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