Date post: | 28-Dec-2015 |
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Policy context – background to reforms
1989 – Working for patients
creates internal market in NHS
1997 – Labour comes to power with pledge to abolish internal
market
2000 - Focus more on targets
than competition
2004 – Targets achieved.
Attention back on competition.
‘Commissioning’ born.
2010 (May) – Coalition
government formed. Promise of
“no top down reorganisation of
NHS”
2010 (July) – Equity and Excellence:
Liberating the NHS published
What does all this mean for you?
Think about the context just presented and reflect on how this is impacting on you locally
3 critical hooks
• On a post it note write down in bullet point style the top 3 things about your service, or if you are not in a service the top 3 things you would say about physiotherapy
Knowing your serviceQuality• Effectiveness• Patient experience• Patient safety+ COSTQuality + cost = Value
Knowing your populationPopulation is made up of• Current users of your service• Future users of your service
Knowing the evidence• Published research• National guidance• Local data
- audit - patient experience/satisfaction/outcome - KPIs
• Other...
Reflect on your offer • My service is...• Delivers to this population...• Based on this evidence...• For this price!
Next steps...• Why do you need to change? • What will you do differently? • When... • How can you improve?• Who will you influence