3 June 2015

‘Success Regime’ - a new approach to challenging systems

Five Year Forward View - The Success Regime: A whole systems intervention
Monitor 3 June 2015
  • The ‘Success Regime’ is aimed at providing increased support and direction to the most challenged health and care economies. 
  • The Success Regime: 
    • Will be overseen jointly by NHS England, Monitor and the NHS Trust Development Authority, working closely with the Care Quality Commission; 
    • Will work across whole health and care economies – with providers, commissioners and local authorities – and address systemic issues as opposed to merely focusing on individual organisations; 
    • Will provide the necessary support and challenge to health and care economies through from diagnosing the problems, identifying the changes required and implementing these changes; 
    • Will seek to strengthen local leadership capacity and capability, with a particular focus supporting transformation and developing collaborative system leadership; 
    • Has a direct link to the new care models work of the Five Year Forward View, and will consider whether the application of the new care models may form part of the solution for the selected health and care economies
  • The regime seeks to draw on previous and existing interventions however, the approach taken through this regime needs to be very different to those taken previously, in order for the result to be different.
  • The support will cover 3 main areas:
    • short-term improvement against agreed quality, performance or financial metrics
    • medium and longer-term transformation, including the application of new care models where applicable.
    •  developing leadership capacity and capability across the health system
  • Three health and care economies will enter the regime initially - North Cumbria, Essex and Northern, Eastern and Western Devon. (see the Appendix)