1. Local and Strategic View Ann James, Chief Executive NHS Devon Devon Care Training Conference Tuesday 28 September 2010 Westpoint 09:55-10:10am

2. 2 Key Themes White Paper ‘Equity and Excellence: Liberating the NHS’ –Key Principles –Headlines Challenges and Opportunities Future Commissioning Consultation documents Summary

3. 3 Equity and Excellence: Liberating the NHS Announcing the paper on 12 July, the Secretary of State for Health, Andrew Lansley, reiterated three key principles: patients at the centre of the NHS a change in the emphasis of measurement to focus on clinical outcomes empowering health professionals, GPs in particular Views and comments on the consultation to: nhswhitepaper@dh.gsi.gov.uknhswhitepaper@dh.gsi.gov.uk

4. 4 Equity and Excellence: Liberating the NHS Is genuinely centred around patients (‘No decision about me without me’); Achieves quality and outcomes that are among the best in the world; Refuses to tolerate unsafe and substandard care; Eliminates discrimination and works to tackle inequalities; Puts clinicians in the driving seat – GP Consortia; Is more transparent, with greater accountability for results; Gives citizens more say in how the NHS is run; Works much better across boundaries, for example with local authorities; Is more efficient and dynamic with less bureaucracy; Is free from frequent and arbitrary national political meddling.

5. 5 Challenges and Opportunities £15-20 billion of efficiency savings – QIPP NHS Management Costs reduced by more than 45% over the next four years Transforming Community Services Benefits to patients GP-led commissioning consortia Establishment of local Health and Wellbeing Boards to strengthen democratic legitimacy and join up the commissioning of NHS services with social care and health improvement Reduction in the number of NHS bodies – review of arms length bodies in progress e.g. National Patient Safety Agency; abolition of SHAs and PCTs –Monitor will be developed into an economic regulator and the Care Quality Commission will act as a quality inspectorate across health and social care National consultation until 5 October

6. 6 Future Commissioning The opportunity of a flexible and responsive market More freedom to innovate, improve productivity and deliver better outcomes for patients and their families – using your unique understanding of patients and their needs Improving pathways - right time, right place, right services (focus on prevention / early intervention Better use of our staff, resources and money Key change principles: Subsidiarity – things should be done at the right level Co-production – decisions in partnership Clinical ownership and leadership System alignment – the NHS is a system, not an organisation Stay flexible – detail is still awaited…

7. 7 Further consultation Documents out for consultation (closes 11.10.10): –Commissioning for patients –Local democratic legitimacy in health –Regulating Healthcare Providers –Transparency in outcomes – a framework for the NHS Later in the year: –The NHS information strategy –Choice –Education and training You can find out more at www.dh.gov.uk/liberatingthenhswww.dh.gov.uk/liberatingthenhs

8. 8 Summary Major programme of transition The role and development of GP Consortia – for example provision and commission The role of Local Authorities Timescale for change -Review of Arms Length Bodies - All PCT provider services transferred by 1 April 2011 -Shadow GP Consortia by April 2011 – Abolition of SHAs by 2012 / PCTs by 2013 Already a major change programme already taking place e.g. QIPP, TCS More detail to follow…………….. Useful Weblinks: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_117353 http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_119311 http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_117406.pdf

9. Thank you for listening