Health and Care Experience Profiles

Health and Care Experience Profiles: Understanding how services work together
Healthwatch 17 June 2021

• Healthwatch has developed a qualitative research methodology – the Integration Index - that local health and care systems can use to better understand people’s experiences using integrated services. The more comprehensive Integration Index work will form part of the developing accountability and performance frameworks for Integrated Care Systems (ICS). Using various quantitative tools, ICS can track how integrated care is delivered against Long Term Plan commitments. 
• However, to understand whether integration improves people’s experiences in different communities Healthwatch has published a methodology for the local integration index that ensures people’s experiences inform how services work together by reviewing existing policies and data while measuring how patients, service users and carers think local services provide joined-up and personalised care. This methodology will sit alongside other quantitative tools for use by ICS. A number of pilots have developed Health and Care Experience Profiles for five groups.

State of health and care: The NHS Long Term Plan after Covid-19

State of health and care: The NHS Long Term Plan after Covid-19
IPPR 16 March 2021

• COVID-19 has disrupted the NHS Long Term Plan. This shows the scale of the damage done by the pandemic across several major health conditions (cancer, mental health cardiovascular diseases and multimorbidity) and outlines a package of six ambitious changes to ‘build back better’.

How might leadership roles evolve in integrated health and care systems?

How might leadership roles evolve in integrated health and care systems?
SCIE March 2021

• This report for the NHS leadership Academy explores some of the implications of the Long Term Plan and its supporting plans on leadership within local health and care systems, the roles that may emerge over time, and what knowledge, skills and support leaders need in the future. The report provides an overview of research carried out to better understand how leadership roles are changing in the health and social care leaders sector, especially in collaborative and integrated health and care systems.

Exploring commissioners’ understandings of early PCN development

Exploring commissioners' understandings of early Primary Care Network development: qualitative interview study.
Br J Gen Pract. 2021 Mar 9: BJGP.2020.0917. doi: 10.3399/BJGP.2020.0917.

• Interviews with CCG employees involved in PCN establishment conlcude that CCGs are well placed to understand the complexities of local systems and facilitate PCNs and working practices between wider system partners. The prescriptive, contractual nature of the policy goals set out in the NHS Long Term Plan has led to local challenges, trying to ensure local good practices are not lost during implementation.

Community Pharmacy Contractual Framework: Year 2 (2020-21)

Community Pharmacy Contractual Framework five-year deal: year 2 (2020 to 2021)
DHSC, NHS England/Improvement, PSNC 24 February 2020

• Changes to commissioning over 2020/21 include NHS Discharge Medicines Service, Hepatitis C testing service, NHS Community Pharmacist Consultation Service (NHS CPCS) referrals for urgent medicine supply from NHS 111 Online, referral of minor illness from GP surgeries.
• Part of the Community Pharmacy Contractual Framework: 2019 to 2024 - 5-year deal setting out how community pharmacy will support delivery of the NHS Long Term Plan.

Evaluating personalised care

Evaluating personalised care
SCIE February 2020

• Personalised care is one of the five major, practical changes to the NHS that will take place over the next five years, as set out in the recently published Long Term Plan. 
• This guide aims to help practitioners measure and evaluate the impact of personalised care programmes, initiatives or new ways of working. It is for anyone who is involved in delivering a personalised care intervention or initiative at a local level. 

The English local government public health reforms: an independent assessment

The English local government public health reforms: an independent assessment
Kings Fund 10 January 2020

• This report, commissioned by the Local Government Association, assesses the success of the 2013 reforms to public health in England, which were part of the Coalition government’s wider health reform programme. The report looks at the effects of the reforms in both the short and longer term and looks at the impact of the changes, and looks into the future and the implications for public health in the context of the NHS long term plan, the government’s prevention consultation and the wider shift to population health systems.

NHS reform: Integrated Care Systems

NHS reform: Integrated Care Systems
House of Commons Library 17 December 2019

• An outline of the impact of the NHS Long Term Plan on development of integrated care systems and the role of legislative changes in ICS development. Includes a short Further Reading list.

Integrated care – what physicians need to know about implementing the NHS Long Term Plan

Integrated care – what physicians need to know about implementing the NHS Long Term Plan
Royal College of Physicians 7 October 2019

• This practical guide explains the changes and what physicians can do locally to support and influence the development of integrated care.

Recommendations for an NHS Bill

Recommendations for an NHS Bill
NHS England and NHS Improvement 26 September 2019

• Recommendations based on a public and stakeholder engagement campaign on proposals for NHS primary legislation, building on the outline proposals that arose from the NHS Long Term Plan process.
• Recommendations included relate to procurement, population health, commissioning/provider collaboration, Integrated Care System development and NHS England/NHS Improvement merger.
• Recommendations for an NHS Bill were presented to the NHS England NHS Improvement Board meeting on 26 September 2019 (Item 5). It was agreed that:
• “An NHS Bill should be introduced in the next session of Parliament. Its purpose should be to free up different parts of the NHS to work together and with partners more easily. Once enacted, it would speed implementation of the 10- year NHS Long Term Plan.”
• Read the summary of recommendations by Hempsons Solicitors.

NHS Mental Health Implementation Plan 2019/20 – 2023/24

NHS Mental Health Implementation Plan 2019/20 – 2023/24
NHS England 23 July 2019

• This document focuses on the FYFVMH and LTP planning and delivery requirements local systems lead and will receive funding to deliver for mental health. The mental health ambitions require a combination of ‘fixed’, ‘flexible’ and ‘targeted’ approaches to delivery over the coming 5 years.

Primary care networks explained

Primary care networks explained
Kings Fund 13 March 2019 updated 1 July 2019

• Primary care networks form a key building block of the NHS long-term plan, placing a more formal structure around GP practices working together without creating new statutory bodies.

NHS Long Term Plan Implementation Framework

NHS Long Term Plan Implementation Framework
NHS England 27 June 2018

(See  the accompanying NHS England/ NHS Improvement Board paper)

• On publication of the LTP in January 2019, an Implementation Framework was promised which would support sustainability and transformation partnerships (STPs) / integrated care systems (ICSs) to undertake strategic planning. Five year strategic plans, 2019/20 – 2023/24, are expected by November and will be fed into the national plan by the end of 2019. Plans must set out how STPs will develop to become an ICS by April 2021.
• The Framework sets out expectations and the support available to systems from national and regional teams and will put into practice the new operating model for NHS England and Improvement.
• Expectation are that plans ”explicitly set out how the additional funding being invested will deliver real improvements for their populations”, and that plans are:
• Clinically-led
• Locally owned
• Based on realistic workforce planning
• Financially balanced and delivering financial recovery
• Delivering all the commitments within the Long Term plan
• Phased over the full five years reflecting local priorities and different starting points
• Reducing local health inequalities and unwarranted variation, (including disadvantaged or vulnerable groups and those with learning disabilities/autism).
• Focused on prevention
• Engaged with Local Authorities
• Driving innovation
• Other key areas for consideration include workforce, digitally enabled care, and financial planning assumptions to meet the financial tests set out in the Long Term Plan. 
• The Implementation Framework: support offer  signposts the national and regional support that systems can draw on to develop their five-year strategic plans.

See: Summary of the NHS long-term plan implementation framework, HFMA, 28 June 2019

• This briefing highlights the key points included in the NHS long-term plan implementation framework and the next steps for the system.

See Mills & Reeve Briefing with Implementation Timeline

Interim NHS People Plan

Interim NHS People Plan
NHS Improvement 3 June 2019

• The Interim NHS People Plan sets a vision for how people working in the NHS will be supported to deliver care and identifies the actions outlined in the NHS Long Term Plan. 

The changing face of clinical commissioning

The changing face of clinical commissioning
NHS Clinical Commissioners 23 May 2019

• The report highlights the work of CCGs to drive through innovations and improvements across health and social care and the key strengths which should be retained within the new structures proposed by the NHS Long Term Plan.

The contribution of large charities to shaping future health and care

Investing in quality: The contribution of large charities to shaping future health and care
Kings Fund for the National Garden Scheme 15 May 2019

• Through a selection of case studies, the report highlights areas of work by six major charities that are supported by funding from the National Garden Scheme, and are contributing to addressing current policy issues and supporting the future direction of health and care. 
• The report reflects on how the statutory system and the wider voluntary and community sector can work together to deliver some of the key priorities of the NHS long-term plan and drive improvements in health and care.

CCGs - House of Commons Public Accounts Committee

Clinical Commissioning Groups
House of Commons Committee of Public Accounts, 8 March 2019

• An examination of the work of CCGs and the impact of the NHS Long Term Plan on the future of CCGs.
• Recommendations relate to CCG performance and accountability, an update on the relationship between CCGs and Integrated Care Systems, expected number of CCGs, estimate of CCGs redundancies, input of local GPs into CCG decision making, CCG focus on the needs of larger population groups, and legislative changes.

Report summary and recommendations:

Social Prescribing - short guidance for local areas 2019-20

Social Prescribing - short guidance for local areas 2019-20
Leeds CCG February 2019

• A 2 page summary of social prescribing commitments made in the NHS Long Term Plan and Five Year Framework for GP Contract Reform.

Implementing the NHS Long Term Plan

Implementing the NHS Long Term Plan
NHS England 28 February 2019

• More detail on the legislative changes to help implement the Long Term Plan. Consultation on these proposals closes on 25 April 2019.
• See Health and Social Care Committee inquiry into these suggestions.

Community health services explained

Community health services explained
Kings Fund 14 January 2019

• Despite their vital contribution, community services are poorly understood compared to other parts of the NHS. This explainer sets out what these services are, the challenges they are facing and how they are changing.