NHS England has confirmed that the quality, innovation, productivity and prevention savings programme will continue into the next comprehensive spending review period, pledged to set out how major service reconfigurations should be carried out.
The commitments are made in the organisation’s business plan for the next three financial years, published this week ahead of its April meeting.
The plan, which sets out NHS England’s programme of work to 2015-16 says: “We will develop and oversee a framework for major service reconfiguration that will set out the roles, responsibilities and interfaces between the different organisations across the health and care system.” Part of this work will be to ensure there is “full clinical input”.
It also pledges to focus on the development of primary care “in the light of changing populations and medical models of delivery”.
The plan says the QIPP challenge will be a key priority for the next three years – confirming the programme will formally continue beyond the current comprehensive spending review period, which finishes at the end of 2014-15.
However, the focus will shift towards “transformational change”. A new “ten year strategy” – to be “underpinned by economic modeling” – will be focused on identifying the best clinical pathways and “changing services where necessary.”
“We are in the process of establishing the initial areas of focus where we should provide leadership and support for commissioners” to achieve this, the plan states, while pledging to ensure that direct commissioning does not sustain “outdated service models”.
The plan emphasises that commissioning should be collaborative between clinical commissioning groups and NHS England, and that budgets should be integrated where this advances “shared priorities”.
Meanwhile a CCG assurance process will assess local commissioning plans, while QIPP performance will be managed through checks on CCGs’ governance processes, rather than on their achievement of QIPP milestones.
The business plan also reveals that “every aspect of NHS England’s work programme is now being reviewed to identify what more needs to be done” in response to the Francis inquiry report on the Mid Staffordshire Foundation Trust scandal.
It sets out a scorecard with 11 priorities against which to measure NHS England’s performance. These include preventing people from dying prematurely, high quality financial management and helping people recover from episodes of ill health.
It adds that two priorities stand above the rest: “satisfied patients” and “motivated positive NHS staff”. Both will be measured against patient and staff feedback.