1. LAMPS Avoiding the Icebergs 5 th July 2013 Paul Hitchcock Director Allied Health Professions Federation 1

2. Difficult times…? The financial challenge is with us for the foreseeable future Population demographics are changing Long term conditions alone consume 70% of the total health and social care spend in England – Currently using 72% of inpatient beds – Taking up 68% of out patient appointments – 55% of GP appointments Public expectations are changing 2

3. A recognition the system is failing… The Francis Report into Mid Staffs Health inequalities Social determinants of health (Marmot) A workforce under stress (Boorman) 3

4. Oh and by the way… Major structural reorganisation 4

5. To survive and thrive Need for service redesign Deliver at increased scale With enhanced quality Need for a paradigm shift Wellness not illness Patients take responsibility for their own health Patients control the wellness process Transformational change not simple transactional change 5

6. Transformational change People drivers – How people work – Skill mix – Workforce considerations Financial drivers – How outcomes are commissioned Technology and process drivers 6

7. AHPs leading transformational change Engage with Patients Your commissioners Your politicians Be professional And do it now… 7

8. What did you do in 2013? 8

9. paul.hitchcock@ahpf.org.uk www.ahpf.org.uk 9