Westminster Health Forum

Since lockdown, we have been organising our full programme of conferences online. We will continue online until further notice, to ensure we play our part in helping our employees and delegates to remain safe during this time. We are pleased that so many key stakeholders, policymakers and other interested parties - both old friends and new delegates - are taking up the opportunity to discuss public policy issues and network at our impartial seminars. New events are coming on to our conference programme all the time. So there are plenty of opportunities for you to join us if you haven’t already, from wherever you are. For booking-related queries, or information on speaking, please email us at info@forumsupport.co.uk or contact us using one of the following numbers: +44 (0)7538736244 / +44 (0)7503591880 / +44 (0)7951044809.
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Health and care service reform in England - the White Paper, implementation, collaboration, integration, funding, accountability, and health outcomes

Morning, Tuesday, 6th July 2021


***Full-scale policy conference taking place online***

This conference will focus on proposed reforms set out in the Government’s white paper - Integration and Innovation: working together to improve health and social care for all.


Delegates will examine key issues and priorities for achieving the white paper’s aims on collaboration, integration, funding, accountability and improving health outcomes going forward.


As well as the white paper, the discussion takes place in the context of the publication by DHSC of the Transforming the public health system policy paper, and significant developments, including:

  • the new Office for Health Promotion - set up to tackle public health concerns and promote preventative care
  • the UK Health Security Agency - to be responsible for the protection of public health and ensuring the UK’s capability of dealing with future pandemics

The conference will consider what the reforms mean for the delivery of the NHS Long Term Plan in the context of the pandemic - including ambitions for preventative healthcare, and the establishment of integrated care systems and population health management, as well as for the long-term sustainability of the NHS organisations.


We are pleased to include keynote sessions with Professor Tim Briggs, Chair, GIRFT and National Director for Clinical Improvement, NHS England; Chris Hopson, Chief Executive, NHS Providers; Nigel Edwards, Chief Executive, Nuffield Trust; and Professor Martin Marshall, Chair, Royal College of General Practitioners; as well as contributions from Sir Robert Francis QC, Chair, Healthwatch England; Dr Farzana Hussain, GP Principal, The Project Surgery and Co-Chair, NHS Confederation National PCN Network; and Lou Patten, Chief Executive, NHS Clinical Commissioners and Director, NHS Confederation’s ICS Network.


Overall, areas for discussion include:

  • priorities for funding and collaboration in the NHS
  • what is needed for effective integration in health and social care for the future
  • the potential of the reforms in improving value and health outcomes
  • how to achieve effective accountability throughout the process of reform and going forward

The agenda

  • Priorities for funding, collaboration in the NHS going forward, and addressing reforms in the wider landscape of COVID-19 recovery
  • Assessing the proposed NHS reforms, issues for implementation, and progress in integration so far
  • Latest thinking on integration across health and social care, and options for the future
  • Reform and primary care - integration, responsibilities, funding and support for the workforce
  • Meeting the challenges for accountability and adapting to change
  • What is needed from NHS reform to improve local health outcomes - priorities for service integration, public health, utilising population health approaches, and tackling inequalities
  • The way forward for improvements to healthcare - improving value and addressing variation

Key areas for discussion:

The context for reform:

  • the pre-pandemic landscape - issues and opportunities as they appeared at the beginning of 2020:
    • chronic challenges - including financial difficulties, increased demand, a decline in performance statistics, and workforce shortages
    • social care - the nature and extent of problems, and how they were viewed before the pandemic
  • the impact of COVID-19 - how proposals for reform of the health system have been affected:
    • alleviating future pressures - including the need for improving efficiency across primary and secondary care
    • recovery - what is needed from reform to restore and move forward services
  • the NHS Long-Term Plan - what is needed to implement its aims on health inequalities, expanding community services, whole population health, system working, and improving patient pathways

Stakeholder views on the proposed reform:

  • the White Paper - looking at questions over its timing, scope, and ambition
  • integration:
    • assessing the legislative proposals, as well progress in integration so far
    • next steps for integration implementation and how it can be delivered
  • the future of commissioning - the impact of the reforms on primary care systems and patient pathways
  • integration of other sectors - the role of the voluntary and independent sectors in a reformed NHS, and understanding the NHS’ new relationships with local organisations

Collaboration and integration - looking at priorities and opportunities:

  • primary care - including the impact of proposed changes for GP interactions with patients, with priorities for:
    • patient care - the future for integration with patient care pathways and patient interaction
    • a consolidated approach - priorities for eliminating fragmentation to improve patient care, and creating GP communities to establish better networks
    • responsibilities - with RCGP calling for GPs to have a strong voice and autonomy within ICSs as they take over CCG budgets and commissioning powers under the white paper’s reforms
  • local integration - discussing the potential for support that proposed legislation might offer for aiding progress and removing barriers to integration
  • funding - priorities and how investment and resources should be directed
  • implementation - priorities across health and social care integration, and what it means for addressing key challenges in the NHS, many of which were set out in the Long Term Plan

Accountability:

  • transparency and accountability - how can accountability and transparent processes be best maintained and enhanced as powers move
  • the DHSC - its role following proposals to change the powers of the Secretary of State for Health, as well as the way ahead following the retirement of Sir Simon Stevens

Public health:

  • the wider policy landscape:
    • aligning reforms with other aspects of developments in public health, such as the new Office for Health Promotion, and proposals set out in the government policy paper on public health
    • how reform can be refined and implemented so as to maximise opportunities for public health
    • the way forward for tackling inequalities in line with the localised and place-based approach in the Long Term Plan
  • data and technology:
    • data sharing - possibilities, safeguards and communication, and the impact this will have on public health goals, both in the Long Term Plan and more widely
    • innovation - priorities for utilising new technology and population health methods to inform local systems in their approach to improving public health
  • reducing regional variation:
    • the potential impact of reform in moving forward from the variation experienced around the country highlighted in the Marmot Review
    • dovetailing with the Government’s ‘levelling up’ agenda and the Long Term Plan’s aims for reducing health inequalities
  • building on existing policy and approaches - considering how reform can advance already-established programmes and improve public health

Improvements for patients, value for money and measuring the impact of reform:

  • safety - the impact of the HSIB being embedded in the white paper
  • legislation on integration - what this might mean for improve patient experience, enabling better aligned care
  • impact - ways that the reforms can improve value in the NHS and the opportunities presented by taking a systems approach in monitoring progress in improvements and addressing variation

The background:

  • Integration and Innovation: working together to improve health and social care for all - the recent Government white paper, with proposals for:
    • integrated care systems (ICS) - with the NHS and local government coming together legally as part of ICSs to improve meeting patient needs and place a focus on preventative care
    • NHS workforce - only tendering out services when there is the potential to lead to better outcomes for patients, allowing for more time to provide care
    • patient safety - the Healthcare Safety Investigations Branch (HSIB) to become a statutory body, so as to strengthen its legal footing for further action to recommendations
    • social care proposals, including:
      • new assurance and data-sharing measures to achieve oversight and accountability in the delivery of services
      • enabling person-centred models of hospital discharge through updating the legal framework
      • introducing powers for the Secretary of State to directly make payments to adult social care providers
    • supporting public health - legislation on the introduction of new requirements for calorie labelling on food and drink packaging, and the advertising of HFSS food before the 9pm watershed
  • the NHS Long Term Plan - which includes ambitions for:
    • preventative healthcare and the establishment of integrated care systems
    • population health management
    • promoting better health and wellbeing, and better quality healthcare
    • ensuring the financial sustainability of the NHS
  • the Office for Health Promotion:
    • established to tackle health concerns and promote preventative care
    • aimed at enabling more joined-up, sustained interaction between national and local government, the NHS and cross-government, where many of the wider determinants of health sit
  • the Transformation Directorate - bringing together NHS England’s operational improvement team and NHSX, the digital arm, to maintain the pace of innovation seen during the pandemic
  • Transforming the public health system: reforming the public health system for the challenges of our times - the DHSC policy paper outlining possible areas for public health reform, especially around health security and health improvement
  • Integrating care: Next steps to building strong and effective integrated care systems across England:
    • guidance from the NHS - detailing the role and function of effective integrated care systems, and the immediate and long-term challenges resulting from the pandemic
    • NHS England consultation on integrated care systems - opened to consider the above proposals, to understand how to better plan, shape, and deliver services across health and social care
  • Health Equity In England: The Marmot Review 10 Years On:
    • finding that health improvement has stalled, and that people living in deprived areas spend longer in poor health, with the gap between affluent and deprived areas growing
    • Build Back Fairer: The COVID-19 Marmot Review - outlining priorities for a recovery from the pandemic that reduces health inequalities, including those made worse by the pandemic, with long-term, equitable policies
  • Advancing Our Health: Prevention in the 2020s - the green paper from the Government to tackle preventable ill health in England, as well as ongoing work on preventative healthcare
  • 1948 Moment for Adult Social Care letter to the Prime Minister - signed by Chief Executives from Care England and the Chair of the NHS Confederation, amongst others, calling for reform to the social care sector and a strategy for the long-term

Policy officials attending:

Our forums are known for attracting strong interest from policymakers and stakeholders. Places have been reserved by officials from the Cabinet Office; the Care Quality Commission; the Department of Health and Social Care; HM Prison and Probation Service and the Welsh Government.

Overall, we expect speakers and attendees to be a senior and informed group including Members of both Houses of Parliament, senior government and regulatory officials involved in this area of policy, as well as from regulators, pharmaceutical companies, representatives from the NHS, executive agencies including clinical staff, pharmacists, local government, CCGs, integrated care systems, the social care sector, public health specialists, the independent and third sectors, patients groups, law firms, consultancies, and others affected by the issues discussed as well as academics and think tanks, together with reporters from the national and specialist media.


This is a full-scale conference taking place online***

  • full, four-hour programme including comfort breaks - you’ll also get a full recording and transcript to refer back to
  • information-rich discussion involving key policymakers and stakeholders
  • conference materials provided in advance, including speaker biographies
  • speakers presenting via webcam, accompanied by slides if they wish, using the Cisco WebEx professional online conference platform (easy for delegates - we’ll provide full details)
  • opportunities for live delegate questions and comments with all speakers
  • a recording of the addresses, all slides cleared by speakers, and further materials, is made available to all delegates afterwards as a permanent record of the proceedings
  • delegates are able to add their own written comments and articles following the conference, to be distributed to all attendees and more widely
  • networking too - there will be opportunities for delegates to e-meet and interact - we’ll tell you how!

Full information and guidance on how to take part will be sent to delegates before the conference



Keynote Speakers

Richard Sloggett

Founder and Programme Director, Future Health; former Special Adviser to the Health and Social Care Secretary

Professor Tim Briggs

Chair, GIRFT and National Director for Clinical Improvement, NHS England

Chris Hopson

Chief Executive, NHS Providers

Nigel Edwards

Chief Executive, Nuffield Trust

Professor Martin Marshall

Chair, Royal College of General Practitioners

Speakers

Dr Farzana Hussain

GP Principal, The Project Surgery and Co-Chair, NHS Confederation National PCN Network

Ian Trenholm

Chief Executive, CQC

Sir Robert Francis QC

Chair, Healthwatch England

Lou Patten

Chief Executive, NHS Clinical Commissioners and Director, NHS Confederation’s ICS Network