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

More documents

Recommendations

Info

66 5: Freedom to focus on quality5• Vision . What qualityimprovements they are trying toachieve and how it will benefitpatients and local communities.• Method. How they will makechange happen – the managementmethod they will use forimplementation, continuousimprovement and measuringsuccess.• Expectations. What the differencewill mean for people, thebehavioural change that will benecessary and the values thatunderpin it.32. As explained in the publicationLeading Local Change, 102 change inthe NHS should always be of benefitto individual patients and thepopulation as a whole, should beclinically driven and locally led,with patients, the public and staffinvolved. In the NHS constitution,we pledge to staff that they will beengaged in the decisions that affectthem. Leadership has been theneglected element of the reforms ofrecent years. That must now change.33. It is unrealistic to expect NHS staff totake on leadership without action tomake it integral to training anddevelopment. So we will exploreways to ensure that theundergraduate curricula for allmedical and nursing students reflectthe skills and demands of leadershipand working in the NHS. We will alsoensure that leadership development102 Darzi A., NHS Next Stage Review: Leading LocalChange (2008).is an integral part of modernisingcareers programmes for otherhealthcare professions.34. For those at a postgraduate orequivalent stage in their careers, wewill explore ways to ensure that boththe curricula and appraisal processesreflect the importance of learningleadership skills. For those with aparticular interest in leadership,we will support strategic healthauthorities and health innovation &education clusters to establish ClinicalLeadership Fellowships so that theyhave dedicated time to spend onenhancing their leadership skills.35. The local NHS already makesconsiderable investments inleadership development programmes,for clinicians and managers alike. Wehave heard that these can be variablein their scope and standard. That iswhy we will introduce a newstandard in healthcare leadership,the Leadership for Quality Certificate.It will operate at three levels. Level 1will be for members of clinical andnon-clinical teams with an interestin becoming future leaders. Level 2will be for leaders of team andservice lines, and Level 3 will be forsenior directors (e.g. medical,nursing, operations).36. At the most senior levels, we willidentify and support the top 250leaders in the NHS. This group willinclude both clinical and non-clinicalleaders. They will get close support intheir personal development,mentoring, and active careermanagement.
High Quality Care For All – NHS Next Stage Review Final Report6737. We will establish an NHS LeadershipCouncil which will be a system-widebody chaired by the NHS ChiefExecutive, responsible for overseeingall matters of leadership acrosshealthcare, including the 250 leaders.It will have a particular focus onstandards (including overseeing thenew certification, the development ofthe right curricula, and assurance)and with a dedicated budget, will beable to commission developmentprogrammes.38. The NHS Medical Director andNational Clinical Directors will alsowork with senior clinicians to ensurethat clinical leadership becomes astronger force within the NHS.Compared to healthcareorganisations in the US, such asKaiser Permanente, the NHS has veryfew clinicians in formal leadershiproles. For senior doctors, theoperation of the current ClinicalExcellence Awards Scheme will bestrengthened – to reinforce proposalsin this chapter to drive qualityimprovement. New awards, and therenewal of existing awards, willbecome more conditional on clinicalactivity and quality indicators; andthe Scheme will encourage andsupport clinical leadership. Thescheme will also become moretransparent, with applications beingpublicly available. The profession willbe involved in developing andintroducing these amendments.In making national awards, theindependent Advisory Committee onClinical Excellence Awards (ACCEA)will have regard to advice from theNational Quality Board and the NHSLeadership Council.39. Finally, leadership is not just aboutindividuals, but teams. Successfulorganisations are led by successfulBoards. We will immediatelycommission a new developmentprogramme for trust boards throughthe NHS Chief Executive and the newNHS Leadership Council. In addition,we will encourage the developmentof Masters-level programmes whichare relevant to the health sector byproviding matched funding to SHAcommissionedprogrammes.Conclusion40. NHS staff make the difference forpatients and communities. It isthrough unlocking talent that wewill achieve high quality care acrossthe board. Many of the featuresdescribed in this chapter already existin the best of the NHS, but notsystematically so.41. We seek to change that not bycentral control, but by freeing NHSstaff and organisations to make theright decisions. Therefore, we willextend and improve existing reformssuch as NHS foundation trusts andpractice based commissioning.Through these changes, healthcareprofessionals will be not justpractitioners, but partners andleaders.
Page 1:
East of EnglandEast MidlandsLondonN
Page 4 and 5:
© Crown Copyright 2008The text in
Page 6 and 7:
IntroductionTHE NHS NEXT STAGE REVI
Page 8 and 9:
PrefaceBy the Prime MinisterThe Nat
Page 11:
High Quality Care For All - NHS Nex
Page 14 and 15:
8 Summary letterThe next stage of t
Page 16 and 17:
10 Summary letter• Raised awarene
Page 18 and 19:
12 Summary letter• Making funding
Page 20 and 21:
14 Summary letterservices, hospital
Page 22 and 23: 1Change - locally-led, patientcentr
Page 24 and 25: 18 1: Change - locally-led, patient
Page 30 and 31: 2Changes in healthcareand societyTh
Page 32 and 33: 26 2: Changes in healthcare and soc
Page 38 and 39: 3High quality care forpatients and
Page 40 and 41: 34 3: High quality care for patient
Page 52 and 53: 4Quality at the heart ofeverything
Page 54 and 55: 48 4: Quality at the heart of every
Page 64 and 65: 5Freedom to focuson qualityPutting
Page 66 and 67: 60 5: Freedom to focus on quality5
Page 68 and 69: 62 5: Freedom to focus on quality5C
Page 70 and 71: 64 5: Freedom to focus on quality5p
Page 74 and 75: 6High quality work inthe NHSSupport
Page 76 and 77: 70 6: High quality work in the NHS6
Page 82 and 83: 7The first NHS ConstitutionSecured
Page 84 and 85: 78 7: The first NHS Constitution7
Page 86 and 87: 80 7: The first NHS Constitution714
Page 88 and 89: 8ImplementationMaintaining the mome
Page 90: 84 8: Implementation8• And third,
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?