Sarah Morgan: The Dalton Review

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Sarah Morgan: The Dalton Review

  1. 1. 1 New Options for Providers Emerging thinking Nuffield Trust – 9 June 2014 The Dalton Review
  2. 2. 2 Dalton Review #DaltonReview2014 Agenda 1. What, Why, How 2. Typology of models 3. Emerging key themes
  3. 3. 3 Dalton Review #DaltonReview2014 What? The purpose of the review To provide new options and opportunities for providers of NHS care to support their future clinical and economic sustainability. The review will seek to develop a new range of options for new organisational forms, that present real benefits and opportunities for Boards, not create a national blueprint for the provider sector or promote any one model. What, Why, How
  4. 4. 4 Dalton Review #DaltonReview2014 Context: Providers face a familiar set of challenges • Providers need the flexibility to work in new and innovative ways to improve quality and become more efficient • No single solution is a panacea – we need a range to apply to different situations. • Solutions must come from organisations themselves but can be enabled by the centre In responding to these challenges… Patients and public expect high standards and access Drive to improve quality and safety Ageing population with increasing LTCs Financial constraints and forecast deficits What, Why, How
  5. 5. 5 Dalton Review #DaltonReview2014 What, Why, How Why consider Organisational form? • Unrealised potential in the health sector • Struggling providers • Learning from approaches internationally • Learning from other sectors
  6. 6. 6 Dalton Review #DaltonReview2014 How? The review will be open and consultative. Dalton Review Think Tanks • Health Foundation • Nuffield Trust • Kings Fund Arm’s Length Bodies • NHS England • Monitor • TDA Sector Representatives • Hospitals Forum • NHS Confed • FTN Sector Experts • KPMG • McKinsey • Reform Public and Patients What, Why, How
  7. 7. 7 Dalton Review #DaltonReview2014 1. What, Why, How 2. Typology of models 3. Emerging key themes
  8. 8. 8 Dalton Review #DaltonReview2014 Typology of models Locality based single or multi- site trust Federations (e.g. UCL Partners) What models are we looking at? Governance Operations SiteSite Site NHS Trust or FT Provider Provider Provider Provider
  9. 9. 9 Dalton Review #DaltonReview2014 Typology of models Service level chain (e.g. Moorfields) Joint venture (e.g. GSTS Pathology) What models are we looking at? Standalone organisation Standalone organisation Standalone organisation Standalone organisation expert or specialist provider Service Service Service Service Partner 1 Partner 2 Joint venture
  10. 10. 10 Dalton Review #DaltonReview2014 Typology of models Management/ operational franchise (e.g. Circle – H’brooke) Geographically disperse multi- service chain (e.g. BMI) What models are we looking at? Operational franchise Management contract Board Organisation Board Organisation Group HQ Outlet Outlet Outlet
  11. 11. 11 Dalton Review #DaltonReview2014 Typology of models Vertically integrated care organisation Do you have a good example of one of these models? Get in touch with us at daltonreview@dh.gsi.gov.uk What models are we looking at? Secondary - elective Secondary - emergency Community Primary
  12. 12. 12 Dalton Review #DaltonReview2014 1. What, Why, How 2. Typology of models 3. Emerging key themes
  13. 13. 13 Dalton Review #DaltonReview2014 Emerging key themes We are making use of three types of evidence • Literature review • Commissioned research to inform the evidence base Desk-based Research Engagement Qualitative Case Studies • Sector stakeholder events throughout May to September • Workshops and round tables to test emerging policy findings • Public – ideas and comments • Call for evidence across the sector • Interview with a range of system leaders who have experience of each model • National and international visits to examine the detail of each model – barriers/ incentives • Case studies to inform the final report We will triangulate these evidence sources to provide robust findings and conclusions.
  14. 14. 14 Dalton Review #DaltonReview2014 Emerging key themes Why consider Organisational form? • Unrealised potential in the health sector • Struggling providers • Learning from approaches internationally • Learning from other sectors
  15. 15. 15 Dalton Review #DaltonReview2014 Emerging key themes Emerging themes • Leadership and management • Ownership and governance • Policy, legal and regulatory barriers • Culture and values • Infrastructure and assets • Efficiency, costs and savings
  16. 16. 16 Dalton Review #DaltonReview2014 Questions Questions or contributions? Thank you for listening Questions, contributions?
  17. 17. 17 Dalton Review #DaltonReview2014 Contact details Get involved #DaltonReview2014

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