Westminster Health Forum

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Delivery of the NHS Long Term Plan - health outcomes, unwarranted variation, service integration, innovation, the workforce, and learning from the impact of COVID-19

January 2021

Price: £95 PLUS VAT

***Full-scale policy conference taking place online***
This conference will discuss the priorities for delivering the NHS Long Term Plan.

It will be a timely opportunity to assess progress and next steps as health and social care services move forward in the wake of the COVID-19 pandemic and its impact on delivering the Plan’s ambitions.

The discussion is bringing together stakeholders with key policy officials who are due to attend from DHSC; the Cabinet Office; HM Treasury; the NAO; MHCLG; Defra; DIT; and the Government Legal Department. And by parliamentary pass-holders from the House of Lords and the APPG on Rural Health & Social Care.

The discussion at a glance:

  • service integration - and redesigning local systems
  • the workforce - support and involvement in implementing the NHS Long Term Plan
  • innovation and digital transformation - delivery, use and access
  • clinical - progress and next steps for delivering improved health outcomes
  • COVID-19 - the impact on delivering the ambitions of the NHS Long Term Plan

The agenda:

  • The impact of COVID-19 on delivery of the NHS Long Term Plan, funding priorities and improving health outcomes
  • Priorities for integrated care systems and managing the challenges posed by COVID-19
  • Progress in service integration, redesigning local systems, developing integrated care, population health management and patient-centred care
  • The role of the NHS in driving forward prevention
  • Addressing unwarranted variation across healthcare - improving value, consistency and performance
  • Delivering improved health outcomes - translating innovative research into adoption and care delivery, delivering digital transformation and tackling health inequalities

Key areas for discussion:

Service integration and redesigning local systems

  • assessing progress - service integration and developing integrated care systems:
    • in line with the plan’s ambitions and upcoming deadline of April 2021
    • following recent announcements that a further 11 integrated care systems have been finalised
  • priorities going forward - how can integrated care systems best be utilised once they are established and working effectively to drive forward the delivery of ambitions within the plan
  • population health management:
    • implementation - how it is being delivered within integrated care systems, areas for improvement, and learning from best practice
    • COVID-19 - progress on better understanding local populations and addressing inequalities, including the recent findings by the Northern Health Science Alliance
  • engagement with service users:
    • new models of care - strategies for increasing the involvement of patients in the integration of services and redesigning of local health systems
    • patient priorities - realising the benefits of patient-centred approaches to care, and ensuring that delivery of Long Term Plan objectives take note of the patient perspective

The workforce - support and involvement in implementing the NHS Long Term Plan

  • the role of the workforce - what will be required from the workforce to support delivery of the Plan’s approach to healthcare that is preventative, more community-based, uses technology, is collaborative, and uses more personalised, patient-centred approaches
  • the NHS People Plan:
    • next steps - implementing the actions set out in the People Plan to recruit, train, develop and support the NHS workforce so that it is able to deliver the ambitions within the NHS Long Plan
    • longer term - how the People Plan can support development of the culture and vision that is required for successful delivery of the Long Term Plan
    • COVID-19 - questions over whether the People Plan goes far enough for supporting the workforce post-pandemic

Innovation - use and access

  • priorities - where research and investment should be focused, progress in genomics which was identified as a key area, and assessing the opportunities that have arisen from the pandemic
  • integration:
    • how best to use digital technology, data, and other emerging technologies such as AI and robotics across health and social care to improve prevention, patient care and efficiency
    • how digital innovation can be used to support the new integrated care systems
  • Learning from COVID-19 - the emerging role of technologies during the pandemic and the impact on technological advances of new funding introduced by the NIHR
  • collaboration - how joint working between the NHS and industry partners can be improved
  • Academic Health Science Networks - priorities and their role in contributing to improved access to innovation
  • tackling inequalities - how to ensuring that innovation and improved health outcomes are experienced around the country and ways of addressing unwarranted variation

Delivering improved health outcomes

  • assessing progress - as well as looking ahead to priorities and next steps for driving forward improvements in key clinical areas highlighted in the NHS Long Term Plan
  • learning from COVID-19 - the impact of the pandemic moving forward on clinical priorities - including preventative healthcare, out-of-hospital care, and tackling inequalities - as well as opportunities emerging from the response by the NHS that can feed into future improvements

COVID-19 - the impact on delivering the ambitions of the NHS Long Term Plan

  • dealing with the backlog - how can the effects of postponement and cancellation of operations and treatments be managed going forward, and strategies for restarting and making progress
  • learning from remote care - with adoption of telemedicine, digital-enabled care and digital systems being seen as an important area of success to come from the pandemic:
    • how did it happen - learning from processes of innovation and adoption that made progress possible
    • maintaining the momentum - how improvements in personalisation, diagnosis, treatment and system efficiency that they introduced can be retained to benefit patients and staff, and ensuring that these improvements are sustainable throughout the organisation
    • moving forward - how what has been learned can be used to help achieve the digital transformation that the plan sets out
  • progress on integration - with work on the ground to manage the impact of the pandemic and local outbreaks requiring joint working and collaboration across local authorities and health systems, what will this mean in the longer term for reinforcing the process of integration and development of local systems envisioned in the Plan
  • resources - what should be the priorities for funding and provision of further resources, beyond those already in place, to help the NHS recover and meet ambitions within the Plan
  • the workforce - taking stock of how COVID-19 has affected the health workforce and individual groups within it, what can be learned, understanding the updated approach regarding HEE following the recent policy paper, and the way forward for mitigating the long term impact

A scan of relevant background:

Policy developments

  • the NHS Long Term Plan - setting a pathway for a new NHS service model, prevention, tackling inequalities, improving care quality and outcomes, workforce development, and digitally-enabled care
  • the NHS Funding Act - putting into law an extra £33.9bn per financial year up to March 2024 for the NHS, targeted at improving care
  • We are the NHS: People Plan for 2020/21 - action for us all - the NHS People Plan which sets out actions to transform the workforce
  • The future of health protection - the National Institute for Health Protection - creation of the NIHP, which will take forward the country’s response to COVID-19 but also brings together other key functions of health improvement and prevention
  • 11 new integrated care systems finalised - as part of the goal for integrated care systems in all parts of the country by April 2021, these will serve a combined population of 14.5 million people
  • Integrating Care - The next steps to building strong and effective integrated care systems across England - NHS England outlining the ICS operational future for linking local services to patient needs
  • DHSC mandate to Health Education England - with updated plans for HEE in the context of the pandemic, while committing to the NHS People Plan 2020/21 objectives
  • Transformation of Urgent and Emergency Care: Models of Care and Measurement - NHSEI setting out how the proposed changes to urgent and emergency care will align with the NHS Long Term Plan programme, to help transform care through and beyond the pandemic

The pandemic

  • The UK Government’s COVID-19 recovery strategy - with £3bn in extra funding to help in tackling COVID-19 in addition to an extra £6.3bn for 2021/22 the NHS in the Spending Review
  • a backlog of operations and treatments resulting from cancelations during the pandemic
  • Millions of patients benefiting from remote consultations as family doctors respond to COVID-19 - the rise of digital enabled care through the pandemic
  • inequalities - the COVID-19 and the Northern Powerhouse Tackling inequalities for UK health and productivity report from the Northern Health Science Alliance highlighting disproportionately increased mortality and economic deprivation in the north due to the pandemic

Key policy themes and initiatives

  • policy on public health and tackling inequalities - Advancing our health: prevention in the 2020s and Health Equity in England: The Marmot Review 10 Years On
  • Action required to tackle health inequalities in latest phase of COVID-19 response and recovery - recommendations aligned to the NHS Long Term Plan for tackling inequalities highlighted through the pandemic from the NHS-commissioned Health Inequalities Expert Advisory Group
  • Landmark strategy launched to cement UK’s position as global leader in genomics - recent launch of the National Genomic Healthcare Strategy which aims to drive forward health improvements for patients and enable earlier interventions
  • £16m to introduce digital prescribing in hospitals - shared between 16 hospitals aimed at helping meet the NHS Long Term Plan commitment of electronic prescriptions by 2024

NIHR funds £5.5 million into new research projects to investigate long-term impacts of COVID-19 - focusing on implications for society and the health and care system

Policy officials attending:

Our forums are known for attracting strong interest from policymakers and stakeholders. Places have been reserved by parliamentary pass-holders from the House of Lords and the All-Party Parliamentary Group on Rural Health & Social Care, and officials from the Cabinet Office; Defra; the Department for Health and Social Care; the Department for International Trade; the Government Legal Department; HM Treasury; the MHCLG; and the National Audit Office. Also due to attend are representatives from AAH Pharmaceuticals; Amgen; Barts Health NHS Trust; Bath University; Boehringer Ingelheim; Bradford District Care Foundation Trust; CAIPE; Carer; Doctorlink; Gilead Sciences; Health Education England - National School of Healthcare Science; Heart Valve Voice; London School of Economics and Political Science; Manchester Metropolitan University; Medtronic; Mersey Care NHS Foundation Trust; Ministry of Housing, Communities and Local Government; NHS Blood and Transplant; NHS Business Services Authority; NHS London Procurement Partnership; NHS Providers; NIHR; Norfolk Community Health & Care NHS Trust; Northumbria Healthcare NHS Trust; North West Boroughs Healthcare NHS Foundation Trust; Olympus; Pfizer; Pierre Fabre; Portman Dental Care; The Health Foundation; The Health Informatics Service and Yorkshire Ambulance Service.

A press pass has been reserved by a representative from MGP.

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

  • full, four-hour programme including comfort breaks - you’ll also get a full recording 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

This pack includes

  • Dropbox video recording of the conference
  • PDF transcript of the discussion, including all speaker remarks and Q&A
  • PDFs of speakers' slide material (subject to permission)
  • PDFs of the delegate pack, including speaker biographies and attendee list
  • PDFs of delegate articles