Philip Dylak Director of Innovation, Nursing and AHPs Deputy CEO and AQuA Associate (with additional material contributed by Michael Wood, NHS Confederation, and Robert Berry, Kent, Surrey & Sussex AHSN) Regional AHSNs

A New Landscape 2013  Health & Social Care Act 2012 comes into force  GP led Clinical Commissioning Groups set up  Health and Well Being Boards established  Public Health moves out of NHS and into Local Authorities  Patient choice agenda e.g. Any Qualified Provider (AQP) can choose to go to the Provider of their choice – over 100 non - NHS organisations have AQP status – compete on quality, not price (fixed price for service)  NHS England (formerly the NHS Commissioning Board)starts to oversee day to day running of health services

A New Landscape  “De clutter” the landscape – several hundred bodies scrapped, merged or reformed (e.g. PCTs, SHAs, HIECs)  Role of Monitor (FT regulator) moves towards being the system regulator for all NHS funded services  Health Education England and LETBs  NICE responsibilities extended to social care  CQC no longer assesses the performance of commissioner organisations  New patient and public bodies established – known as Healthwatch

A New Landscape - AHSNs  Continued development of “Innovation, Health & Wealth” (of which more later) and roll out of 15 Academic Health Science Networks  AHSNs are new NHS organisations, linking together the NHS, academia, industry and others to spread innovation “at scale and pace”  Triple benefit – patients benefit from treatments earlier, communities benefit – its members can contribute economically if they are well, and the nation benefits from investment.

Giving it all away  “Britain had iPhone technology before Apple, but … handed our advantage to the competition”  Sir Tim Berners-Lee created the web to help scientists working at CERN, Geneva, but has earned only kudos from it.

Regional AHSNs There are two AHSNs in the North West of England:- North West Coast AHSN covers Merseyside, Cheshire, Lancashire and South Cumbria Greater Manchester AHSN covers Greater Manchester There are 15 AHSNs in England

Leading areas Each AHSN has  Clinical priorities  Cross cutting projects  System wide leadership across England The next slide summarises these for each AHSN

AHSNs – Four National Areas of Focus  Focus on the needs of patients and local populations: work in partnership with commissioners and public health bodies to identify and address unmet medical needs, whilst promoting health equality and best practice  Build a culture of partnership and collaboration: promote inclusivity, partnership and collaboration to consider and address local, regional and national priorities  Speed up adoption of innovation into practice to improve clinical outcomes and patient experience - support the identification and more rapid spread of research and innovation at pace and scale to improve patient care and local population health - that way we all win  Create wealth through co-development, testing, evaluation and early adoption and spread of new products and services

FP7 Health – where was the NHS?

Strong acute/specialist focus BUT scope for more...

Why should it be different for the NHS in the future ?  “Burning platform” facing health and social care  EU innovation agenda fits well with “Innovation, Health and Wealth” which underpins AHSNs  Greater focus in Horizon 2020 on commercialisation  Horizon 2020 brings together several EU programmes and simplifies rules  EC keen to bring wider range of stakeholders together – collaboration the key  Inward investment critical to wealth creation agenda

What role will AHSNs play?  “AHSNs will want to use a broad definition of innovation and best practice to cover a range of ideas, services and products that improve the quality and productivity of health and care services and lead to improved patient outcomes and population health.” (AHSN 2012, p.7)  “They would support knowledge exchange networks to build alliances across internal and external networks and actively share latest best practice, and provide for rapid evaluation and early adoption of new innovations under tight surveillance and monitoring.” (IHW 2011, p19)

What role will AHSNs play?  Can have a role in leading or partnering a project AHSNs can themselves be part of an EU-funded project, with in-kind match funding  Can use links to disseminate funding info across whole health economy Traditionally been difficult to engage community providers, ambulance trusts, commissioners However many funding options around eHealth, self management of care, assisted living Widespread dissemination across NHS will raise profile and knowledge

What role will AHSNs play?  Given emphasis on collaboration in Horizon 2020, there is potential key role for AHSNs as a coordinator: Can help to align priorities and ways of working before seeking European partners Mapping of assets can help with partner searches Help ensure the products of H2020 projects are tested/rolled out/used Knowledge of experience and interests across a region captured and accessible Entry point for industry and SMEs with ideas and enquiries from Europe A forum for intelligence sharing

What role will AHSNs play?  What do you think?

North West Coast AHSN