1. Commissioners, Providers and Sustainable Development
Fiona Head

2. What are CCGs looking for from providers to enable assurance that sustainable development is embedded in all their activities?

3. “Sustainability”
“sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs.”
Brundtland Commission
Doing things in a way today that means we can keep doing them tomorrow
Economic
Social
Environmental

4. C >P P>C P C & P C >P

6. Collective Place-based
Sustainability and Transformation Plan
Devolution
Collective Place-based
Cities and Local Government Devolution Act 2016
ANY function of any public body (except some NHS functions/duties) could now be conferred on a Combined Authority (by Order) or LA (by regulations). Could be exercised jointly/concurrently.
Secretary of State statutory dutes unchanged. Some exceptions for regulatory/ supervisory functions

8. Closer Commissioners and providers Health and Local Authorities
primary care, pharmaceuticals
Health and Local Authorities
Service providers and service users closer
(patient preference)
Ongoing emphasis on governance and assurance of processes

9. There are gaps to bridge
Health and wellbeing Quality of care Financial

10. Making it practical Right care Carter review Value-today
Value in the future
Carter review

11. Defining programme budgets and outcomes needs co-operation
Patient centred shared decision making
clinical action
Understand variation:
Reduce waste
Work across whole populations, not just the people who come into the particular service

12. Carter Review
reduce unwarranted variation in productivity and performance in NHS Acute Trusts
build greater engagement and create an engaged and inclusive environment for all colleagues
patient-facing medicines optimisation activities
pathology and imaging benchmarks
procurement
use estate cost-effectively
appropriate use of care (integrated)
develop model hospital and underlying metrics
Carter review- 5 bn

13. Questions ?