The document summarizes the key themes of the NHS 5 Year Forward View plan. It outlines the plan's vision for new models of integrated care focused on populations of 50,000 people. The plan acknowledges an estimated annual funding gap of £30 billion by 2020/21 for the NHS and the need for efficiency savings and increased funding. It also emphasizes the importance of prevention, personalization, technology, and social determinants of health for a sustainable healthcare system.

1. Health and Wellbeing Policy Briefings for Leeds
The NHS 5 Year Forward View
An Overview

2. What are the big themes?
• “Go away and come up with some local solutions”
• “Can we have more money please?”
• New models of care…..and new acronyms
• Don’t forget about people. Care models and organisational
form are interesting to policy makers (and management
consultants) but healthy populations are the most
sustainable.
• Let’s have truly world class technology, innovation, data,
research

3. Does it have a big vision?
• Broadly, yes it does. 
• Sets out a clear direction of travel with some consistent
themes throughout
• Some clear timings and promises of future releases of plans
and programmes
• Plus its readable and written in plain English!*
*although it does include the word ‘credentialed’

4. The money
Annual
Productivity
Gains
NHS Spending Change by
2020/21
Estimated Annual Funding Gap by 2020/21
1. 0.8% Flat, real terms increase based
on GDP growth
£21 billion
2. 1.5% Flat, real terms increase based
on GDP growth
£16 billion
3. 2%-3% Flat increase based on
population growth
Nil
• The NHS faces a funding gap of nearly £30 billion a year by 2020/21
• The NHS need to achieve significant efficiency gains
• But more money is needed from government

5. New Models of Care modern maternity
services
specialised care
Primary and Acute
Care Systems (PACS)
urgent and emergency
care networks
enhanced health
in care homes
viable smaller
hospitals
Multispecialty Community
Providers (MCPs)
• Integrated, multidisciplinary out of
hospital care
• GP practices coming together with
nurses, hospital specialists, community
services, pharmacists, mental health,
social care
• Minimum population size of 50,000
• A delegated population budget?
• Single organisations provide NHS list-
based GP and hospital services,
together with mental health and
community care services.
• Will these be the new Accountable
Care Organisations in the UK? There is
scope for a delegated capitated budget
across a population

6. Integrated working and joint commissioning
• The new models of care are about removing traditional boundaries
between acute, hospital community, primary and social care
• Some new models of care require capitated budgets across populations
• Commitment included about the Integrated Personal Commissioning
programme, to increase the take up and commissioning of personal
budgeting
• There will be opportunities to pool budgets for specific services where
appropriate, and some new models of care will require this
• Some non-committal notions of the potential of full joint management
of social and health care commissioning under the leadership of Health
and Wellbeing Boards

7. People!
The renewable energy for a sustainable NHS
• The Forward View recognises the importance of wider determinants of
health and the contribution of communities. Remember the NHS will
not be sustainable just because of fancy new delivery models!
• A focus on prevention – we spend more on bariatric surgery than
lifestyle interventions!
• Personalisation – tailored medicine, personal budgeting, self-
management
• Workplace health and carers’ rights within the NHS and beyond
• More encouragement for volunteering
• More simple, effective and long term ways of commissioning voluntary
sector organisations

8. Technology and Innovation
• Comprehensive transparency of performance data
• An expanding set of NHS accredited health apps
• Fully interoperable electronic health records – every patient with access
to their health record by 2016
• Family doctor appointments and electronic and repeat prescribing
available routinely on-line everywhere.
• Quicker lower cost Randomised Control Trials embedded within routine
general practice and clinical care.

9. Links and Sources of Useful
Information
• NHS 5 Year Forward View: http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-
web.pdf
• Autumn Statement 2014: https://www.gov.uk/government/publications/autumn-statement-
documents
• NHS Plannning Guidance 2015/16: The Forward View Into Action:
http://www.england.nhs.uk/wp-content/uploads/2014/12/forward-view-plning.pdf