Signposting the Care Delivery System to NHS Policy

This document takes the Principles within the Care Delivery System and indicates how each supports national healthcare policy

The NineCommon Care Delivery Principles Defined by ISIP / Creating a Patient-led NHS
Delivering the NHS Improvement Plan
March 2005 / National Standards, Local Action
[C-references are to Core Standards adopted by the Healthcare Commission and Monitor]
July 2004 / The NHS Improvement Plan
Putting People at the Heart of Public Services
June 2004 / The NHS Plan
July 2000 / Other Policy References
Health equality across populations / More insight into local communities, to improve how effectively we help them
One of 7 components identified on page 7
Race equality action Plan
page 9 / Improving both quality and equality
preface from the Chief Executive, page 5
Health and well-being of the population:
“Covers health promotion … so that people are kept out of the system wherever appropriate”
one of 4 National Priority Areas, page 9
Fifth Domain: Accessible and responsive care
C18: “… enable all members of the population to access services equally and offer choice in access to services and treatment equitably”
page 33
Seventh Domain: Public Health
C22: “… promote, protect and demonstrably improve the health of the community served, and narrow health inequalities …”
C23: “… systematic and managed disease prevention and health promotion … reducing obesity…, smoking, substance misuse and STIs”
page 34 / “An NHS which is fair to all of us and personal to each of us by offering everyone the same access to, and the power to choose from, a wide range of services of high quality, based on clinical need, not ability to pay.”
From The vision, page 6
The NHS will develop into a health service, rather than one that focuses primarily on sickness ….. There will be a sustained drive to reduce inequalities in health.”
page 6
A healthier and fitter population.
- A health service, not a sickness service
- Health and inequalities
Chapter 4, page 42-46 / Improving health and reducing inequality
- a national health inequalities target
- increased resources in deprived areas
- new screening programmes
- world-leading smoking cessation programmes
- free fruit for infant schoolchildren
Chapter 13, page106 / Choosing Health
Choice, Responsiveness and Equity in the NHS
NHS Cancer Plan
NSF for CHD
NSF for Children, Young People and Maternity Services
NSF Mental Health
NSF for Older People
Tackling Health Inequalities – a programme for action
Commissioning a Patient-Led NHS
Support individual wellbeing / “…all parts of the NHS contribute to health promotion, protection and improvement”
Summary page 5
People offered services to maintain health, not just to treat sickness treated
One of 7 components identified on page 7
Health improvement & self-care
page 13
Support for people with long term conditions
page 14 / “The framework emphasises the importance of improving the whole experience of individuals, with particular attention to tailoring services for patients with long-term conditions, promoting independence for older people and supporting self care and the ‘expert patient.’”
preface from the Chief Executive, page 5
Health and well-being of the population:
“Covers … ill health prevention, so that people are kept out of the system wherever appropriate”
one of 4 National Priority Areas, page 9 / Self-management
page 36, within Chapter 3 on Long Term Conditions / Choosing Health
NHS Cancer Plan
NSF for CHD
NSF for Children, Young People and Maternity Services
NSF Mental Health
NSF for Older People
NSF for Diabetes
Self-Care – A Real Choice
Care provided in the right setting / Support for people with long term conditions
page 14 / Long-term conditions
- supports health by promoting better self-care and treatment in a community setting or in people’s homes to avoid hospitalisation wherever possible
one of 4 National Priority Areas, page 9
Fifth Domain: Accessible and Responsive Care
C17: Views of patients taken into account when designing, planning, delivering and improving health care services
page 33
Seventh Domain: Public Health
C24: “… planned, prepared and … practiced response to incidents and emergency situations …”
page 34 / “People with long term conditions will be supported locally …”
page 6
Supporting people with long-term conditions to live health lives
Chapter 3 page 34
“Major investment in services closer to home …”
“Patients will have access to a wider range of services in primary care, including access to services nearer their workplace.”
page 6 / Changes between health and social services
Chapter 7, page 70 / NSF for Long Term Conditions
Choice, Responsiveness and Equity in the NHS
Independence, well-being and choice (Green Paper)
NHS Cancer Plan
NSF for CHD
NSF for Children, Young People and Maternity Services
NSF Mental Health
NSF for Older People
NSF for Diabetes
NSF for Renal Services
Reforming Emergency Care
Response to Select Committee Report on Palliative Care
Commissioning a Patient-Led NHS
Appropriate access and choice for all / A choice for patients of when and where they are treated
One of 7 components identified on page 7
“… new system .. where people have a far greater range of choices and information to make choices”
Summary page 5
“… new service model … to give patients more choice and control”
Summary page 5
Promoting choice for patients
“.. more choice and more control for individuals”
Providing greater choice in elective care
“… offer patients choice from a wide range of high quality services …”
page 20
Supporting frontline staff
“… need to have as much authority as possible to make decisions and support the patients they are caring for”
“They should not have to keep referring things up the line … they need a clear licence to care …”
page 25 / Patient/user experience
- maximum information and choice as well as a positive experience
one of 4 National Priority Areas, page 9
Fourth Domain: Patient focus
C14: patient access to complaints procedures and freedom from discrimination if they use them
C15: choice of food providing a balanced diet and help with feeding 24 hours a day
C16: information made available on services; patients given information about their care and treatment; information about what to expect during care, treatment and after-care
page 32 / “Patients will be able to choose between a range of providers , including NHS Foundation Trusts and treatment centres.”
page 6
Getting information to work for the patient
Chapter 7, page 64
New approaches, capacity and diversity in social care.
page 54 / Choice, Responsiveness and Equity in the NHS
Independence, well-being and choice (Green Paper)
Commissioning a Patient-Led NHS
Timely, convenient and responsive services / “… new system .. where NHS organisations are better at understanding patients and their needs”
Summary page 5
“…integrated networks to ensure that everyone has access to safe, high quality care”
Summary page 5 / Access to services
- fair and prompt
one of 4 National Priority Areas, page 9
First Domain:Safety
C2: “.. protect children by following national child protection guidance ..”
page 28
Second Domain: Clinical and Cost Effectiveness
C6: “… organisations co-operate … to ensure that patients’ individual needs are properly managed and met.”
page 29
Fourth Domain: Patient focus
C13a: “staff treat patients … with dignity and respect”
C13b: “appropriate consent is obtained …”
C13c: “staff treat patients information confidentially …”
page 31
Fifth Domain: Accessible and Responsive Care
C19: “… ensure that patients with emergency healthcare needs are able to access care promptly …”
page 33 / “Local communities will have greater influence and say over how their local services are run…”
page 7
Improvements in the patient experience.
page 22
Improving access
page 28
Empowering patients
page 28
Supporting personalised services
page 30
Listening to patients
page 30
A choice of high quality services
page 31
Empowering local communities
Chapter 9: page 74 / Our vision: a health service designed around the patient
Chapter 1, page 17
Support to redesign care around patients
From Chapter 6, page 59
Changes for patients
Chapter 10, page 88
Cutting waiting for treatment
Chapter 12, page 101
Dignity, security and independence in old age
Chapter 15, page 123 / Choice, Responsiveness and Equity in the NHS
Growing Capacity: Independent Sector Diagnosis
NHS Cancer Plan
NSF for CHD
NSF for Diabetes
NSF for Long Term Conditions
NSF Mental Health
Reforming Emergency Care
High quality clinical outcomes / “… new system .. where there are stronger standards and safeguards for patients”
Summary page 5
Applying learning from around the world in a new institute for skills and innovation treated
One of 7 components identified on page 7
“ Greater integration of quality and financial incentives”
Summary page 6 / First Domain:Safety
C1: “.. protect patients through systems that ..”
C3: “.. protect patients by following NICE Interventional Procedures guidance …”
C4: “.. keep patients, staff & visitors safe by …”
page 28
Second Domain: Clinical & Cost Effectiveness
C5a: “… conform to NICE technology appraisals and … nationally agreed guidance …”
C5b: “… supervision & leadership …”
C5c: “… update skills & techniques …”
C5d: “… clinical audit & reviews”
Third Domain: Governance
C7a: “apply the principles of sound clinical and corporate governance”
C7c: “undertake systematic risk assessment and risk management”
C9: “systematic and planned approach to the management of records …”
C10a: “… appropriate employment checks …”
C10b: “… all employed professionals abide by relevant published codes of professional practice”
C11a: “ … staff are appropriately recruited, trained and qualified …”
C11b: “… staff participate in mandatory training …”
C11c: “… staff participate in further professional and occupational development …”
C12: “… requirements of research governance framework are consistently applied”
page 30
Sixth Domain: Care Environment & Amenities
C20 & 21: Care environments which promote effective care and optimise health outcomes
page 33 / “In every care setting, the quality of care will continue to improve with the Healthcare Commission providing an independent assurance of quality, and patient safety being a top priority.”
page 6 / Setting priorities and developing standards
From Chapter 6, page 58
The clinical priorities
- cancer screening
- end to postcode lottery in prescribing cancer drugs
- rapid access pain clinics
- shorter waits for heart operations
- mental health crisis response teams / NHS Cancer Plan
NSF for CHD
NSF for Children, Young People and Maternity Services
NSF Mental Health
NSF for Older People
NSF for Diabetes
NSF for Renal Services
Commissioning a Patient-Led NHS
Optimised workforce capacity and capability / “… staff looking after patients have more authority and autonomy …”
“… greater support of front line staff and clinical leadership”
Summary page 6
Supporting frontline staff
“… need to have as much authority as possible to make decisions and support the patients they are caring for”
page 25 / First Domain:Safety
C4: “.. keep patients, staff & visitors safe by …”
page 28
Second Domain: Clinical & Cost Effectiveness
C5b: “… supervision & leadership …”
C5c: “… continuously update skills & techniques …”
C5d: “… clinical audit & reviews”
page 29
Third Domain: Governance
C7b: “actively support all employees to promote openness, honesty, probity, accountability and the economic, efficient and effective use of resources”
C7e: “…challenge discrimination, promote equality and respect human rights”
C8a: “… access to processes which permit them to raise concerns …”
C8b: “organisational and personal development programmes which recognise the contribution and value of staff …”
C11a: “ … staff are appropriately recruited, trained and qualified …”
C11b: “… staff participate in mandatory training …”
C11c: “… staff participate in further professional and occupational development …”
page 30
Sixth Domain: Care environment and amenities
page 33 / Better buildings for patients and staff
page 21
“working to retain existing staff.. making the NHS a model employer”
Chapter 6: More staff working differently, page 58 / Investing in NHS Staff
- more consultants and GPs
- extra nurses and therapists
- more medical school places
- extra pay and new pay system
- more childcare support
- improvements in occupational health & the working environment
Chapter 5, page 50
Changes for NHS Doctors
Chapter 8, page 74
Changes for nurses, midwives, therapists and other NHS staff
Chapter 9, page 82
Efficient and effective delivery of services / A joined-up service which enables integrated care for patients treated
Better quality, and more capacity, stimulated by financial incentives
Locally-driven service, operating to a national framework and standards
A joined-up service which enables integrated care for patients treated
Four of 7 components identified on page 7
“Changing the way the system works … will be … necessary to secure value for money from the new resources”
page 25 / Second Domain: Clinical and cost effectiveness
C5a: “… conform to NICE technology appraisals and … nationally agreed guidance …”
C5b: “… supervision & leadership …”
C5c: “… update skills & techniques …”
C5d: “… clinical audit & reviews”
page 29
Third Domain: Governance
C7a: “apply the principles of sound clinical and corporate governance”
C7b: “actively support all employees to promote openness, honesty, probity, accountability and the economic, efficient and effective use of resources”
C7c: “undertake systematic risk assessment and risk management”
C7d: “ensure financial management achieves economy, effectiveness, efficiency, probity and accountability in the use of resources”
C9: “systematic and planned approach to the management of records …”
page 30 / “There will be incentives for healthcare providers to offer care that is efficient, responsive, of a high standard and respects people’s dignity.”
page 7
Investment, new capacity and diversity of provision
Chapter 5, page 51
More staff working differently
Chapter 6, page 58 / Investing in NHS facilities
Chapter 4, page 41
Information on performance standards
Inspection
New incentives and earned autonomy
From Chapter 6, page 61
Changes in the relationship between the NHS and the private sector
Chapter 11, page 96 / Shared services initiatives
Commissioning a Patient-Led NHS
Financial balance across the local health economy / Better quality, and more capacity, stimulated by financial incentives
One of 7 components identified on page 7
“Build on .. shared commissioning … far simpler contract management and administration system … [to] provide better analysis”
Summary page 5
“Changing the way the system works … will be … necessary to secure value for money from the new resources”
page 25 / Third Domain: Governance
C7a: “… apply the principles of sound … corporate governance”
C7d: “ensure financial management achieves economy, effectiveness, efficiency, probity and accountability in the use of resources”
page 30 / “There will be incentives for healthcare providers to offer care that is efficient, responsive, of a high standard and respects people’s dignity.”
page 7
Partnership working in practice
Chapter 4, page 47
Investment, new capacity and diversity of provision
Chapter 5, page 51
More staff working differently
Chapter 6, page 58
Aligning incentives with patients and professionals:
- commissioning
- direct incentives
- contestability
- empowering patients
Chapter 8, page 68 / Investing in NHS facilities
Chapter 4, page 41
Information on performance standards
Inspection
New incentives and earned autonomy
From Chapter 6, page 61
Changes in the relationship between the NHS and the private sector
Chapter 11, page 96
New partnerships to tackle inequality
From Chapter 13, page 111 / Statutory duties of NHS Trusts
Terms of Authorisation for Foundation Trusts
Commissioning a Patient-Led NHS

Signposting the CDS to NHS Goals Policy v0 9page 1 of 913 October 2004