Enviar pesquisa
Carregar
Judith Smith: Priority setting in the reformed NHS
•
1 gostou
•
541 visualizações
Nuffield Trust
Seguir
Saúde e medicina
Denunciar
Compartilhar
Denunciar
Compartilhar
1 de 24
Baixar agora
Baixar para ler offline
Recomendados
Dr Judith Smith: Current state of NHS reforms
Dr Judith Smith: Current state of NHS reforms
Nuffield Trust
Current state of NHS reforms
Current state of NHS reforms
CFHI-FCASS
The mainstreaming of telehealthcare services will release substantial resources
The mainstreaming of telehealthcare services will release substantial resources
Anthony Fanning
Thome
Thome
Carlo Favaretti
Health and Social Care Devolution
Health and Social Care Devolution
Health and Care Innovation Expo
England Road Show Presentation
England Road Show Presentation
Claudia Megele
More care, less pathway: future-proofing end of life care
More care, less pathway: future-proofing end of life care
Marie Curie
London Better Care Fund
London Better Care Fund
Kim Mepham
Recomendados
Dr Judith Smith: Current state of NHS reforms
Dr Judith Smith: Current state of NHS reforms
Nuffield Trust
Current state of NHS reforms
Current state of NHS reforms
CFHI-FCASS
The mainstreaming of telehealthcare services will release substantial resources
The mainstreaming of telehealthcare services will release substantial resources
Anthony Fanning
Thome
Thome
Carlo Favaretti
Health and Social Care Devolution
Health and Social Care Devolution
Health and Care Innovation Expo
England Road Show Presentation
England Road Show Presentation
Claudia Megele
More care, less pathway: future-proofing end of life care
More care, less pathway: future-proofing end of life care
Marie Curie
London Better Care Fund
London Better Care Fund
Kim Mepham
MoH MYR 2014-2015 Paying Services Reform
MoH MYR 2014-2015 Paying Services Reform
mohmalawi
Critical success factors that enable individuals to die in their preferred pl...
Critical success factors that enable individuals to die in their preferred pl...
NHS IQ legacy organisations
2021 12 operational planning slide sharev4
2021 12 operational planning slide sharev4
Primary Care Commissioning (PCC)
Where next for User Involvement?
Where next for User Involvement?
Socialist Health Association
QSIR knowledge exchange - Steve Fairman presentation
QSIR knowledge exchange - Steve Fairman presentation
NHS Improving Quality
YCN Breast Educational Meeting 2015-CCGs commissioning and cancer -Helen Lewis
YCN Breast Educational Meeting 2015-CCGs commissioning and cancer -Helen Lewis
Jay Naik
Langbaugh Social Enterprise supporting 15 General Practices
Langbaugh Social Enterprise supporting 15 General Practices
Fuse, the Centre for Translational Research in Public Health
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas...
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas...
Health IT Conference – iHT2
Hsj awards dragons den
Hsj awards dragons den
NHS Improving Quality
Joined up commissioning and collaboration between health and social care ( ca...
Joined up commissioning and collaboration between health and social care ( ca...
Lynne Bowers
Partnership working session - DFG Champions Wolverhampton
Partnership working session - DFG Champions Wolverhampton
Foundations HIA
Malawi Mid-Year Review 2014-2015 Health Sector Overview
Malawi Mid-Year Review 2014-2015 Health Sector Overview
mohmalawi
Welfare reforms and reducing rent arrears
Welfare reforms and reducing rent arrears
Policy in Practice
Designing your best fit Council Tax Reduction scheme
Designing your best fit Council Tax Reduction scheme
Policy in Practice
Epic audit presentation
Epic audit presentation
logyonetimi
Excel in Health: Understanding the NHS
Excel in Health: Understanding the NHS
Innovation Agency
Just do it! - The sustainability of GS1 standards
Just do it! - The sustainability of GS1 standards
GS1 UK
Allied health professions as agents of change and reshaping care E33 (2#2)
Allied health professions as agents of change and reshaping care E33 (2#2)
Sophie40
S43 joint strategic commissiong fintry
S43 joint strategic commissiong fintry
Sophie40
New contract
New contract
chrispaps
Anita Charlesworth: Pay for performance
Anita Charlesworth: Pay for performance
Nuffield Trust
John Middleton: A public health view on commissioning
John Middleton: A public health view on commissioning
Nuffield Trust
Mais conteúdo relacionado
Mais procurados
MoH MYR 2014-2015 Paying Services Reform
MoH MYR 2014-2015 Paying Services Reform
mohmalawi
Critical success factors that enable individuals to die in their preferred pl...
Critical success factors that enable individuals to die in their preferred pl...
NHS IQ legacy organisations
2021 12 operational planning slide sharev4
2021 12 operational planning slide sharev4
Primary Care Commissioning (PCC)
Where next for User Involvement?
Where next for User Involvement?
Socialist Health Association
QSIR knowledge exchange - Steve Fairman presentation
QSIR knowledge exchange - Steve Fairman presentation
NHS Improving Quality
YCN Breast Educational Meeting 2015-CCGs commissioning and cancer -Helen Lewis
YCN Breast Educational Meeting 2015-CCGs commissioning and cancer -Helen Lewis
Jay Naik
Langbaugh Social Enterprise supporting 15 General Practices
Langbaugh Social Enterprise supporting 15 General Practices
Fuse, the Centre for Translational Research in Public Health
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas...
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas...
Health IT Conference – iHT2
Hsj awards dragons den
Hsj awards dragons den
NHS Improving Quality
Joined up commissioning and collaboration between health and social care ( ca...
Joined up commissioning and collaboration between health and social care ( ca...
Lynne Bowers
Partnership working session - DFG Champions Wolverhampton
Partnership working session - DFG Champions Wolverhampton
Foundations HIA
Malawi Mid-Year Review 2014-2015 Health Sector Overview
Malawi Mid-Year Review 2014-2015 Health Sector Overview
mohmalawi
Welfare reforms and reducing rent arrears
Welfare reforms and reducing rent arrears
Policy in Practice
Designing your best fit Council Tax Reduction scheme
Designing your best fit Council Tax Reduction scheme
Policy in Practice
Epic audit presentation
Epic audit presentation
logyonetimi
Excel in Health: Understanding the NHS
Excel in Health: Understanding the NHS
Innovation Agency
Just do it! - The sustainability of GS1 standards
Just do it! - The sustainability of GS1 standards
GS1 UK
Allied health professions as agents of change and reshaping care E33 (2#2)
Allied health professions as agents of change and reshaping care E33 (2#2)
Sophie40
S43 joint strategic commissiong fintry
S43 joint strategic commissiong fintry
Sophie40
New contract
New contract
chrispaps
Mais procurados
(20)
MoH MYR 2014-2015 Paying Services Reform
MoH MYR 2014-2015 Paying Services Reform
Critical success factors that enable individuals to die in their preferred pl...
Critical success factors that enable individuals to die in their preferred pl...
2021 12 operational planning slide sharev4
2021 12 operational planning slide sharev4
Where next for User Involvement?
Where next for User Involvement?
QSIR knowledge exchange - Steve Fairman presentation
QSIR knowledge exchange - Steve Fairman presentation
YCN Breast Educational Meeting 2015-CCGs commissioning and cancer -Helen Lewis
YCN Breast Educational Meeting 2015-CCGs commissioning and cancer -Helen Lewis
Langbaugh Social Enterprise supporting 15 General Practices
Langbaugh Social Enterprise supporting 15 General Practices
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas...
iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas...
Hsj awards dragons den
Hsj awards dragons den
Joined up commissioning and collaboration between health and social care ( ca...
Joined up commissioning and collaboration between health and social care ( ca...
Partnership working session - DFG Champions Wolverhampton
Partnership working session - DFG Champions Wolverhampton
Malawi Mid-Year Review 2014-2015 Health Sector Overview
Malawi Mid-Year Review 2014-2015 Health Sector Overview
Welfare reforms and reducing rent arrears
Welfare reforms and reducing rent arrears
Designing your best fit Council Tax Reduction scheme
Designing your best fit Council Tax Reduction scheme
Epic audit presentation
Epic audit presentation
Excel in Health: Understanding the NHS
Excel in Health: Understanding the NHS
Just do it! - The sustainability of GS1 standards
Just do it! - The sustainability of GS1 standards
Allied health professions as agents of change and reshaping care E33 (2#2)
Allied health professions as agents of change and reshaping care E33 (2#2)
S43 joint strategic commissiong fintry
S43 joint strategic commissiong fintry
New contract
New contract
Destaque
Anita Charlesworth: Pay for performance
Anita Charlesworth: Pay for performance
Nuffield Trust
John Middleton: A public health view on commissioning
John Middleton: A public health view on commissioning
Nuffield Trust
Rob Shaw: Person-based resource allocation in practice
Rob Shaw: Person-based resource allocation in practice
Nuffield Trust
Managing health reform through an economic downturn
Managing health reform through an economic downturn
Nuffield Trust
Wynand van de Ven: A perspective on risk from the Netherlands
Wynand van de Ven: A perspective on risk from the Netherlands
Nuffield Trust
Paul corrigan: Next steps in integration of health services for NHS patients ...
Paul corrigan: Next steps in integration of health services for NHS patients ...
Nuffield Trust
Dionisio Acosta: Clinical decision support systems
Dionisio Acosta: Clinical decision support systems
Nuffield Trust
Destaque
(7)
Anita Charlesworth: Pay for performance
Anita Charlesworth: Pay for performance
John Middleton: A public health view on commissioning
John Middleton: A public health view on commissioning
Rob Shaw: Person-based resource allocation in practice
Rob Shaw: Person-based resource allocation in practice
Managing health reform through an economic downturn
Managing health reform through an economic downturn
Wynand van de Ven: A perspective on risk from the Netherlands
Wynand van de Ven: A perspective on risk from the Netherlands
Paul corrigan: Next steps in integration of health services for NHS patients ...
Paul corrigan: Next steps in integration of health services for NHS patients ...
Dionisio Acosta: Clinical decision support systems
Dionisio Acosta: Clinical decision support systems
Semelhante a Judith Smith: Priority setting in the reformed NHS
HSJ Intelligence Conference 2015
HSJ Intelligence Conference 2015
Anthea Antoniou
Ph gp london_training_day
Ph gp london_training_day
Azeem Majeed
NHS 5 Year Forward View
NHS 5 Year Forward View
HWBPolicy Leeds
Bob Ricketts, NHS England - Open Forum Events' NHS Commissioning and Procurem...
Bob Ricketts, NHS England - Open Forum Events' NHS Commissioning and Procurem...
Alexis May
Judith martin east cheshireic 7nov2012 v2
Judith martin east cheshireic 7nov2012 v2
Nuffie59
Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015
NHS Improving Quality
Judith Smith: The future of commissioning
Judith Smith: The future of commissioning
Nuffield Trust
Clare Marx: Is a postcode lottery in health justified?
Clare Marx: Is a postcode lottery in health justified?
Nuffield Trust
Judith smith presentation
Judith smith presentation
Nuffield Trust
R. binks healthcare policy long term conditions experiences of yorkshire
R. binks healthcare policy long term conditions experiences of yorkshire
Wydział ds. eZdrowia, Departament Polityki Zdrowotnej, Urząd Marszałkowski w Łodzi
Dr Judith Smith & Prof Chris Ham: Commissioning integrated care: insights fro...
Dr Judith Smith & Prof Chris Ham: Commissioning integrated care: insights fro...
Nuffield Trust
14 02-11 - blueprint meeting norwich ccg
14 02-11 - blueprint meeting norwich ccg
JonathonF
Corrigan
Corrigan
Socialist Health Association
Working together for Better Care in Richmond
Working together for Better Care in Richmond
HW_Richmond
Public Health Transformation Workshop 1
Public Health Transformation Workshop 1
BHWBB
Transforming Health and Social Care in Kent
Transforming Health and Social Care in Kent
KentEstates
The NHS 5 Year Plan -Neil Goulbourne presentation
The NHS 5 Year Plan -Neil Goulbourne presentation
mckenln
Investing in specialised services - the prioritisation framework, pop up uni,...
Investing in specialised services - the prioritisation framework, pop up uni,...
NHS England
Sian Davies & Suzanne Robinson: Functions and mechanisms of priority setting
Sian Davies & Suzanne Robinson: Functions and mechanisms of priority setting
Nuffield Trust
Don Redding: National voices
Don Redding: National voices
Nuffield Trust
Semelhante a Judith Smith: Priority setting in the reformed NHS
(20)
HSJ Intelligence Conference 2015
HSJ Intelligence Conference 2015
Ph gp london_training_day
Ph gp london_training_day
NHS 5 Year Forward View
NHS 5 Year Forward View
Bob Ricketts, NHS England - Open Forum Events' NHS Commissioning and Procurem...
Bob Ricketts, NHS England - Open Forum Events' NHS Commissioning and Procurem...
Judith martin east cheshireic 7nov2012 v2
Judith martin east cheshireic 7nov2012 v2
Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015
Judith Smith: The future of commissioning
Judith Smith: The future of commissioning
Clare Marx: Is a postcode lottery in health justified?
Clare Marx: Is a postcode lottery in health justified?
Judith smith presentation
Judith smith presentation
R. binks healthcare policy long term conditions experiences of yorkshire
R. binks healthcare policy long term conditions experiences of yorkshire
Dr Judith Smith & Prof Chris Ham: Commissioning integrated care: insights fro...
Dr Judith Smith & Prof Chris Ham: Commissioning integrated care: insights fro...
14 02-11 - blueprint meeting norwich ccg
14 02-11 - blueprint meeting norwich ccg
Corrigan
Corrigan
Working together for Better Care in Richmond
Working together for Better Care in Richmond
Public Health Transformation Workshop 1
Public Health Transformation Workshop 1
Transforming Health and Social Care in Kent
Transforming Health and Social Care in Kent
The NHS 5 Year Plan -Neil Goulbourne presentation
The NHS 5 Year Plan -Neil Goulbourne presentation
Investing in specialised services - the prioritisation framework, pop up uni,...
Investing in specialised services - the prioritisation framework, pop up uni,...
Sian Davies & Suzanne Robinson: Functions and mechanisms of priority setting
Sian Davies & Suzanne Robinson: Functions and mechanisms of priority setting
Don Redding: National voices
Don Redding: National voices
Mais de Nuffield Trust
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Nuffield Trust
13 reasons to spend more on health and social care
13 reasons to spend more on health and social care
Nuffield Trust
Energising your workforce in the face of adversity
Energising your workforce in the face of adversity
Nuffield Trust
Shifting the balance of care: great expectations
Shifting the balance of care: great expectations
Nuffield Trust
Automation, Employment, and Health Care
Automation, Employment, and Health Care
Nuffield Trust
Public perspectives on the NHS and social care
Public perspectives on the NHS and social care
Nuffield Trust
Evaluation of the Integrated Care and Support Pioneers Programme
Evaluation of the Integrated Care and Support Pioneers Programme
Nuffield Trust
Ensuring success for new models of care
Ensuring success for new models of care
Nuffield Trust
Effectiveness of the current dominant approach to integrated care in the NHS
Effectiveness of the current dominant approach to integrated care in the NHS
Nuffield Trust
Providing actionable healthcare analytics at scale: Understanding improvement...
Providing actionable healthcare analytics at scale: Understanding improvement...
Nuffield Trust
Local and national uses of data
Local and national uses of data
Nuffield Trust
Applied use of CUSUMs in surveillance
Applied use of CUSUMs in surveillance
Nuffield Trust
Engaging with data
Engaging with data
Nuffield Trust
Evaluating new models of care: Improvement Analytics Unit
Evaluating new models of care: Improvement Analytics Unit
Nuffield Trust
Learning from the Care Quality Commission
Learning from the Care Quality Commission
Nuffield Trust
Real-time monitoring and the data trap
Real-time monitoring and the data trap
Nuffield Trust
Monitoring quality of care: making the most of data
Monitoring quality of care: making the most of data
Nuffield Trust
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Nuffield Trust
Providing actionable healthcare analytics at scale: A perspective from stroke...
Providing actionable healthcare analytics at scale: A perspective from stroke...
Nuffield Trust
New Models of General Practice: Practical and policy lessons
New Models of General Practice: Practical and policy lessons
Nuffield Trust
Mais de Nuffield Trust
(20)
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
13 reasons to spend more on health and social care
13 reasons to spend more on health and social care
Energising your workforce in the face of adversity
Energising your workforce in the face of adversity
Shifting the balance of care: great expectations
Shifting the balance of care: great expectations
Automation, Employment, and Health Care
Automation, Employment, and Health Care
Public perspectives on the NHS and social care
Public perspectives on the NHS and social care
Evaluation of the Integrated Care and Support Pioneers Programme
Evaluation of the Integrated Care and Support Pioneers Programme
Ensuring success for new models of care
Ensuring success for new models of care
Effectiveness of the current dominant approach to integrated care in the NHS
Effectiveness of the current dominant approach to integrated care in the NHS
Providing actionable healthcare analytics at scale: Understanding improvement...
Providing actionable healthcare analytics at scale: Understanding improvement...
Local and national uses of data
Local and national uses of data
Applied use of CUSUMs in surveillance
Applied use of CUSUMs in surveillance
Engaging with data
Engaging with data
Evaluating new models of care: Improvement Analytics Unit
Evaluating new models of care: Improvement Analytics Unit
Learning from the Care Quality Commission
Learning from the Care Quality Commission
Real-time monitoring and the data trap
Real-time monitoring and the data trap
Monitoring quality of care: making the most of data
Monitoring quality of care: making the most of data
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Providing actionable healthcare analytics at scale: A perspective from stroke...
Providing actionable healthcare analytics at scale: A perspective from stroke...
New Models of General Practice: Practical and policy lessons
New Models of General Practice: Practical and policy lessons
Último
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
parulsinha
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
vidya singh
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
jageshsingh5554
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
Taniya Sharma
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Call Girls in Nagpur High Profile
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
hotbabesbook
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
narwatsonia7
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Dipal Arora
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
GENUINE ESCORT AGENCY
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
perfect solution
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
astropune
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Último
(20)
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Judith Smith: Priority setting in the reformed NHS
1.
Priority setting in
the reformed NHS Dr Judith Smith Head of Policy HSMC, University of Birmingham 30 September 2011 © Nuffield Trust
2.
Agenda •
The current financial context • NHS reform • The challenges of priority setting in this new context • Critical issues raised © Nuffield Trust
3.
The current financial
context • Years of unprecedented funding increases ended in April 2011 • Effectively flat real terms funding for the next four years • Against backdrop of wider economic recession • Demand continues to rise, especially for unplanned and emergency care • More people living longer • Rise in levels of chronic conditions and obesity • Health inflation running ahead of general inflation © Nuffield Trust
4.
The Scale of
the Challenge Annual real terms growth in UK public spending on health 14.0% Real terms growth 12.0% population growth growth in 80 plus population 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% -2.0% -4.0% -6.0% © Nuffield Trust Source: Nuffield Trust (IFS and HMT data)
5.
Health Spending
UK Public Health Spending as a share of GDP 10.0 9.0 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 % of GDP © Nuffield Trust Source: Nuffield Trust (IFS and HMT data)
6.
The Efficiency Challenge
(£ million) © Nuffield Trust
7.
The challenge ahead •Reversing
the reduction in overall NHS productivity •Addressing large and unaccountable variations in clinical practice •Stemming the increase in emergency admissions •Actually making the shift from hospital to community care •Dealing with the duplication and fragmentation that occurs in care that crosses provider and budgetary boundaries •£20billion of efficiency savings by 2015 © Nuffield Trust
8.
The ultimate priority
setting challenge... © Nuffield Trust
9.
The White Paper
Liberating the NHS •Key policy proposals reflected Conservative manifesto (GP commissioning, national board, focus on outcomes, changes to public health) •Overall diagnosis of the NHS’ ills was: - weak commissioning - a need for more competition - too much micro-management and central control •Response to the White Paper was muted at first but became vociferous over the autumn.... © Nuffield Trust
10.
© Nuffield Trust
11.
The ‘policy pause’
• Announced in early April, reported in June • Health and Social Care Bill put on hold • Government responded within a few days © Nuffield Trust
12.
The changes brought
about by the ‘pause’ From central to local control • Restoring the Secretary of State role as in current legislation – although still being debated • Strategic health authorities last until 2013, and into clusters from this autumn • PCT clusters to stay and apparently to form part of regional element of the NHS Commissioning Board • NHSCB with key role in authorising CCGs, mandate for the NHS, where competition will apply, etc. Feels like the centre is regaining ‘grip’ and the NHS Commissioning Board looks to be very influential © Nuffield Trust
13.
The changes brought
about by the ‘pause’ Commissioning • Clinical rather than GP commissioning • Take on commissioning role ‘when ready’ • Clinical senates and networks to inform commissioners • Local health and wellbeing boards with more clout • Geography of local authorities to be followed • CCGs responsible for unregistered patients Risk of competing complex accountabilities, and dampening enthusiasm of commissioners © Nuffield Trust
14.
The changes brought
about by the ‘pause’ Competition • Monitor with a duty to promote the integration of services • Focus on preventing anti-competitive behaviour, rather than promoting competition ‘as an end in itself’ • Some slowing down of ‘any qualified provider’ approach • Focus on choice now appears predominant • Not clear about exposure of the NHS to EU competition law Arguably not that many concessions, but overall emphasis has changed towards integration © Nuffield Trust
15.
The challenges of
priority setting in this new context 1) It has to be about the whole spend • Has to move beyond comfort zone of new and marginal expenditure • Need for review of total spend locally • Will need to develop extensive and sophisticated local funding and service priorities • And within a narrative of (probably changed) future service models • Mechanisms for doing this in an inclusive way with the NHS and the public will be critical • And will have to involve providers alongside commissioners © Nuffield Trust
16.
The challenges of
priority setting in this new context 2) Clinical commissioners can learn a lot from PCT experience • Not starting from a blank sheet, as the new HSMC research shows • Can adopt and adapt work developed by PCTs – tools, approaches, forums, ethical frameworks • PCT clusters can help by capturing, reviewing and sharing such experience • NHSCB will be critical too – how far will they ‘write the menu’ for local commissioners? And what support will they give to the overall priority setting process? © Nuffield Trust
17.
The challenges of
priority setting in this new context 3) Clinical commissioners are likely to be vulnerable in this area • This was difficult for PCTs, especially in relation to the core spend, and they were larger entities with several years of experience • There will be less management capacity for CCGs • And hard choices have to be made in the financial context • GP commissioners vulnerable as setters of local funding priorities and yet also carers of individual patients • How will this tension be worked out by CCGs? • How will a CCG manage the performance of its practices in relation to adhering to priorities set? © Nuffield Trust
18.
The challenges of
priority setting in this new context 4) Robust governance of local commissioning is critical • The research shows that PCTs struggled to engage the public and patients in priority setting decisions • And this was in a time of plenty and with PCTs who operated with the corporate board model of governance • Debate about CCGs and the Health and Social Care Bill points to the need for CCGs to be robust enough to withstand judicial review • Implications for the membership and role of CCG boards • Healthwatch will play a role – as yet to be defined • Health and Wellbeing Board will also be a player in this © Nuffield Trust
19.
The challenges of
priority setting in this new context 5) The NHS Commissioning Board can provide vital support and guidance • The NHSCB will set the overall framework for commissioning – outcomes focus, national priorities, funding allocations, authorisation of CCGs, etc. • How far it sees its role as setting national templates for commissioning is yet to be seen • Will the NHSCB, or local CCGs (or both) be subject to scrutiny and challenge for priority setting decisions? • How will NHSCB work with NICE, and use its guidance? • How local or national will NHS commissioning be? © Nuffield Trust
20.
The challenges of
priority setting in this new context 6) Local authorities will be key stakeholders in local priority setting • Priority setting in health will move beyond the NHS • Health and wellbeing boards – their governance and functions need clarifying alongside those of CCGs • HWBs likely to play a role re scrutiny of decisions – and councillors will be members • Public health moves to local government – could be an opportunity for joined-up priority setting • How will public health specialists advise commissioners on priority setting in the reformed NHS? © Nuffield Trust
21.
The challenges of
priority setting in this new context 7) Priority setting applies across the continuum of commissioning • CCGs will not be the only ‘game in town’ • Although £60bn may eventually be commissioned through CCGs, some £50bn will be commissioned elsewhere • The ‘continuum of commissioning’ will still be with us – but who will determine this for a local population? • What networks/consortia of commissioners will arise? And how will these set priorities across wider populations? • NHSCB outposts or PCT clusters may lead this process, and/or groups of CCGs • And don’t forget personal budgets and patient choice... © Nuffield Trust
22.
The challenges of
priority setting in this new context 8) Competition and choice influence priority setting • How will policy on choice and competition interact with priority setting work? • Will individuals’ decisions drive priorities, or will it be their GPs as agents of local people? Or will it be the NHSCB? • We have got accustomed to ‘priority setting’ as a public body/professional activity on behalf of patients and the public • Key question about how far policy will encourage individual choice, budgets, AQP decisions etc, and change the nature of what we think of as ‘priority setting’ • Will all pose a challenge to Monitor, CQC and NHSCB to ensure a population has a comprehensive service offer © Nuffield Trust
23.
Critical issues raised
• When will CCGs actually be authorised to take on significant financial risk and commissioning? • How will PCT clusters go about priority setting in the interim (and the interim may be long-term) • What will be the role and approach of the NHSCB? • Will we see the NHSCB increasingly setting a ‘benefits package’ for the NHS? • Where will priority setting take place as the money runs out? • What will be the role of Monitor and the CQC, as providers (or patients) effectively become priority setters? • Will we actually have local commissioners in future? © Nuffield Trust
24.
www.nuffieldtrust.org.uk Sign-up for our
newsletter www.nuffieldtrust.org.uk/newsletter Follow us on Twitter (http://twitter.com/NuffieldTrust) © Nuffield Trust
Baixar agora