scn & senates : whole system, integrated approaches to change · 2014. 5. 12. · strategic...
TRANSCRIPT
SCN & Senates : Whole System,
Integrated Approaches to Change
Jan Vaughan
Associate Director for Cheshire and Merseyside
7th May 2014
“Clinical networks are an NHS success story.
Combining the experience of clinicians, the input
of patients and the organisational vision of NHS
staff, they have supported and improved the way
we deliver care to patients in distinct areas,
delivering true integration across primary
secondary and often tertiary care.”
Bruce Keogh, Medical Director and Jane Cummings , Nursing Director
NHS | Presentation to [XXXX Company] | [Type Date] 2
The Way Forward: Strategic Clinical
Networks (July 12)
• Essential to support improvement of outcomes for patients
• NHS England is the host for Strategic Clinical Networks from 1st April 2013
• Four initial areas operating throughout the country:
cancer
cardiovascular
maternity and children
mental health, dementia and neurological conditions.
Geography of Strategic Clinical Networks
12 SCN areas, broadly based around major
patient flows to tertiary providers
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Cheshire and Merseyside Strategic Clinical Network Oversight Group
Cancer Cardiovascular Disease (CVD)
Maternity, Children and Young People
Mental Health; Dementia;
Neurological Conds. CARDIAC
STROKE
DIABETES
KIDNEY HEART
FAILURE
REHAB
NHS England
MATERNITY
CHILDREN & YOUNG PEOPLE
MENTAL HEALTH
NEUROLOGICAL CONDITIONS
DEMENTIA
COMMON CANCERS
RARE & SPECIALISED
CANCERS
Alignment with the New System
SCNs will need to develop close relationships with stakeholders including:
• Patients and the public
• Commissioners and providers
• Clinical Senates
• Health and Well Being Boards
• Academic Health Science Networks
• NHS Improvement Body
• Third sector organisations
• Professional organisations
• Education and training bodies... and more
Our purpose is:
• To identify innovation, encourage early adoption of evidence and
best practice that can produce a substantial improvement in health
outcomes across all 5 domains
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How do they add value?
• By bringing together clinical expertise to drive changes to clinical practice and the required organisational change to enable those changes which may include service reconfiguration
• By ensuring that clinical expertise is not just medical and stretches across primary, secondary and tertiary care
• By ensuring that clinical expertise is based on:
o New evidence o Neglected evidence o Reinterpreting old evidence using revised conceptual framework o Guidance such as NICE and SIGN modified by any additional
evidence o Audits of clinical practice
• By ensuring that this leads to the identification of innovation, early adoption of evidence and best practice that can produce a substantial improvement in health outcomes
Benefits to Commissioners
• Collective effort & engagement to bring about the changes that are
needed to improve health care
• An NHS England funded support team to support each SCN to
prioritise its advice, be transparent in its work, ensure a document
trail, that different views are brokered to achieve consensus, that
advice is issued for commissioners and that it is acted on to make a
difference for patients
• Systematic, methodological approach to review
• Increased opportunities for education, learning, sharing best
practice
Benefits to Commissioners
• Strategic approach – contribution to the wider planning process (both two and five year plans)
• Advice on which outcomes for the condition areas should be focused on to deliver improvements and suggestions on what actions, models of care may be needed
• Combined efforts for common themes such as end of life, rehabilitation, transition
• Conduit to domain leads and national clinical directors
• Interpretation of national guidance and policy based on local needs, commissioner plans and priorities
Strategic Clinical Networks Going
Forward
• Two year plans (April 2014 - March 2016), which will also support commissioners five year strategies
• Support NHS England Area Teams and Clinical Commissioning Groups with quality and Call to Action and contributing to the Area Teams assurance process
• Focus on 3-4 transformational change programmes in each geography
• Ambition to align at least 1 priority across all of England’s Strategic Clinical Networks
• Projects relate to condition or cross cutting focus; not focused on areas of improvement other structures are leading on e.g. NHS Improving Quality is supporting the move to seven day services
• Real focus on momentum – delivery of tangible milestones for patients and to be held to account for delivery
• Conclusion of some areas of legacy work i.e. vascular surgery reviews
2012/13
12
LAs
FTs
SHAs
Links
PCTs HWBs
CCGs
Networks
31st March 2013
13
LAs
FTs
SHAs
Links
PCTs HWBs
CCGs
Networks
2013/14
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LAs
FTs HWBs
CCGs
NHS England PHE
SCNs Senates
Healthwatch
2015/16
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LAs
FTs HWBs
CCGs
NHS England PHE SCNs
Senates Healthwatch
Clinical Senates
Clinical Senates are non-statutory entities for active
engagement and involvement of the breadth of health
and wider care professionals, including those who
sometimes go unheard. To support the integration of
services, they will include public health specialists and
social care experts. Senates will also include patients
and public to ensure their experiences inform advice
that senates will provide.
Bruce Keogh, Medical Director and Jane Cummings , Nursing Director
NHS | Presentation to [XXXX Company] | [Type Date] 1
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Clinical Senate
The story so far……
Clinical Senates
• Futures forum discussions
• Established to provide robust, independent, credible clinical advice to commissioners of health and social care
• Activities include providing strategic advice on complex commissioning decisions such as large scale reconfiguration, major service changes or integration proposals
• Informed by patients, carers and public
• Strong links with national medical directors and clinical leads
• Will take on the functions previously performed by NCAT
• Developing at different paces in each area
• Appointed a Chair in April – Prof Martin Lombard
NHS | Presentation to [XXXX Company] | [Type Date] 19
“If everyone is moving forward
together,
then success takes care of itself”
Henry Ford
NHS | Presentation to [XXXX Company] | [Type Date] 20
Thank you for listening