14 / 10 / 2015 11.59am
Underpinning the changes needed to close the three gaps, will be a number of strategies to ensure the overall success of the Five Year Forward View.
Flexible local leadership
CCGs and frontline clinicians already have responsibility for two thirds of health service funding, and are using it to support change in local healthcare systems. To further this, NHS England will offer them more influence over the total NHS budget for local populations.
Selected local areas will be identified to pioneer joint commissioning of services between NHS and local government.
An engaged and skilled workforce
No new ways of delivering care can be achieved in the NHS without the support of its workforce. The NHS workforce needs to be sufficiently skilled, engaged and must demonstrate appropriate values and behaviours, to achieve the goals of the 5YFV. NHS England will work with HEE and NHS Employers to ensure a non-discriminatory environment where staff are healthy, engaged, sufficiently trained, productive and supported to raise concerns where necessary.
New health and care roles will be developed where necessary, to better support workforce planning.
This will all need to be supported by pay and terms and conditions that reward high performance and encourage recruitment and retention.
Better use of digital technology
A national information board will bring together organisations across health and social care, local government and the public, to harness the use of information technology in patient care. Innovations will include:
- transparent performance data to help patients make informed choices
- NHS-accredited health apps so patients can organise and manage their own health care
- electronic health records that patients will have full access to
- online appointment and prescription services.
Research and innovation
New and innovative ways of working will need to be found, and existing ones shared, to change the way care is delivered. The 5YFV aims to make the NHS one of the best places in the world to test innovations. To support the strategies that will close the care and quality gap, the 5YFV proposes to:
- develop test bed sites that will evaluate the impact of new technologies and ways of working
- create green field sites that will design completely new health and social care services
- expand current NHS research to ensure every detail of the service redesign is considered and tested.