Change model updated

NHS England | Change Model 

The Change Model, first developed in 2012, provides a useful organising framework for sustainable change and transformation that delivers real benefits for patients and the public. It was created to support health and care to adopt a shared approach to leading change and transformation. NHS England have recently refreshed and enhanced the model to include a PDF guide and a series of supporting diagnostic tools to use in your work, including an action planning template and a key questions template for each component of the guide:

change model
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  • Change Model guide
  • Change Model action planning template
  • Change Model GAP analysis tool
  • Our shared purpose – key questions
  • Spread and adoption – key questions
  • Improvement tools – key questions
  • Project and performance management – key questions
  • Measurement – key questions
  • System drivers – key questions
  • Motivate and mobilise – key questions

The model has eight components to consider when implementing change. The components act as a guide to ensure all elements of change are considered and implemented effectively, creating an environment where change programmes deliver transformational, sustainable change (NHS England).

The full details of the revised Change model are available from NHS England 


NHS England: assessment of performance 2016 to 2017

Annual assessment of NHS England against its mandate and business objectives for 2016 to 2017.

The Secretary of State for Health’s assessment report covers the extent to which NHS England met its mandate and business plan objectives, and fulfilled its duties to:

  • improve the quality of services
  • reduce inequalities
  • secure public involvement

Full report: Annual Assessment of the NHS Commissioning Board (known as NHS England) 2016 to 2017

Managing Conflicts Of Interest In The NHS: Guidance For Staff And Organisations

This guidance is intended to protect patients, taxpayers and staff covering health services in which there is a direct state interest. It comes into force on 1 June 2017 | NHS England 

Image source: NHS England

This guidance aims to strengthen the management of conflicts of interest within the NHS and to ensure transparent and accountable health care. The guidance permits NHS staff to receive small tokens or gifts but will require them to decline anything that could be seen to affect their professional judgement. It will also be standard practice for NHS commitments to take precedence over private practice, and for any member of staff – clinical or non-clinical – to declare outside employment and the details of where and when this takes place although not earnings at this stage.

Read the full guidance here

Changes to General Practice contract 2017/18

NHS England has issued a letter setting out the key changes to the GMS contract for 2017/18

The new agreement includes an increased focus on tailored annual reviews offered to frail pensioners, and an increase in the number of health checks for people with learning disabilities.  The new contract also includes provisions to encourage practices to expand access and not to close for half-a-day a week.

The contract, to take effect from 01 April 2017, will see investment of around £238 million going into the contract for 2017/18. In addition, £157 million from a previous earmarked scheme will be transferred into core GP funding so that family doctors can be more flexible in how they care for the most frail.

NHS England announces £101 million of new funding for new care model vanguards

£101 million of new funding to support and spread the work of the new care model vanguards | NHS England


The vanguards are partnerships of NHS, local government, voluntary, community and other organisations that are implementing plans to improve the healthcare people receive, prevent ill health and save funds.

Considerable progress has been made since the vanguards were launched in 2015 and there is emerging evidence that they are making significant improvements at a local level. This includes reducing pressure on busy GP and A&E services.

In addition to the funding, the vanguards will continue to receive support from NHS England and other national bodies to implement their plans, including how they harness new technology including apps and shared computer systems. They are also receiving help to develop their workforce so that it is organised around patients and their local populations.

Read the full overview here

Transformation fund call to bid

To support the implementation of the Five Year Forward View vision of better health, better patient care and improved NHS efficiency, NHS England has created a transformation fund | NHS England


The interventions for which transformation funding are available are:

Sustainability and Transformation Plans (STPs) are central to this process and all bids should be explicitly linked to the relevant local STP plans. This process is open to any STP, although individual organisations or alliances may bid on behalf of an STP for this funding; submission of applications must be via STPs.

Read the full overview here

Launch of NHS continuing healthcare strategic improvement programme

Paul Baumann, NHS England’s chief financial officer, and Professor Jane Cummings, NHS England’s chief nursing officer, have launched a new national NHS continuing healthcare strategic improvement programme.

A collaborative engagement method will be at the centre of the programme’s approach. The NHS England team will work with CCGs to identify best practice and explore new approaches to improve NHS continuing healthcare.

Click here to read the joint letter published to launch the new national transformation programme

Additional link: more about NHS Continuing Healthcare