Long-term sustainability of the NHS and social care

Government response to the report on long-term sustainability of the NHS and adult social care | The Department of Health and Social Care  

This paper responds to the Lords Select Committee report stating that significant efficiencies will be needed to make the NHS and social care system sustainable for the long term.

The original report made 34 recommendations in the areas of:

  • service transformation
  • funding the NHS and adult social care
  • innovation technology and productivity
  • public health, prevention and patient responsibility
  • lasting political consensus

 

Full document: Government response to the Lords Select Committee report on Long-Term Sustainability of the NHS and Adult Social Care| The Department of Health and Social Care

 

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Commissioner Sustainability Fund and financial control totals for 2018/19: guidance

NHS England| Commissioner Sustainability Fund and financial control totals for 2018/19: guidance

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This document provides details of a targeted fund, the Commissioner Sustainability Fund (CSF), it provides a fund totalling up to £400  million. The CSF has been established to support those clinical commissioning groups (CCGs) that would otherwise be unable to live within their means for 2018/19.

Combined with the additional monies being allocated to all CCGs and the lifting of restrictions re non-recurrent monies, NHS England expects that all CCGs will therefore be able to live within their means during 2018/19.

The full document, The Commissioner Sustainability Fund and financial control totals for 2018/19: guidance,  is  available here .

Sustainability and transformation in the NHS

Sustainability and transformation in the NHS |  The National Audit Office

This report examines the progress the Department of Health and Social Care, NHS England and NHS Improvement have made towards achieving financial balance.  It provides a summary of the financial position of NHS England, CCGs and trusts. It also looks at what the Department, NHS England and NHS Improvement have done to support local NHS bodies to improve their financial positions; and examines the support the national bodies have given local NHS bodies to help them work better in partnership.

Full document: Sustainability and transformation in the NHS

Developing sustainable primary care

Challenges facing general practice are increasing. This comes at a time of increased patient need, high demand for services and growing challenges in retaining and recruiting clinical team members | PCC

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PCC has been supporting practices to prepare for the future by looking at ways they can become more sustainable. From our work so far, the following themes have emerged:

  • The need to ensure practices are well run, claiming appropriately and considering how the practice, as a whole, could work smarter.
  • Planning for the future –how a practice will need to change in the next three to five years and how steps towards this can start now, to achieve early wins and boost morale.

General practices are responding to the increasing demands they face in several ways. Some are merging with other like-minded practices or working with other partners in the health economy. Others are collaborating to share back office or clinical skills to enable them to manage patients and workloads most appropriately. This includes signposting to alternative local services.

Read the full overview here

Sustainable development guidance

The sustainable development unit has published revised guidance on writing management plans for sustainable development. The guidance, which is for use by providers of any size and commissioning groups has been updated in line with the current NHS standard contract. 

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The guidance is intended to support organisations to understand the key elements that make up a Sustainable Development Management Plan (SDMP). It also provides some advice on how organisations can develop their organisation’s SDMP.

Having a board approved Sustainable Development Management Plan (SDMP) is one of the cornerstones of the Sustainable Development Strategy and it is also an indicator in the Public Health Outcomes Framework.

Developing an SDMP (or equivalent) will help organisations to:

• Meet minimum legislative, contractual and mandatory requirements related to SD
• Save money through increased efficiency and resilience
• Ensure that health and wellbeing in the UK and beyond is protected and enhanced.
• Improve the environment in which care, or the functions of your organisation are        delivered, for service users and staff
• Have robust governance arrangements in place to monitor progress
• Demonstrate a good corporate reputation for sustainability
• Align SD requirements with the strategic objectives of your organisation.

Read the updated guidance here.

NHS finance

The House of Commons Library has published The financial sustainability of the NHS in England.

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Image source: http://researchbriefings.parliament.uk/

This briefing provides background on the current funding settlement for the NHS in England, the financial and operational performance of the health service, and measures being taken to ensure its future sustainability, including Sustainability and Transformation Plans. It also provides background on the Department of Health’s Annual Report and Accounts for 2015/16 and ongoing select committee scrutiny of NHS funding.

Financial sustainability of the NHS

The National Audit Office has published Financial sustainability of the NHS.

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Image source: http://www.nao.org.uk

This is the fifth report on the financial sustainability of the NHS produce by the National Audit Office. This report highlights that with more than two-thirds of trusts in deficit in 2015-16 and an increasing number of clinical commissioning groups unable to keep their spending within budget, the financial problems are endemic and this is not sustainable.

Additional link: Kings Fund press release