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Surviving and thriving in the new NHS landscape
 

Surviving and thriving in the new NHS landscape

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  • PROBLEM
  • PROBLEM
  • PROBLEM double  running - the  need  to  fund  new  community   services  while  still  funding  hospital  care misaligned incentives - payment   structures  in  the  NHS  mean  that  incentives  are  aligned  to  encourage  hospital   activity  and  discourage  community  care   reducing   hospital  capacity  to  release  actual  savings  requires  coordination  of  local  partners   beyond  the  NHS  (e.g.  housing,  social  care)  and  is  usually  opposed  by  the  public  and   politicians
  • PROPOSAL Use a new vehicle – the SIB – to drive system-wide transformation and deliver integrated care Source up-front funding from an ethical investor to pay for new services Pay back the investment ONLY IF the outcomes are delivered – better care, reduced admissions