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KNOWLEDGE EXCHANGE REPORTS FROM THE SHOW
IMPLEMENTING NEW CARE MODELS –
WHAT PROBLEMS ARE WE TRYING TO SOLVE?
The four new models of care, as
articulated in NHS England’s Five
Year Forward View are key
drivers in the modern NHS.
A
s part of its commitment to
professional and sector
development, Health + Care
and Commissioning ran a series of
specialist sessions as part of its
Knowledge Exchange. The
sessions comprised of break-out
sessions exploring a number of
themes and feedback is captured
in a series of reports.
The New Models of care agenda: In seeking to make a success of the new care models:
How do we overcome the
cultural/managerial challenges
to better coordination that the
success of the new care models
depends on?
Discussion led by:
Dr Johnny Marshall,
Group Director of Policy,
NHS Confederation
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How do we set the right
economic conditions for
integration and incentivise
different professionals to
cooperate?
Discussion led by: Peter Wilson,
CEO, Care Mesh and graduate of
the NHS Leadership Academy's
Senior Executive Fast Track
Programme
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How do we share information
effectively and get the right IT
systems in place?
Discussion led by:
Dr Naresh Rati, Executive Partner,
Vitality Partnership
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How to accelerate provider
innovation
Discussion led by:
Dr John Ribchester,
Senior and Executive Partner,
Whitstable Medical Practice,
Kent
The Knowledge Exchange session then had three break out discussions on the following topics
Change mindset and culture
The session, chaired by Dr Marshall, a
practising GP and group policy director
at NHS Confederation, incorporated
four breakout sessions exploring new
models of care from managerial,
economic, data and innovation
perspectives.
More than 80 participants from across
primary and social care discussed the
levers and barriers that will enable or
prevent the healthy development of
federating practices that may
incorporate wider professional
disciplines care including community
nursing and pharmacy, community eye
and hearing care, occupational
therapy and physiotherapy.
Participants said a shift in cultural
approach and mind set is needed to
help organisations move towards an
integrated model of care, participants
at a Health + Care and
Commissioning show event have
agreed. A vision around new models
of care was pointless without also
have a shared culture.
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A local government participant said:
“What we currently have in my own
and most other areas is organisations
having various unconnected strategies;
so you have a primary care strategy, a
social care strategy and so on. You
have five or six chief executives, each
with their own organisational agendas
and no one with the overarching
power to lead it and pull it all together.”
Entering an age of collaboration,
not command and control
“The collaborative style of leadership is
not one we currently promote in the
NHS,” said NHS Confederation group
director of policy and GP Dr Jonny
Marshall. He said the long standing
culture of command and control in the
NHS meant local leaders felt prevented
from making local decisions and said
that since the ceasing of Strategic
Health Authorities (SHAs), organisations
had to overcome this, instead of still
looking to a single point of leadership
to guide the way forward.
It was also felt by some at the event
“We obviously need to provide value
for money but don’t expect
innovation to then handcuff those
that are trying to be innovative.”
that although Health and Wellbeing
Boards (HWBs) are meant to represent
the needs of local populations, some
are too strategic and feel distant.
Participants agreed that the risk averse
– and perhaps sometimes defeatist –
culture of the NHS made for a
reluctance to innovate.
Dr John Ribchester, senior and
executive partner of the Whitstable
Medical Centre, which looks after
105,000 patients, said it could be
frustrating when organisations that do
want to innovate found themselves
limited by the financial constraints
inherent in operating a publicly
funded enterprise.
Vitality Partnership executive partner Dr
Naresh Rati agreed. “We obviously
need to provide value for money but
don’t expect innovation to then
handcuff those that are trying to be
innovative.”
Discussing the views of participants at
the event Dr Ribchester said: “To
develop new models of care we need
a complete what we currently have to
a holistic, fully integrated model.”
Care Mesh CEO Peter Wilson said
participants agreed that economic
incentives were needed – and that
current barriers to change, such as
individual budgets and perverse
incentives that encour