research FellowOrganisational Psychology and HRMKing’s College LondonTel: Fax:
2The NHS Reforms – Key QsWhat 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?
3The Next 30 YearsCare 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.
4Health and Social Care Services Acute Care ServicesAcute Care and InterventionsDay Surgery and Treatment CentresSpecialist CentresIntensive CentresResearch CentresAided Living CentreRehabilitation and Resettlement ServicesEquipment ServicesCarer Support ServicesEducation ServicesSelf-Help ServicesHOMESelf CareAided Self CareAdvisory ServiceManaged Care PracticesMaternity and Child Care ServicesDiagnostic and Imaging ServicesMinor Surgery CentresMental Health Care ServicesGP – Wellness CentresEnd Stage Support ServicesNursing Support and Night Sitting ServicesPalliation and Symptom Control ServicesRespite Services and Carer SupportPreparation for Death Support ServicesBereavement Support Services
5Focus on the Future – The Wheel Turns Again Proposed Streamlined Public Service Architecture* Dept. of [Public] Health Permanent Secretary and Chief Medical Officer.Independent Reconfiguration PanelCare Quality CommissionMonitor-Market RegulatorWorkforce RegulatorsPay Review BodiesIndependent NHS Board and its Regional DirectoratesService Commissioning AgenciesChief Executive.Commissioning Director.Medical Director (inc. Workforce).Chief Officers (inc. workforce).Nursing Director (inc. workforce).Workforce Director.R&D Director.£ Controller.Service Providers NetworkLocal AuthorityCommissioning 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 AgencyDeanery Schools and HIECs.Assessment Centres.Leadership and organisational Development Consortia.Workforce – Strategic Planning and Investment Shared Service AgencyRecruitment 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.
6The 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.