NHS Operational Planning and Contracting Guidance 2020/21

NHS Operational Planning and Contracting Guidance 2020/21
NHS England 31 January 2020
(Part of NHS Operational Planning and Contracting Guidance)
Summary of the guidance as currently drafted and sets out the timetable for the submission process NHS England Board meeting 31 January 2020 Summary paper.

Watch the NHS Board meeting discussion of "system by default" here. (38m09s - 54m:25s)

• Details concerning key technical elements of the operational planning process, covering CCG mergers, narrative plans, submission process overview, Better Care Fund planning requirements as well as key contacts, resources and timetable.
• Plans include to "embed and strengthen the governance of our systems as we move to a ‘system by default’ operational model and prepare all systems to become an Integrated Care System (ICS) by April 2021."

From NHS E/I bulletin 31 January 2020

"The planning guidance requires the NHS to build on the local system-wide strategic plans developed during 2019, and to deliver in 2020/21 the commitments in those plans. This will mean expanding urgent and emergency care to meet demand, eradicating waits of 52 weeks or more, ensuring at least 70% of people with cancer receive a diagnosis within 28 days, and continuing to expand mental health services. It also sets out plans to increase the number of general practice appointments and the number of primary care staff. The guidance covers system planning, operational plan requirements, details of workforce transformation requirements, the financial settlement and the process and timescales around submitting plans."

Departmental Overview: Department of Health and Social Care 2019

Departmental Overview: Department of Health and Social Care 2019
NAO 17 October 2019

• This overview summarises the work of the Department of Health & Social Care including what it does, how much it spends, recent and planned changes, and what to look out for across its main business areas and services. 
• Includes an overview of how the newly formed NHS England & NHS Improvement (NHSE&NHSI) organisation is structured locally.

NHS England / NHS Improvement Board meeting in common 26 September 2019

NHS England / NHS Improvement Board meeting in common 26 September 2019

Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer
Arden & GEM CSU

Papers available on NHS England website.

Video will be available here: https://www.england.nhs.uk/about/board/meetings/previous/

Agenda

1. Welcome and Introduction

• Apologies for Absence

• Declarations of Interest

• Minutes and matters arising from the Board Meetings in Common of the Boards of NHS England and NHS Improvement held on 27 June 2019

2. Chairs’ report ( Verbal report - Dido Harding) 

3. Chief Executive’s report (Verbal report - Simon Stevens)

4. EU Exit readiness (Keith Willett)

5. The NHS recommendations to Government and Parliament for an NHS Integrated Care Bill (Ian Dodge)

5a: The NHS’s recommendations to Government and Parliament for an NHS Bill

5b: Annex 1: Implementing the NHS Long Term Plan: Public Engagement on Proposals for Possible Changes to Legislation

6. Digital-First Primary Care consultation outcome (Dr Nikki Kanani, Ed Waller)

7. Clinically-led review of NHS access standards (Steve Powis)

8. Operational, quality and financial performance update (Julian Kelly, Amanda Pritchard)

9. Community pharmacy reform (Ian Dodge)

9a: The Community Pharmacy Contractual Framework for 2019/20 to 2023/24: supporting delivery for the NHS Long Term Plan

10. Public Participation Dashboard (Ruth May)

11. NHS England Mandate Assurance 2018/19 (Ian Dodge)

12. Seal report (Jessica Dahlstrom)

Highlights

Elective Care Transformation Programme

Elective Care Transformation Programme
NHS England March 2017 to date

• The Elective Care Transformation Programme is leading transformative change to make sure patients needing planned care see the right person, in the right place, first and every time, and get the best possible outcomes, delivered in the most efficient way.
• Includes best practice based on Specialty and Handbooks and case studies
• The Programme has developed the Elective Care Community of Practice online platform for commissioners, clinicians and providers to share knowledge and materials, and collaborate more effectively. For more information email: ECDC-manager@future.nhs.uk

"The NHS and society" 2019 Stevens RSM lecture - Simon Stevens

"The NHS and society" 2019 Stevens lecture - Simon Stevens [Subscription required]
Royal Society of Medicine 20 May 2019

• Edited highlights of Simon Stevens' speech to the RSM by Alastair Mclellan (HSJ editor) .
• Maintaining NHS efficiency; Helping people stay at or return to work; Rethinking the reasons for service change; Improving the regional loyalty of medical and nursing students; Supporting social care; Tracking health risks; Smoking, eating, drinking and gambling; Air pollution and climate change;

NHS England/NHS Improvement Business Plan 2019/20

NHS England and NHS Improvement funding and resource 2019/20: supporting ‘The NHS Long Term Plan’
NHS England / NHS Improvement 29 March 2019

• This document contains information about NHS England and NHS Improvement’s funding in 2019/20. It also sets out NHS England’s and NHS Improvement’s funding and resource for 2019/20 that will support the transition from Next steps on the NHS Five Year Forward View to The NHS Long Term Plan.

NHS Long Term Plan

NHS Long Term Plan https://www.longtermplan.nhs.uk/
NHS England 7 January 2019
“how the NHS will move to a new service model in which patients get more options, better support, and properly joined-up care at the right time in the optimal care setting.”
The Long Term Plan contains aspirations, commitments, milestones and priorities for the NHS across the next ten years. It includes:

• A new service model for the NHS aims to increase primary and community based care, reduce emergency care in hospital, increase personalised care, increase use of digital technology and develop Integrated Care Systems (ICS) to support population health management.
• A renewed NHS prevention programme will prioritise smoking, poor diet, high blood pressure, obesity, and alcohol and drug use. In addition there will be a concerted and systematic approach to reducing health inequalities and addressing unwarranted variation in care.
• New and revised care quality and outcomes measures are presented relating to health and wellbeing of children and young people, maternity and neonatal services, learning disabilities and a number of major health conditions (cancer, cardiovascular disease and stroke (inc diabetes), respiratory conditions, dementias, and self-harm).
• A new Workforce Implementation Plan will underpin workforce development.
• The Plan places a strong emphasis on the upgrade and development of digital technology across the NHS.
• The Plan lays out five tests for NHS financial architecture, payment systems and incentives.
• There are a number of case studies demonstrating models and approaches outlined in the Plan.

Kings Fund : The NHS long-term plan:five things you need to know
Health London Partnership : The NHS Long Term Plan in summary

HSJ coverage here. [subscription required]

Read Cowper’s Cut: A brief history of NHS plans (HSJ 7 Jan 2019, subscription required) for a brief history of previous plans for the NHS.

Towards commissioning for workplace compassion: a support guide

Towards commissioning for workplace compassion: a support guide
NHS England October 2018

• An evidence-informed good practice guide for commissioners and for providers to support them in working together to create and sustain compassionate workplaces.
• Includes a commissioning cycle for workplace compassion and videos of the work at Birmingham South Central CCG.

New Chairman of NHS England

NHS England Chairman Pre appointment hearing
Health and Social Care Committee 10 September 2018

• The HSC committee questioned Lord (David) Prior, the Government’s preferred candidate for the role of Chair of NHS England.
• Watch the pre-appointment hearing here.
• See the HSJ digest here.

HSJ interview with Simon Stevens around 10 year NHS plan and changing funding rules

Stevens sets out 10 year plan priorities
HSJ 18 July 2018

• During an interview with HSJ Simon Stevens identified five major priorities for the 10 year NHS plan due to be unveiled this autumn.

1. mental health, especially services for children and young people, and potentially "core crisis care”. 
2. cancer, in particular screening services and addressing race and socioeconomic and gender and cultural barriers that exist to early diagnosis
3. cardiovascular disease – stroke and heart attacks
4. children’s services in particular prevention and inequality as they affect children.
5. reducing health inequalities 

• As part of the funding deal and long term plan, the prime minister announced a review of NHS waiting time targets.

Stevens promises ‘wholesale shift’ in funding rules
HSJ 18 July 2018

• During an interview with HSJ Simon Stevens discussed future changes to NHS funding rules and suggested that "Over the course of the next three years we’re going to see a wholesale shift.”
• A plan covering the financial years from 2019-20 to 2021-22 is being developed with NHS Improvement and in discussion with the NHS and will be set out at the end of September, then confirmed in November.
• Sustainability funding would be ended at the latest by the end of the three year period
• According to HSJ the funding plan in late September is likely to include three years of firm CCG  allocations and two years indicatively.

NHS England Board meeting 4 July 2018 Highlights

NHS England Board meeting 4 July 2018

Agenda

• 1. Minutes of the Previous Meeting 
• 2. Chairman’s report 
• 3. Chief Executive’s Report 
• 4. Developing the NHS long term plan: reducing ineffective or wasteful clinical procedures 
• 5. Developing the NHS long term plan: primary care reform 
• 6. General Practice Services – programme update 
• 7. Second progress report from the Empowering People and Communities Taskforce 
• 8. NHS Performance and progress on implementation of next steps 
• 9. NHS Finance Report 
• 10. Reports from Board Committees 
• i. Commissioning Committee 
• ii. Investment Committee 
• iii. Specialised Services Commissioning Committee 
• iv Audit and Risk Assurance Committee 
• 12. AOB 

Highlights for CCGs and Arden GEM CSU below relating to 
4. Developing the NHS long term plan: evidence based interventions that should not be routinely commissioned.
5. Developing the NHS long term plan: primary care reform - GP contract reform including

• A review of the Quality and Outcomes Framework (QOF)
• GP payments in light of the growth of digital-first primary care

6. GP Services Programme Update
7. Second progress report from the Empowering People and Communities Taskforce

NHS England Board meeting and NHS England / NHS Improvement Board meeting in common

Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU

NHS England Board meeting 24 May 2018
Board Papers available here.
Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/

NHS England / NHS Improvement Board meeting in Common, 24 May 2018
Papers available here

Highlights

'The World's Biggest Quango' The First Five Years of NHS England

'The World's Biggest Quango' The First Five Years of NHS England
Institute for Government and The King’s Fund, 24 May 2018

• An exploration of the first five years of NHS England based on interviews with some of those most intimately involved.
• The report asks whether the objectives of establishing a statutorily independent board were fulfilled or disappointed. And, given that much of what has happened has turned out to be distinctly different from the original intentions of the legislation, what might be learnt from the first five years' existence of "the world’s biggest quango".

NHS England Board meeting 29 March 2018

Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU

• Papers available here. 
• Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/

Agenda

1. Minutes of the Previous Meeting
2. Chairman’s  report
3. Chief Executive’s Report
4. Publication of NHS England Mandate and NHS Improvement Remit
5. NHS England Funding & Resource 2018/19:Supporting “Next Steps for the NHS Five Year Forward View”
6. Update on draft contract for Accountable care Organisations (ACO)s
7. Proposals on delivering joint working between NHS England and NHS Improvement
8. Conditions for which over the counter items should not routinely be presented in primary care: findings for consultation and next steps
9. “Scene setter” on current trends in health inequalities
10. NHS England’s responsibilities for quality
11. NHS Performance and progress on implementation of Next Steps Inform
12. Consolidated Month 11 2017/18 Financial Report
13. Slavery and Human Trafficking Statement 2017/18
14. Emergency Preparedness, Resilience & Response (EPRR)
15. Report to the Board on the use of the NHS England Seal (September 2017-February 2018)
16. Reportsfrom Board Committees
i. Commissioning Committee
ii. Investment Committee
iii. Specialised Services Commissioning Committee
iv. Audit and Risk Assurance Committee

Highlights : 

3. Chief Executive’s Report

• Simon Stevens advised the Board that he had (today) received a letter from the Prime Minister outlining the timetable for the “long term sustainability plan” for the NHS she described at the Liaison Committee (27 March 2018). Following discussions with NHS England over April-June, priorities for a 5/10 year plan are expected to be published by summer 2018.

NHS England Board meeting 8 February 2018

NHS England Board meeting 8 February 2018
Video available here.

Agenda

1. Minutes of the Previous Meeting
2. Chairman’s Report
3. Chief Executive’s Report
4. NHS planning and financial allocations for 2018-19
5. Empowering People and Communities Taskforce – update on progress
6. Lessons learned review of the WannaCry Ransomware Cyber Attack
7. NHS performance, and progress on the implementation of ‘Next Steps on the NHS Five Year Forward View’
8. Consolidated Month 9 2017/18 financial report
9. Reports from Board Committees
i. Commissioning Committee
ii. Specialised Services Commissioning Committee
iii. Audit and Risk Assurance Committee

Highlights :

NHS England board meeting 30 November 2017

NHS England Board meeting, 30 November 2017
Highlights by Anne Gray, Knowledge Officer, Arden & GEM CSU

Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/

Agenda

1. Minutes of the Previous Meeting

2. Chairman’s Report

3. Chief Executive’s Report

4. Planning for 2018/19 in light of the Budget

5. Items which should not be routinely prescribed in primary care: findings of consultation and next steps

6. Congenital Heart Disease Services for Adults and Children: Future Commissioning Arrangements

7. National Guardian for the NHS – Annual Report for 2017

8. Supporting and applying research in the NHS

9. NHS performance and progress on the implementation of ‘Next Steps on the NHS Five Year Forward View’

10. NHS Finance Report

11. Reports from Board Committees

i. Commissioning Committee

ii. Investment Committee

iii. Specialised Services Commissioning Committee

iv. Audit and Risk Assurance Com

Highlights :

How does the NHS in England work - an animation

How does the NHS in England work? An alternative guide
Kings Fund 19 October 2017

• An animation giving a whistle-stop tour of how the NHS works in 2017 and how it is changing.

NHS England Board meeting, 28 September 2017

NHS England Board meeting, 28 September 2017
Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU

Papers available here. Video will be available here:

Agenda
1. Minutes of the Previous Meeting
2. Chairman’s report
3. Chief Executive’s report
4. Expansion of the GP International Recruitment - Programme implementation plan
5. NHS performance and progress on implementation of ‘Next Steps on the NHS Five Year Forward View’
6. Consolidated month 4 2017/18 financial report
7. Update on winter resilience preparation 2017/18
8. Report on the use of the NHS England seal
9. Reports from Board Committees
i. Commissioning Committee
ii. Investment Committee
iii. Specialised Services Commissioning Committee
iv. Audit and Risk Assurance Committee

Highlights :

Short guide to Department of Health and NHS England

A Short Guide to the Department of Health and NHS England
National Audit Office 8 September 2017

• This short guide summarises what the Department of Health and NHS England do, how much they spend, organisations that oversee, support and deliver health and social care, recent and planned changes, key themes from NAO reports, commissioning plans and organisation of regulation and oversight.

NHS England Board meeting, 21 July 2017

NHS England Board meeting, 21 July 2017

Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer

Arden & GEM CSU

Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/

Agenda

2. Minutes of the Previous Meeting

3. Chairman’s Report

4. Chief Executive’s Report

5  Items Which Should not be Prescribed in Primary Care

5(a) - Items which should not routinely be prescribed in primary care - consultation guidance

5(b) Equality and Health Inequalities – Full Analysis - Items which should not be routinely prescribed in primary care

6. Developing our Academic Health Science Networks

7. NHS England Corporate and NHS Performance Report

8. Consolidated Month 2 2017/18 Financial Report

9. NHS England Annual Report and Accounts 2016/17

10. CCG Assessment 2016/17 year-end ratings

11. STP Progress Dashboard – baseline view

12. Annual Report (2016-17) from the Audit and Risk Assurance Committee Meeting

13. Annual Report (2016-17) from the Specialised Commissioning Committee

14. Annual Report (2016-17) from the Investment Committee

15. Annual Report (2016-17) from the Commissioning Committee

16. Reports from Board Committees

i. Commissioning Committee Assure David Roberts

ii. Investment Committee Assure Dame Moira Gibb

iii. Specialised Services Commissioning Committee Assure Noel Gordon

iv. Audit and Risk Assurance Committee

Highlights :