NHS England chief executive Simon Stevens will reveal his latest thinking on the future of the service at the inaugural HSJ annual lecture tonight, plus the rest of today’s news and comment
7pm: Harry Cayton from the Professional Standards Authority says there is a massive compliance cost with regulation and smarter regulation would make huge savings. Simon Stevens says transparency does a lot of heavy lifting and says there is still a need for organisations telling it like it is.
6.50pm: Taking questions Simon Stevens says there is a significant misallocation of funds in mental health provision highlighting the spend on child and adolescent mental health beds which he says demand is rising while funds for community based outpatient care is being cut.
6.45pm: This is an inflection point for the NHS says Simon Stevens adding doctors will move freely between the systems. He quotes Nye Bevan’s vision of an NHS where doctors move seamlessly between systems without barriers or jealously ending his speech with “That was 60 years ago, time to give it a shot.”
6.33pm: Simon Stevens says NHS England is looking groups wiling to deliver either an MCP or PACs typemodel to come forward by the end of January.
6.28pm: Stevens says the Primary and Acute Services Models are an opportunity but he recognises the fears of GPs that the model amounts to a takeover.
6.23pm: Mental health blogger @sectioned_ tweets: “The only thing I’d like to change is under-investment in mental health services & continued discriminatory cuts.
6.20pm: MCPs must do in-reach and could even do some of the acute take of small DGHs says Stevens.
6.19pm: Stevens says people are incredibly enthusiastic but they’re not sure what they are enthusiastic about.
He says the model of a multi-specialty community providers are not just a federation of general practices.
6.17pm: Stevens says there will be more money spent on technology and equipment which will have a big capital pull towards centralisation. But he adds in other areas handheld technologies are pulling in the opposite direction and increasing localisation.
6.15pm: Stevens says new care models are the way to bring about the future of the next 10 years of healthcare in the NHS.
6.12pm: Stevens says the personalisation and standardisation agenda of healthcare will “pull back the veil” of healthcare standards and lead to improved outcomes for patients.
6.10pm: Simon Stevens refrences the problems affecting mental health which he says has lagged behind due to management and investment decisions based on policy and outcome measures that have been developed.
6.08pm: Stevens tells the room services are under real pressure, in A&E departments where there are1.3m more emergency attendances than in 2010. Also mentions emergency admissions and GP practices.
6.05pm: Simon Stevens says we are trying to require action on a broad canvas and sharing power with patients, new relationships with employers and local government and on prevention.
6.03pm: This is a timely moment a few weeks on the heels of the five year forward view which has successfuly captured people’s imagination, Simon Stevens tells the room. It is a compass not a map, he says.
6pm: Simon Stevens takes to the stage and talks the room through debates in 1999 to save Barts Hospital and the efforts to safeguard it when Frank Dobson was health secretary.
5.55pm: Jonathan Guppy of FTI Consulting is speaking about findings of a survey with HSJ on new care models following on from the Five Year Forward view unveiled by NHS England and Simon Stevens.
5.52pm: HSJ Editor Alastair McLellan is now kicking off proceedings and tells the audience the HSJ lecture will be a forum for the most prominent thinkers in health policy to deliver their views.
5.45pm: NHS England chief executive Simon Stevens is due to take to the stage any minute. We will have the highlights of what he says, as he says it. Stay tuned.
5.18pm: Delegates are starting to arrive for the HSJ Lecture which will begin at 5.45pm.
5.03pm The real answer to Nick Chinn’s question is that, of course, the HSJ lecture will be live tweeted from the HSJ News account, and from our editorial team who are there in force.
5.00pm There’s some interest in the HSJ lecture being live tweeted. Nick Chinn asks: “Could we get SImon sharing his thoughts/day/experience on twitter? #hsjlecture #getsimontweeting.”
We live in hope Nick.
4.55pm “Is the lecture entitled: ‘Simon Says’ ??” tweets @ianlex2. No Ian, no it isn’t.
4.54pm Paul Jenkins, chief executive of Tavistock and Portman Foundation Trust tweets: “Off to hear Simon Stevens give 1st HSJ annual lecture #hsjlecture - interested in his comments on Dalton and mh.”
4.51pm Excitement is brewing ahead of the inaugural HSJ annual lecture, to be delivered in just under an hour’s time by NHS England chief executive Simon Stevens. Stand by for updates…
4.00pm People could be being put off from making complaints about health and adult social care, which is leading to concerns not being identified, a report from the Care Quality Commission has said.
In a report out today the Care Quality Commission has found that there is wide variation in the way complaints are handled across the NHS, primary care and adult social care services in England, with complainants being met too often with a defensive culture rather than one that listens and is willing to learn.
Although the regulator has found examples of good practice, more needs to be done to encourage people to come forward with their complaints, to keep them informed on the progress, to reassure them that action will be taken as a result, and to assess that whether they are satisfied with how it has been resolved, the report says.
Prof Sir Mike Richards, chief inspector of hospitals at the Care Quality Commission, who has led the review said: “A service that is safe, responsive and well-led will treat every concern as an opportunity to improve, will encourage its staff to raise concerns without fear of reprisal, and will respond to complaints openly and honestly.
“Unfortunately this is not happening everywhere. While most providers have complaints systems in place, people’s experiences of these are not consistently good.
“We know from the thousands of people who contact CQC every year that many people do not even get as far as making a complaint as they are put off by the confusing system or worried about the impact that complaining might have on their or their loved one’s care.
“More needs to be done to encourage an open culture where concerns are welcomed and learned from.
“Through our inspections, we have a big role to play in supporting this change. We will continue to hold health and adult social care services to the high standards that people both expect and deserve.”
3.45pm Waiting times expert, Rob Findlay, looks at declining waiting times performance in Scotland, and the lack of attention this issue has received.
2.50pm In our Comment section King’s Fund deputy director of policy Candace Imison argues that hospitals play only a small part in determining population health outcomes, which is why reconfiguration can only go so far in improving them.
2.15pm Monitor is taking action at Peterborough and Stamford Foundation Trust because of its poor accident and emergency performance.
The regulator has appointed Sue Lewis as oversight director at the trust. Ms Lewis is a nurse and former chief operating officer.
Ms Lewis will be based at the trust in a part-time capacity.
Monitor has acted after the trust consistently failed to meet the national target of seeing 95 per cent of A&E patients within 4 hours. The trust has missed the target 16 weeks in a row.
The trust must put together a “more focused credible” plan for A&E services.
Monitor is also working alongside the trust with national and local partners to identify how further improvements can be made.
The trust has been subject to enforcement action by Monitor since April 2013.
David Dean, senior enforcement director at Monitor, said: “This extra support will help ensure Peterborough and Stamford makes necessary improvements so that patients can receive quality care in a timely manner.
“We want the trust to demonstrate that it understands and can overcome the issues it faces.
“Monitor will continue to look closely at the trust’s progress and will take further action if necessary.”
1.00pm NHS England chief executive Simon Stevens will set out the “strategic direction” for the future of the service in tonight’s inaugural HSJ annual lecture.
The lecture, held in conjunction with advisory firm FTI Consulting, follows Mr Stevens’ victory in persuading the government to give the NHS a step-change funding increase. He will use the lecture to further explore some of the key themes of last month’s NHS Five Year Forward View.
Mr Stevens highlighted the lecture while speaking at another event last week. He said: “On Monday I’m going to be giving a lecture for the Health Service Journal and I’m going to set out more detail about how we’re going to think about the choices and the strategic direction that different parts of the country will choose when we are thinking about the different care models that have been identified.”
A letter by law firm Leigh Day, seen by HSJ, claims Shropshire Clinical Commissioning Group has breached Health Act competition laws by allowing private company Malling Health to provide the new service at Royal Shrewsbury Hospital.
Its clients and campaign group Shropshire Defend our NHS claim the NHS had been “denied the opportunity” to provide the service as the CCG had made the appointment without putting the service out to tender.
Trust Development Authority chief executive David Flory has now written to the trust’s chief executive Aidan Kehoe, about the lack of authority to make this payment, saying the TDA expects the money to be repaid.
The same applies to other non-executive directors who were also paid monies.
The payments have also led the TDA to demand the trust commission an independent review of the payments and the authorisation process to see if the payments have actually breached strict rules.
The lecture, held in conjunction with advisory firm FTI Consulting, follows Mr Stevens’ victory in persuading the government to give the NHS a step-change funding increase. He is expected to use the lecture to further explore some of the key themes of last month’s NHS Five Year Forward View.
At the HFMA conference last week Mr Stevens said: “On Monday I’m going to be giving a lecture for the Health Service Journal and I’m going to set out more detail about how we’re going to think about the choices and the strategic direction that different parts of the country will choose when we are thinking about the different care models that have been identified.”
The event will take place in London before an invited audience of healthcare leaders this evening.
HSJ will be tweeting live from the lecture using the hashtag #hsjlecture. Follow us to keep updated.
11.35am Southend Clinical Commissioning Group has made a crucial submission to the Confidentiality Advisory Group which NHS England hopes will help overcome a major barrier to integrating health and social care.
The CAG, which oversees requests to access identifiable patient information without consent, was due to consider the application last week, according to NHS England’s national director of commissioning strategy Ian Dodge.
While the application was submitted by Southend CCG, the issue was identified during discussions with the other 13 “integration pioneers”. These were appointed by government to identify and overcome obstacles to joining up health and social care services.
10.50am The BBC’s health correspondent, Nick Triggle, argues that the social care sector is green with envy as the NHS is given an extra £2bn.
10.25am Sir David Dalton has predicted that “every single” NHS provider in England will be touched by the options for organisational change described in his government commissioned review, which has set out proposals that would bring sweeping reform of the provider sector.
The Salford Royal Foundation Trust chief executive, in an exclusive interview with HSJ, also:
- estimated 20-30 non-foundation trusts need to be taken over or run under franchise;
- called for strong NHS leaders willing to help run struggling trusts to be paid more; and
- said no hospital in England was currently meeting national quality standards for emergency surgery.
The final report of the Dalton review, commissioned by health secretary Jeremy Hunt in February, set out a menu of novel organisational forms it suggests could help providers drive out variation in care standards and bring about the new care models proposed in the NHS Five Year Forward View. They include hospital chains, integrated care organisations, Hinchingbrooke style management franchises, Moorfields style single service chains, federations, and joint ventures to consolidate surgical services.
Thousands are put off lodging a formal grievance by baffling systems or concerns that their gripes will lead to reprisals against a loved one, say watchdogs.
The review also pointed to poor complaint handling, slow investigations and patients not being taken seriously as key areas of concern in hospitals.
Bob Alexander told the Healthcare Financial Management Association’s conference last week he had seen “too many examples” of providers and commissioners blaming each other for their problems.
“It would be all too easy, in the difficulties that we have at the moment, to get into what might looks like an arms race,” he said. “With providers tracking down every last opportunity to charge and commissioners following a strategy… fundamentally based on finding ways not to pay for stuff.