NHS Long Term Plan Update

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Key sections from NHS Long Term Plan


‘The changes set out in this Long Term Plan can generally be achieved within the current statutory framework, but legislative change would support more rapid progress. The Acts of Parliament that currently govern the NHS give considerable weight to individual institutions working autonomously, when the success of our Plan depends mainly on collective endeavour. Local NHS bodies need to be able to work together to redesign care around patients, not services or institutions, and the same is also true for the national bodies. And the rules and processes for procurement, pricing and mergers are skewed more towards fostering competition than to enabling rapid integration of care planning and delivery.’

‘Support the more effective running of ICSs by letting trusts and CCGs exercise functions, and make decisions, jointly. This is simpler and less expensive than creating an additional statutory tier of bureaucracy. It would mean giving NHS foundation trusts the power to create joint committees with others. It would allow – and encourage – the creation of a joint commissioner/provider committee in every ICS, which could operate as a transparent and publicly accountable Partnership Board. To manage conflicts of interest, any procurement decisions – including whether to procure – would be reserved to the commissioner only;’

‘Cut delays and costs of the NHS automatically having to go through procurement processes. We propose to free up NHS commissioners to decide the circumstances in which they should use procurement, subject to a ‘best value’ test to secure the best outcomes for patients and the taxpayer. The current rules lead to wasted procurement costs and fragmented provision, particularly across the GP/urgent care/community health service workforce. This would mean repealing the specific procurement requirements in the Health and Social Care 2012 Act. We also propose to free the NHS from wholesale inclusion in the Public Contract Regulations. We would instead set out our own statutory guidance for the NHS to follow. At the same time, we propose to protect and strengthen patient choice and control, including through our wider programme to deliver personalised care’

‘Procurement savings by aggregation of volumes and standardising specifications. The NHS spends nearly £6 billion a year on hospital consumables, including syringes and gloves, and common goods. We have introduced a new centralised NHS procurement organisation, Supply Chain Coordination Limited (SCCL), to help use this purchasing power on a national scale to get the best deals and deliver high quality affordable care for patients. By 2022, we will double the volume of products bought through SCCL to 80%, extend the number of nationally contracted products and consolidate the way local and regional procurement teams operate’