The document outlines a national service framework to deliver better patient outcomes and value through the implementation of clinical best practices across the NHS. It describes setting national standards and guidance to be achieved over 10 years, with local care pathways developed using evidence-based practices. IT systems and workforce solutions will provide management information and support integrated patient care. National bodies will provide products, guidance, and evidence on best practices to support local transformation to higher quality, sustainable models of care.

1. Delivering better outcomes for patients and value for commissioners through implementation of clinical best practice in the NHS National Service Framework: Acts as umbrella. Sets out standards in prevention, diagnosis, treatment & management to be achieved by the NHS within 10 years. Phased delivery informed & enabled by a combination of.. Local Integrated Care Pathway. Developed locally. Sets out: Where – care setting(s) (home, community, treatment centre, hospital) Who – organisational roles and hand-offs, individual clinical roles & skill mix When – regime for disease management, means of rapid urgent access How much – target cost to serve and regime for monitoring Evidence of best practice Collected and accessible electronically via the National Library for Health NHS Institute Products IT systems providing MI for provider cost & resource mgmt National Workforce Solutions Integrated IT systems supporting end-to-end patient care Desktop, mobile and comms technologies enabling access to patient data and knowledge Available from NHS Institute, Workforce bodies, NHS CFH and other IT suppliers Available from ISIP, adapted by SHA in accordance with planning & performance cycle NICE Guidance. Defined nationally. Sets out: What – clinical actions in prevention, diagnosis, treatment & management How – use of medication and medical technology Structured whole pathway approach to achieving better outcomes through commissioning and collaborative change delivery, bringing together clinicians and management from across organisations in different settings

2. Transformation and benefits realisation – key steps Current model: Not best quality Financially unsustainable Whole service realigned model: leading quality financially sustainable Drive out improved performance Exemplar Whole Service Realigned Models Commissioner Local Health Community-wide Commissioner-led with providers Commissioner-led with providers Commissioner-led programme, Some provider-led projects, Demand mgmt Commissioner accountable overall. Named individuals for contributing benefits NHS Institute Products National IT Solutions National Workforce Solutions Evidence & Experience of “ How to Deliver” National building blocks Clinical quality assured Value for money tested Define target local realigned model Establish cross-LHC governance Define change roadmap & accountabilities Manage Implementation & transition