High quality care for all NHS Next Stage Review - Antibiotic Action

High Quality Care For All – NHS Next Stage Review Final Report171Change – locally-led, patient-centredand clinically drivenA nationwide process – the core of the NHS Next Stage Review1. The challenge for this Review, setout in my terms of reference, wasto “help local patients, staff and thepublic in making the changes theyneed and want for their local NHS.” 7This approach was necessary becausechange is best when it is determinedlocally. Changing well-loved servicescan be unsettling for patients, publicand staff. Therefore, it is importantthat the local NHS goes through aproper process to determine what willwork best, involving patients, carers,the general public and staff, whilstcommunicating clearly throughout.2. This has meant a very different typeof Review, one driven by the NHSitself. Over the past few months,each region of the NHS has publishedits vision for improving health andhealthcare services.3. These visions are the product of thework more than 2,000 cliniciansand other staff in health and socialcare, who have shown tremendousleadership in creating, shaping andforming the conclusions. In eachregion, they have met in eight ormore groups reflecting different‘pathways of care’ – from maternityand newborn care through to end of7 The terms of reference are available atwww.ournhs.nhs.uklife care. 8 These groups haveconsidered the best available clinicalevidence, worked in partnershipwith thousands of patients, listenedto the needs and aspirations of thepublic and set out comprehensive andcoherent visions for the future.4. The visions are the centrepiece ofthis Review – they report muchprogress, but also identify where,based on clinical evidence, furtherchange is required in order to providehigh quality care. They show howthe NHS is responding to people’sneeds throughout their lives, frombefore birth, through childhood andadolescence and into adulthood andold age. They describe the prioritiesfor action and explain what differencethese priorities, once implemented,will make for local populations.5. The proposals will allow NHS serviceseverywhere to reflect the needs oftheir local communities. People andcommunities across England havedifferent characteristics and differentneeds. Yet too often, the servicesthey receive are not sufficientlyshaped around those characteristicsand needs. If the NHS is to live up8 Some of the strategic health authorities chose tocreate more than eight groups. South West SHAfor instance had a group looking at the best carefor people with learning disabilities