Taking forward the Next Stage Review
Clinical leadership and networks in the North
• Established in Spring 2006 • Aim to raise profile of influence of pathology• Largest and first in UK to take holistic view of
pathology• 10 PCT Areas/16 Labs• 300 Members• Clinical Leadership – Best practice/Advice• Network of the Year 2007
Leadership is about seeing what is needed and making it
happen....building engagement, trust, respect and facilitating change
Where are we now GMP(LM)N
• enabled barriers to be broken down between primary, secondary and tertiary care,
• focusing solutions on patient care pathways rather than organisations.
Recognised need for
• Quality
–Safe & Effective
–Access, delivery, experience
• Person-focussed care
–Fair, equitable & personalised
The aims
• Provide strong shared identity• Ensure delivery of set standards• Share expertise and knowledge• Ensure effective communication• Support and develop workforce• Ensure effective and constructive patient and
public involvement• Develop appropriate infrastructure to ensure
delivery
Recognised
• Need for greater clinical engagement–vs collegial and professional
networks• Need for more rapid innovation and
adoption of new technology
Healthier Horizons in the North West
I will be living a healthier lifestyleI will receive more
personalised care
My NHS will maintain a
healthy financial position andperform the
best in class
I will have betterCustomer care
and an improved patient experience
I will receive the most informed technologies
as part of my care
I will be more involved in
decisions madeby the NHS
I will be givenhigher qualityclinical care My family will have
a better opportunityto live a longer and
healthier life
I will get more integrated seamless
care, when I need helpfrom more than one
organisation
I will receive more of my care closer
to my home
High Quality Care for All
Enabling framework with quality as the organising principle
Quality at the heart of the NHS
• Standards, outcomes - measured, published rewarded (quality accounts)
• Increasing focus delivery primary care
• Improved innovation and rapid adoption
• Academic Health Science Centres
Partnership with workforce
• Local development, social enterprises
• Better integration – Of staff (including outside NHS)– Of facilities
• No new targets
• Practitioner, partner, leader
So - the Government’s agenda
• An understanding that clinical engagement at every level is fundamental to success - clinical pathway groups will continue
• Leadership development is critical• That it starts with world class commissioning• That SHAs will create alignment at regional
level
Staying Healthy
Urgent care
Planned
Care
Maternity
Children
Adults and the Elderly
Mental Health
End of life
Staying Healthy
Urgent care
Planned
Care
Maternity Haemo-globinopathy
PKU monitoring
Children Vitamin D deficiency
IT Connectivity PKU monitoring
Adults and the Elderly
Lipid screen
Clostridium Difficile
HER2
HMD
Mental Health
Lipid screen
Lithium monitoring
End of life
What will take us there?
• The clinical pathway groups• The networks• Leadership of improvement not management of
change e.g. Modernising pathology through action learning
• Opportunities for co-production (of shared visions) at every level - bringing collegial and professional behavior into the workplace
• Use of “with me” not “to me” improvement methods e.g. “Lean”
• Leadership development not “sheep dip”
Engagement grid
Quality; effectiveness and safety
The patient experience
Access and equity Income and expenditure