CCG Transforming Care

Programme and Improvement

Support to the Prime

Minister’s Challenge Fund

• 2010 DH White Paper: Liberating the NHS

• Built and commercially delivered support to shadow CCGs on ‘authorisation’

• 2011 NHS Commissioning Board review led to us being the largest single provider on national framework (70%+ CCGs)

• Independent evaluation confirmed impact

• Verified that priority for national support with NHS Commissioning Board and CCGs plea for practical Transformational change – learn by doing format

Timeline

• Gravitas/Peers

• Basis for engaging CCGs and partners

• Critical friend

• Diagnosis and challenge

• Design and assembly of evidence-based inputs

• NHS England praise for approach

Link Associates (& Development Advisors)

Link Associates (& Development Advisors)

The Link Associate is perceived by CCGs as a ‘critical success factor of their progress’ with 97% regarding the relationship as ‘important’ or ‘very important’

Mott MacDonald independent evaluation

‘Bricoleur’ – drawing on Prof. Keith Grint’s (2005) paper on wicked problems and clumsy solutions

• Recruitment

• A balanced team – professions, gender, ethnicity

• Development – over 40 days this year (+ buddying)

• Quality assured

• Distinguishes NHS IQ delivery from others

• A unique asset

• Approach and learning shared

Our Faculty

Our understanding and data from working with systems

Practice-level teams

Very senior system leaders- CCG leads, Provider CEOs, - Local Authority CEOs etc.

ProvidersVoluntary sectorPatients

Handful of individuals Large scale events – 120+

Multiple channels and formats Context Priority themes/focus

Impact

“The programme has

been instrumental in

focusing the whole

health community on

our change challenge”

- Convenor, CCG alliance

“The programme has helped the CCGs

create a vision for the future of maternity

services. That probably wouldn’t have

been produced so rapidly or in such an

open and collaborative way without the

programme’s involvement”

- Alliance Programme Manager

“We have the task of leading transformation across primary

care. The programme came at the right time for us. It created a

vehicle for change, enabling us to drive that change as part of the

day job. Having the time out has really helped us to do this!”

- Convenor, CCG Alliance

Marvellous musicians to awesome orchestras

Measuring impact

Focus on working in partnership, the need for collaboration and shared vision, buy-in and engagement, were expressed as ‘very important’ to the achievement of change challenge objectives

70% of respondents identified better joint working between system partners from their participation in our Programme

Prime Minister’s Challenge Fund

• Trusted team commissioned for high profile priority

• Supporting 20 sites covering 7 million patients

• Diagnostics done

• Demand and fit for PGP verified

• Delivery started: local workshops, coaching of clincialleaders, national learning events, QI facilitator training, webinars…

Prime Minister’s Challenge Fund

• Doubling of size (30-35 sites) and investment (additional £100m) in a second wave

• IQ support to feature in decision letters, we’ll be working with sites 8 weeks before the funding comes through - confirming development needs and aligning improvement to local priorities