Insights - Understanding the Evolving Healthcare Landscape

Providing insight into the evolving healthcare landscape that every doctor should know

The healthcare landscape is evolving at a pace that few can keep up with, or even appreciate. Changes to provider types, the locus of control, service reforms, competition and more present a confusing picture to even the most up-to-date clinician, let alone the majority running frenetically just to cope with the day-to-day clinical load. However, the raft of changes creeping (marauding) in represent both tremendous risks and opportunities for the frontline teams taking the trouble to understand their current and evolving environment. This one day programme strips the rhetoric away from the harsh reality of modern healthcare and provides an insight into the drivers of change, likely political manoeuvres and what this really means for secondary/tertiary Trusts and the clinical teams within. Trust us - you need to know this!

This programme has been brought by demand from many recent attendees, insistent that this insight is shared more widely because of its implications. Medicology have been fortunate enough to work near the heart of current reforms, ensuring our insight is current and far from superficial.

• Really understand the NHS in which you work
• Gain insight into the evolving landscape and how this affects you & your service
• Understand the implications of current & future changes
• Ensure your service maximises its income by understanding funding changes
• Avoid being hit broadside by predictable changes that can wreck services
• Develop a depth of knowledge that allows you to safely lead service strategy
• Ensure you survive and thrive in the new environment

Why the Change?

• The changing nature of health and its population
• Population dynamics, the change in balance & disease burden
• The innovation dilemma and its impact on funding
• The public purse and the hole within it
• Impact of the banking crisis
• The ‘do nothing’ approach – short, medium & longer term implications
• The solution, like it or not

The Evolving System

• A sensible model of the current NHS
• Understanding current and evolving NHS structure and control
• Appreciating a system in flux – the current is not yet the vision
• NHS organisations & bodies – who does what for whom?
• Changing healthcare delivery models – Lord Darzi’s legacy
• Increasing use of and reliance on the community
• What does this mean for secondary, tertiary care organisations?
• Aggregation & other changes in primary care and their impact on secondary care

Understanding Service Funding

• Understanding how services are funded in the evolving system
• Payment by results (PbR) and tariffs
• Evolution of tariffs as Monitor gains responsibility
• Income & costs – viability, sustainability & competitiveness
• What does CIP really mean?
• Market forces and their impact on service funding
• Evolving roles and how this contributes financially
• The role different staff play in service income, cost & competitiveness
• The role & responsibilities of Monitor, the economic regulator

Commissioning, Change & Competition

• From PCT to GP Consortia to Clinical Commissioning Groups – know the agenda
• The relationship between commissioning and the clinical coalface
• Fully understand the choice agenda & the requirements of commissioners
• What data & information will be used in commissioning, choice and regulation
• Opportunities and threats emerging from commissioning changes
• How are services & specialties targeted for reform?
• Competing provider types – understand who can do what
• Any Qualified Provider – know the mechanism & implications
• Borderless thinking – the removal of healthcare boundaries
• What does it take to be competitive?
• Best of breed competition and how the NHS must change

Performance, Quality & Experience

• The performance imperative of modern healthcare
• The implications of poor performance in the modern era
• How will quality be assessed and assured
• The role of the Care Quality Commission in quality regulation
• Quality risk for provider services
• The impact of quality on service remuneration
• Patient experience as a quality measure
• The link between experience & service funding
• The role & impact of different staff on patient experience

Adapting our model of service effectiveness

• How do NHS services need to change in light of this agenda?
• Broad scanning – ensuring you are ahead of the agenda
• The 6 critical success factors of service success in the new system
• Assessing whether your service is fighting fit or vulnerable
• The 7th factor for academic services
• Ensuring that services excel across all 7 critical success factors
• Organising principles for ensuring success in all factors
• Future perspectives and likely further evolution

This is a highly provocative seminar, packed with evidence, insight and interpretation designed to equip clinical and non-clinical leaders with what they really need to know in order to safely steer services through these troubled times. Besides the lectures, there will be opportunities for debate, case studies and practical sessions, just to ensure that everyone really 'gets it' in the most engaging manner.

These are other courses that provide a good companion to this course.

• Advanced Influencing, Negotiation and Engagement Skills