Health Service Reform

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Thursday 9th December 2010, QEII Conference Centre - London, 08:40 - 16:45

Health Service Reform: Creating an Efficient, Equitable and Integrated Health Service

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CONFIRMED: Lord Howe, Parliamentary Under Secretary of State for Quality, Department of Health

Overview

In the current economic climate, with severe strain on public finances and resources, the need for efficiency across the public sector is a foregone conclusion. The Department of Health spelt out how the NHS is going to achieve £4.35 billion of annual efficiency savings by 2012-13, a cumulative total between £15 and £20 billion. They will focus on driving down prices for goods and services procured by the NHS saving £1.5 billion, reducing sickness and absence in the workforce , saving £555 million a year, a £100 million of cuts to IT programmes, more efficient use of the estate, saving £70 million and reductions in energy use, saving £60 million annually.

Earlier this year (24th March 2010), the Office for National Statistics published figures showing that NHS productivity fell by 7.8% between 1995-2008. According to health policy think tank, the Kings Fund, the NHS will require annual productivity gains of 3% and 4% to close the £20 billion funding gap. Improving the current level of productivity will enable the NHS to maintain quality and avoid service cuts. The Government hopes to achieve this through its bottom-up reform plans.

On the 12th July 2010, the Health Secretary Andrew Lansley announced the NHS White Paper Equity and Excellence: Liberating the NHS. This represents the most comprehensive reform programme since the NHS’s inception, and sets out a bold new vision for the NHS; one that will free staff from excessive bureaucracy and top- down control. This new framework of measures aims to develop an efficient, patient led NHS, and revolutionise how health services are commissioned and procured through a new GP-led model, as well as:

Reduce administrative costs, with a reduction of more than 45% in management costs over the next 4 years, to ensure that as much resource as possible is re-invested to support frontline services
Abolish Strategic Health Authorities and replacing PCTs and practice based commissioners with GP consortia, which will be responsible for commissioning care for their local communities
Delay and simplify the number of NHS bodies, and radically reducing the Department of Health’s own NHS functions and abolishing quangos that do not need to exist and streamlining the functions of those that do

The new government has pledged to increase productivity within the NHS to realise efficiency savings and maintain the delivery and quality of public services. The Health Bill, announced in the Queens Speech, 25th May 2010, set out new legislation to set up an independent NHS Board to allocate resources and provide commissioning guidance. It also set out plans to improve efficiency and outcomes.

Agenda

The task of the new government will be to deliver savings whilst protecting the frontline, to deliver a patient centred NHS, one where people receive the best care. This high-level conference will provide delegates with a timely opportunity to hear from the leading figures in the health sector and debate and discus the best ways to deliver efficiency savings, whilst maintaining a first rate level of service.

08:40	Coffee and Registration
09:20	Chair’s Welcome Address Professor Stephen Field, Immediate Past Chair, Royal College of General Practitioners (CONFIRMED)
09:25	Opening Keynote: Creating an Equitable and Excellent NHS The current progress of the 'Equity and Excellence: Liberating the NHS' white paper Secure health services that meet the needs of their local population, maximising quality of care for patients and value for money to taxpayers Cutting bureaucracy and handing back power to clinicians and patients to ensure they are at the forefront of decision making about NHS services Focusing on how staff can be redeployed in order to drive up standards Delivering improving quality of care to patients Being more efficient, cutting the costs, being innovative and re-designing, in order to enable us to meet increased demands and to improve quality and outcomes Building a more integrated public health service at the heart of healthcare policy Ensuring support from GP commissioners Strengthening commercial skills in the NHS The current progress of the white paper Lord Howe, Parliamentary Under Secretary of State for Quality, Department of Health (CONFIRMED)
09:40	Minister Questions and Answers Session
09:50	Primary Care and Practice-Based Commissioning: Improving the Quality and Availability of Primary Care Services Implementing quality measures and service developments through contractual mechanisms Developing additional services in primary care, tailored to meet the needs of all patients Developing additional services potentially more cost-effective than referring to secondary care Improving the quality of care, whilst increasing productivity for the system as a whole Dr Shikha Pitalia, GP and Chair, United League Commissioning, Practice-Based Commissioning Consortium (CONFIRMED)
10:05	An Update of the New Commissioning Landscape Devolving commissioning responsibilities to GP consortia The supporting role of the NHS Commissioning Board Transitional arrangements QIPP Local democractic accountability in health Ben Dyson, Director, Primary Care, Department of Health (CONFIRMED)
10:20	Improving Value for Money: A New Commercial Operating Model for the NHS Promoting collaborative procurement of services that are cost effective and deliver better outcomes Regional Commercial Support Units (CSUs) – Improving skills, value for money and enabling a better response to the commercial challenges of operating in the NHS. The role of the NHS Supply Chain – Delivering greater efficiencies, more transparent pricing, increased responsiveness and better strategic management The Strategic Market Development Unit – Providing leadership and support for commissioners in market analysis and market making Ensuring Good Procurement and Contracting across the NHS Establishing how private and third sector organizations can help deliver high quality and innovative services Stimulating providers through procurement Beth Loudon, QIPP Procurement Workstream Manager, Department of Health (CONFIRMED)
10:35	The Productive Operating Theatre: Improving Quality and Efficiency in the Operating Theatre A modular improvement programme created by the NHS Institute for Innovation and Improvement for theatre teams in NHS acute trusts. An efficiency saving opportunity of more than £7 million for an average trust. A systematic way to deliver significant improvements in safety, efficiency and patient care. A proven method of involving frontline teams in transforming the way they work. Matthew Lowry, Chief executive, The Rotherham NHS Foundation Trust (CONFIRMED)
10:50	Productivity and Value for Money in NHS Hospitals The national and local initiatives designed to promote improved productivity in hospitals Understanding NHS Trust Board Members’ awareness of productivity in hospitals Understanding the information Boards are provided with to inform decisions Is the NHS Achieving value for money in the services that they deliver? Karen Taylor, Director of health value for money studies, National Audit Office (CONFIRMED)
11:05	Questions and Answers - Panel Session
11:20	Morning Coffee Break & Networking
11:50	Improving Patient Experience and Reducing Costs in the NHS How we define patient experience and progress to date Administration of the patient journey – A goal to aim for Examples of innovative solutions to improve patient experience and reduce cost – At home and abroad Critical success factors for improving customer service Beverley Bryant, Managing Director, Capita Health (CONFIRMED)
12:20	Questions and Answers
12:50	Lunch Break & Networking
13:50	Knowledge = Power Using Competition, Contracts & Processes to Delivery Efficiency The evolving position of competition in the NHS; Delivering efficiency through Contracts; Contract Management: the missing link. Robert McGough, Partner, Beachcroft LLP(CONFIRMED)
14:10	Transitioning to GP Commissioning - Challenges & Opportunities How commissioning improves care - lessons from international examples, pbc, fundholding and world class commissioning in England The stories of a successful (and a less successful) GP consortium led health system in 2015 Lessons learned from transition work: Health system simulation and consortium development Implications for PCTs, SHAs, GPs, hospitals, community services, local authorities and policy Nicolaus Henke, Director, McKinsey & Company (CONFIRMED)
14:50	Afternoon Coffee Break & Networking
15:20	The Future of Commissioning Professor Stephen Field, Immediate Past Chair, Royal College of General Practitioners (CONFIRMED)
15:35	Questions and Answers Session
15:50	Driving Up Improvements Across Health and Social Care Establishing the role of the Care Quality Commission (CQC) Ensuring the tighter spending environment does not obstruct quality Making efficiency savings at the CQC and prioritising Benchmarking – Comparing the quality of local care services, raising standards Providing patients with the information to make informed choices, exercising greater control Jill Finney, Director of Strategic Marketing and Communications, Care Quality Commission (CONFIRMED)
16:10	Delivering Value to the NHS - “World Class” Services Creating an integrated shared services structure for NHS organisations A joint venture between the Department of Health and the private sector Providing finance, IT and Payroll services to 100 NHS trusts Enabling NHS bodies to focus on business improvement activities and strategic-decision making Delivering savings in the order of £50million on like for like services Providing family health services Monica Owen, Director, Communications, NHS Shared Business Services (CONFIRMED)
16:25	Delivering Efficiencies Through ICT and Technology The future of NHS Connecting for Health – Where next for the government ICT strategy Renegotiating contracts Working towards a localised control of data and infrastructure Delivering efficiency across ICT and the implications of the spending review Cloud computing and the NHS Dr Charles Gutteridge, National Clinical Director, Health Informatics, Department of Health (CONFIRMED)
16:45	Questions, Answers and Close of Conference

*Programme subject to change without notice

Exhibitor

Audience

Delegates attending this conference will be from PCT's, NHS, health authorities, central and local government, education, social care and business sectors specifically; commissioning directors, heads of procurement, heads of estate, research and revelopment managers, heads of innovation and development, head of IT &, heads of business development, social care directors, communication & marketing directors, technical directors, project directors, heads of PCT’s, directors of public health, HR managers, health and wellbeing mangers, chief nurses and occupational health managers.