Improvement Unit leads work to transform NHS continuing healthcare across England
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NHS Midlands and Lancashire’s Improvement Unit set up and managed a successful programme management office (PMO) for the National NHS Continuing Healthcare (CHC) Strategic Improvement Programme.
Background
NHS England established the national NHS CHC Strategic Improvement Programme to contribute towards the transformation and efficiency goals of the Five Year Forward View.
The programme goals were to:
Reduce variation in patient and carer experience in quality, timeliness and speed of assessment, eligibility decisions and appeal processes
Establish national standards of practice and outcome expectations
Ensure the best possible package of commissioning is in place
Achieve the spending review target of reducing growth in CHC expenditure, through standardisation and adoption of best practice
Ensure that assessments occur at the right time and place and reduce the number of full assessments for CHC in acute settings
Influence national policy framework and care market oversight to maximise the policy contribution
Strengthen the alignment between NHS England work programmes which have a CHC component, such as Personalisation and Choice.
Action
The Improvement Unit established and managed the PMO for this highly complex and challenging national programme, working closely with NHS England colleagues, system leads, clinical commissioning groups (CCGs) and social care.
The programme consisted of two programme directors and five workstreams, and the Board was led by an independent chair, ensuring that all decisions received the maximum challenge and assurance.
Responsibilities
Programme Board establishment and management
Overall responsibility for PMO
Oversight of programme plan
Oversight and review of papers produced and collated for board by PMO
Production of additional board papers as required
Facilitate regular update meetings with Workstream Leads
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