Jan 13, 2016
Plan for the dayMorning Lunchtime Afternoon
Making every contact count
Market place and networking
Moving forwards, innovations and
solutions
Making every contact count
Knowing your service
• The context for change• Know your service• Know your population• Know the evidence
Policy context – background to reforms
1989 – Working for patients
creates internal market in NHS
1997 – Labour comes to power with pledge to abolish internal
market
2000 - Focus more on targets
than competition
2004 – Targets achieved.
Attention back on competition.
‘Commissioning’ born.
2010 (May) – Coalition
government formed. Promise of
“no top down reorganisation of
NHS”
2010 (July) – Equity and Excellence:
Liberating the NHS published
Department of Health
NHS England
Specialist Services
Primary care
Services
HSCIC
Patients
NICE
Social Care
Public Health
England
Health Watch
England
H&W Boards
Local Health Watch Competing
providers
CCGs
CSUs
LAs
HEE
NIHR
Changing Population
Source: Office for National Statistics 2013 Source: Warrington CCG 2013
What does all this mean for you?
Think about the context just presented and reflect on how this is impacting on you locally
3 critical hooks
On a post it note write down in bullet point style the top 3 things about your service, or if you
are not in a service the top 3 things you would say about physiotherapy
Knowing your serviceQuality• Effectiveness• Patient experience• Patient safety+ COSTQuality + cost = Value
Cost of falls tool
Knowing your populationPopulation is made up of• Current users of your service• Future users of your service
Health profile
Health profile
Knowing the evidence• Published research• National guidance• Local data
- audit - patient experience/satisfaction/outcome - KPIs
• Other...
Reflect on your offer • My service is...• Delivers to this population...• Based on this evidence...• For this price!
Next steps...• Why do you need to change? • What will you do differently? • When... • How can you improve?• Who will you influence