Downloading PDF

Improvement Unit leads work to transform NHS continuing healthcare across England

Improvement Unit leads work to transform NHS continuing healthcare across England

Home » Case studies » Improvement Unit leads work to transform NHS continuing healthcare across England

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.


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.


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.


  • 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
  • Facilitate workshops/meetings involving multiple workstreams
  • Responsibility for benefits realisation plan
  • Creation and upkeep of programme plan
  • Regular meetings with Workstream leads to update plan and challenge on timelines and dependencies
  • Collation of workstream highlight reports into board report
  • Drafting of/input into additional board papers as required
  • Set up and management of Programme Board meetings and additional delivery group meetings as required
  • Give support to Programme Manager for Programme Board
  • Records management for programme
  • Onboarding and offboarding programme resources
  • Clear terms of reference and objectives for workstreams
  • Responsible for delivery of workstream objectives
  • Responsibility for completing workstream highlight report
  • Presentation of updates to programme board and national/system leads as required.
View all

News and views


New Podcast: Revolutionising patient engagement and care with personalised healthcare videos

Join host Richard Caddy for another thought-provoking session in our latest podcast with our Digital Innovation Unit. Tune…


Enhancing our expertise in Workforce Planning to meet growing needs

NHS Midlands and Lancashire (ML) are excited to announce that we’ve secured five places for members of our…


Study reveals promising early outcomes of NHS Digital Weight Management Programme

Obesity is a pressing global health challenge, linked to various chronic diseases such as type 2 diabetes, cardiovascular…

View all

How we can help health systems

Developing health systems

Acting as an independent and trusted partner within the system to facilitate working across stakeholders and integrate elements of the provider system…

Learn more about Developing health systems
Developing health systems

Workforce resilience and transformation

Supporting systems to build a sustainable and integrated workforce, transforming systems, organisations and the workforce experience to improve resilience.

Learn more about Workforce resilience and transformation
Workforce resilience and transformation

Communications and engagement

Supporting ICSs with approaches to design and deliver effective communication, engagement and behavioural insights as a key enabler for system change and…

Learn more about Communications and engagement
Communications and engagement

Digitally enabled transformation and IT

Digitising care and partnering with systems for the transformation of digitally enabled service delivery (and other supporting processes) across vision, planning and…

Learn more about Digitally enabled transformation and IT
Digitally enabled transformation and IT

PHM analytics and decision support

Applying intelligence-led understanding of the health of the population to support the redesign of care and improve patient and financial outcomes across…

Learn more about PHM analytics and decision support
PHM analytics and decision support

Place and primary care transformation

Supporting providers to work together at a place and neighbourhood level to manage common resources, integrate community teams, improve health and reduce…

Learn more about Place and primary care transformation
Place and primary care transformation

Clinical redesign and provider collaboration

Redesigning how health and care works across England - placing people at the centre of their own health and care and utilising…

Learn more about Clinical redesign and provider collaboration
Clinical redesign and provider collaboration

Personalised healthcare commissioning services

Providing end-to-end funded care services, including patients as active partners in identifying their healthcare needs and then commissioning care to meet these.…

Learn more about Personalised healthcare commissioning services
Personalised healthcare commissioning services

Business enabling services

Delivering a wide range of support functions through transactional services, business partnering and transformation that drives efficiencies and releases value and time…

Learn more about Business enabling services
Business enabling services

Accessibility Tools