QIPP (Quality, Innovation, Productivity & Prevention)
With David Nicholson taking personal responsibility for QIPP (which will also be the primary focus for the NHS Management Board) action will be expected at all levels of the system – from front-line clinicians to local providers and commissioners, SHAs, to the Department of Health and others at a national level. This move will involve the PCTs becoming more commissioning authorities having to purchase services that give best value whether that is in the private or public sector.
Managing staff exits
As PCTs commission more services from outside the NHS a significant number of people within the NHS are going to be left without a job and have to be managed out of the health service. There will be a need for Exit Management and Progression Management expertise to make this transition as painless as possible.
PCTs income stream will alter
30/40% of a PCT’s income will be from the local authority rather than the NHS. This will, inevitably, result in different, local, priorities from the national ones imposed by the NHS.
CEOs of PCTs are going to be under the microscope increasingly with regards to everything that they do
CEOs are measured against two major competencies; equality of access to healthcare and patient satisfaction. This coupled with the demands of delivering more with restricted budgets will make the role of the CEO in a PCT increasingly difficult.
CEOs will have to become a lot more aware of alternatives to what has been provided solely by the NHS
Commissioning of services outside the NHS will impact across the NHS. Provision of services that do not involve a hospital stay – Admission Avoidance – will be especially valuable in this exercise. Relationships are going to have to be formed between PCTs and the private sector and CEOs will need support to obtain the best for their trust in terms of provision of service that gives patient satisfaction (patients must be better at the end of their encounter with the NHS) and value for money.
The Private Sector has issues too:
- How do they get more of the NHS spend?
- How do they manage their relationships with PMIs – who are getting increasingly annoyed at being charged more than the NHS for the same services by ISPs – better?
- How to improve patient and employee health and safety?
Stroke Care
A Special Commissioning Group has been formed to award four contracts for the provision of acute stroke care around London. The Group must go through Public Consultation before awarding the contracts. Anabol has the knowledge and experience to help manage this consultation period successfully and provide contract winning expertise and support.
HR issues
The NHS performs at 20% below the average in the commercial sector in the UK, the best UK commercial sector performance is below European average.