What's been done so far


Arm’s-length bodies (ALBs), government and the NHS Confederation have been working hard over the past 12 months to help deliver the changes outlined in the 5YFV.

In addition to this specific work, the NHS Confederation and NHS Employers have a range of resources and information on work areas that support the aims of the 5YFV, including staff health and wellbeing, staff engagement, reducing agency spend and innovation.

The health and wellbeing gap

What the ALBs have done:
  • Diabetes Prevention Programme has launched with Diabetes UK, which will engage with 10,000 people at risk of diabetes in its first year. 
  • NHS England has published a ten-point plan for the new deal for primary care. 
  • NHS England has begun a £5m drive to improve the health and wellbeing of NHS staff. 
What the NHS Confederation is doing:
  • Working with the Academy of Medical Royal Colleges to make sure the government’s upcoming spending review reflects the need to invest in prevention. 
  • Produced a joint paper with NAPC on the future needs of the primary care workforce and submitted evidence to the HEE primary care workforce commission.

The care and quality gap

What the ALBs have done:
  • Launched a support programme for the vanguard sites, to address common problems in the new care models and speed up implementation of successful models. Eight areas for support were identified, which will be the basis of the work programme over the next year. Eight urgent and emergency care vanguards have also launched to accelerate work on the Keogh review into urgent care services. 
  • A success regime has launched to support health and care systems that require improvement before any new care models can be implemented. The regime will diagnose the problems, identify the changes required and then implement them. 
  • Created the Workforce Race Equality Standard, which came into force on 1 April 2015. It requires organisations to demonstrate workforce equality against key measurements, including representation of black and minority ethnic staff at board level. 
  • Initiated independent taskforces to help improve cancer and mental health services, led by Harpal Kumar of Cancer Research UK and Paul Farmer of Mind, with Baroness Cumberlege leading a taskforce on maternity services.
What the NHS Confederation is doing:
  • Leading the national bodies in developing a strategy for engaging NHS leaders on the Five Year Forward View: Time to Deliver plans and developing resources to help local implementation. 
  • Produced a discussion paper to provide early thinking on the role of community services in delivering the 5YFV.
  • Established a cross-system commission focused on getting care models right across the urgent and emergency care system.
  • Our NHS European Office has been commissioned by NHS England to help the vanguard and pioneer sites understand innovative EU models of care, through webinars and site visits in the coming months, ahead of the major EU models conference in March.
  • Hosting a workshop on the success regime with the arm’s-length bodies. 
  • Our community health services forum is holding an event on the new care models that have integrated working between community services and primary care at their core. 

The funding and efficiency gap

What the ALBs and government have done:
  • Work by Lord Carter on finding efficiencies in the provider sector.
  • Focus on ensuring trusts tackle agency staff spend.
  • Monitor and the NHS Trust Development Authority (TDA) introduced new rules requiring all nursing agency staff to be procured through agreed frameworks.  
  • Placed annual ceilings on the amount individual trusts can spend on nursing agency staff.  

What the NHS Confederation is doing:
  • Engaging extensively and meeting regularly with Number 10, HM Treasury and Department of Health to establish how the £8bn funding will be phased and to secure a multi-year deal that will provide stability and support planned and purposeful change.
  • Working closely with the care and support sector to influence the upcoming Comprehensive Spending Review, pushing for a sustainable long-term settlement for social care. 
  • Leading work with the national bodies to engage members in planning how to deliver the £22bn of efficiency savings by 2020, with opportunities for more of our members to get involved in the work over the coming months.
  • Hosting a series of meetings with Lord Prior, Minister for Productivity in the health service, on efficiencies and transformation.

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