Presentation by Sarah Vibert

1. Sarah Vibert
Chief Executive, Neurological Alliance
Sarah.Vibert@neural.org.uk
Looking to the future:
Policy over the next 21
years

2. Health policy – ten years
ago
Department
of Health
Parliament
Regional health
authorities
Primary care
trusts

3. Lansley reforms 2010-12
• Clinically led commissioning
• Greater patient choice
• Increased patient voice
• More focus on public health
• Greater local and national accountability

4. NHS
England
Mandate
NHS
OF
STPs/ACOs
CCG
OIS
CCGs
How to influence neurology policy in 2017
Department
of Health
Five year
forward
view(s)
NICE
Commissioning
for value
Intelligence
Network
Right Care
Public
Health
England
PathwaysCRG
NNAG
Professional
associations
Charities
Guidance
and
standards
Joint strategic
needs
assessments
Local patient and
clinical advocates
and campaigns
Van
guards/new
models of
care
Parliament
Getting it right
first time
NHS
Improvement
Local
authorities
Provider
payment/
tariff
PAC
Health Select
Committee
APPGs

5. Nationally (“Air War”):
- Working to influence Government/NHS England priorities
- Supporting clinical and patient leadership
- Supporting the development of better data and intelligence
- Original research and evidence-gathering
- Political and public campaigning and media activity
- Engaging directly with key processes and structures (NHS/NICE/PHE)
Locally (“Ground War”):
- Engaging directly with ACO, STP, CCG and HWB processes
- Spreading best practice and promoting guidance and evidence
- Supporting local advocates with data and intelligence
- Coordinating and promoting local campaigning
- Helping patients to engage with key decision-makers
What tactics do we use to influence
policy?

6. What will policy look like over the next 21
years?
• Brexit…
• Political uncertainty
• Continued drive for efficiency and value
• Patient choice and control?
• More grass roots influencing

7. Health service hopes for 2038
• “I received a timely and accurate diagnosis and was given the support I needed
throughout the process”
• “I feel informed about my treatment and care which is simple to arrange and
enables me to live life as I choose”
• “My treatment and care is excellent”
• “I see scientific innovations benefitting me and my family”