Five Year Forward View - The Success Regime

"The ‘Success Regime’ is aimed at providing increased support and direction to the most challenged systems in order to secure improvement in 3 main areas:

• short-term improvement against agreed quality, performance or financial metrics
• medium and longer-term transformation, including the application of new care models where applicable
• developing leadership capacity and capability across the health system"

Five Year Forward View - The Success Regime: A whole systems intervention
Monitor, NHS
June 2015

Read more here.

Commissioning for Value: Developing a More Systematic Approach to Commissioning in Calderdale

"This follow-up report describes progress in Calderdale one year on. The narrative highlights how the Right Care approach can support a CCG to build a sustainable health and social care economy. The CCG has made some of the smaller changes to reduce waste and is now on a journey to deliver large scale transformation across the health and social care system to meet current and future demand "

Commissioning for Value: Developing a More Systematic Approach to Commissioning in Calderdale - One Year On
Right Care Casebook Series
November 2014

Read more here.

Children's and adolescents' mental health and CAMHS

"There are serious and deeply ingrained problems with the commissioning and provision of Children’s and adolescents’ Mental Health Services. These run through the whole system from prevention and early intervention through to inpatient services for the most vulnerable young people."

Children's and adolescents' mental health and CAMHS: Third Report of Session 2014–15
House of Commons Health Committee
October 2014

Read more here.

Five Year Forward View

"The NHS has dramatically improved over the past fifteen years. Cancer and cardiac outcomes are better; waits are shorter; patient satisfaction much higher. Progress has continued even during global recession and austerity thanks to protected funding and the commitment of NHS staff. But quality of care can be variable, preventable illness is widespread, health inequalities deep-rooted." 

Five Year Forward View
NHS
October 2014

Read more here.

NHS Commissioning Board Annual Report & Accounts 2013–14

"This annual report describes NHS England’s first full year of operation. It highlights the substantial work required to establish a new commissioning system for England from 1st April 2013."

National Health Service Commissioning Board 
Annual Report & Accounts 2013–14
NHS England

Read more online.

Reforming the NHS from within

"NHS reform has relied too much on external stimuli such as targets and performance management, inspection and regulation, and competition and choice, and too little on bringing about improvement ‘from within’."

Reforming the NHS from within: beyond hierarchy, inspection and markets
C Ham
The King's Fund
June 2014

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Comorbidities: a framework of principles for system-wide action

"This framework sets out the challenges for the wider health and care system in addressing comorbidities and proposes a set of interconnected principles to consider in the design of systems and services to prevent and treat comorbidities."

Comorbidities: a framework of principles for system-wide action
Department of Health
April 2014

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Balancing quality and finance to deliver greater value

“To consider costs without regard for quality is unthinkable; to consider quality without regard for costs is unsustainable.”

Two sides of the same coin: Balancing quality and finance to deliver greater value
NHS Confederation
April 2014, Issue 271

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Solving the NHS care and cash crisis

“We have, in short, a health and care system that is both unnecessarily expensive and poorly designed to meet modern needs.”

Solving the NHS care and cash crisis: routes to health and care renewal
N Warner, J O’Sullivan
Reform
March 2014

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Whole-system solutions for urgent and emergency care

"Demand for urgent and emergency care continues to increase year on year and it has been evident for some time that the system for delivering this care must adapt to meet ongoing and new challenges."

Ripping off the sticking plaster: Whole-system solutions for urgent and emergency care
Urgent and Emergency Care Forum
NHS Confederation
March 2014

Read more here.

"If we build it, will it stay?" A case study of the sustainability of whole-system change in London

"This article describes a transferable methodology that was developed to guide the evaluation of a three-year follow-up of a large health care change program in London, which took place during a period of economic turbulence and rapid policy change."

"If we build it, will it stay?" A case study of the sustainability of whole-system change in London
T Greenhalgh, F Macfarlane, C Barton-Sweeney, F Woodard
The Milbank Quarterly, 2012, 90(3): 516-547

Read more here.

Large-system transformation in health care: a realist review

"The aims of the review were to analyze examples of successful and less successful transformation initiatives, to synthesize knowledge of the underlying mechanisms, to clarify the role of government, and to outline options for evaluation."

Large-system transformation in health care: a realist review
A Best, T Greenhalgh, S Lewis, JE Saul, S Carroll, J Bitz
The Milbank Quarterly, 2012, 90(3): 421-456

Read more here.