Kent & Medway Learning Network

Launch event for PCT Top Teams

29th January 2004Edna RobinsonChief Executive

Salford Primary Care TrustNational Lead, Chief Executive’s Network,

NatPaCT

Leadership

Public sector leadership requires stewardship towards quality

outcomes for the consumer, not people who will be diverted by organisational interests, or a

political point in time.

• Very successful year in getting more people through the current system

• ‘Freedom’ is a state of mind, structures are usually an excuse for lack of creative thinking

• ‘Booking is king’. Understand demand and waiting will be resolved

• Different purchasing and provider arrangements are required for managed care and urgent care

• New NHS organisations are urgently needed

• Central leadership and control reflects risk averse system

Anywhere health economy

• Areas of urban and rural poverty may drive different solutions than self starting communities

• Local authorities must influence new organisational solutions as much as the NHS

Anywhere health economy

• Money is only flexible at the margins as NHS ‘consumers’ have already bought the bricks and mortar of their local NHS system

• Primary Care organisations want to do far more than buy treatments from others

• Private sector will draw in resources if the public sector remains incompetent

Anywhere health economy

The Daily Agenda

AccessWaiting TimesUrgent BedsDiagnostics

Clinical Governance

ResourcesInsufficient

developments

Uncapped DemandA&E Waits

Out of hours services

GP surgeriesChronic Disease

Star RatingsTargets

NSFs

CHAI Reviews

FoundationTrusts

Network Developments

Preventable DiseaseSmoking

Mental Health

ICTData v

information

WorkforceAvailabilityNew Roles

New Contacts

Choice & Consumerism

PPIDilemma re: local services

Booking and Triage

Leadership

Performance

Delivery

DevelopmentRedesign

Anywhere health economy

Our Current Responses

Doing Same Better

Doing More of Same

Innovating

Using Catalysts

Reforming operational systems “cleaning” reportable data

Additional capacityGrowing the workforce

NetworksTier 2% GP referrals

Modernisation Agency“Action On”TsarsEmergency Collaboratives

Anywhere health economy

Return on Investment of Effort Turning Point?

Delivery/Performance

?

TIME

New Agenda

• Understanding Demand

• Difficult Access – a thing of the past

• Skill Mix and Triage

• Trust, co-operation and interdependence

• Consumer influences solution – real choice

Anywhere health economy

• Networks not institutions

• Primary – secondary old speak