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Innovation Health and Wealth Innovation Health and Wealth: Implementation Plan 10 October 2012 NHS South of England Innovation Health and Wealth: Implementation Plan Paper for website publication Authors Duncan Goodes, Charlotte Moar, John Sadler, Murray Cochrane Responsible Director Richard Gleave Main aim To set out action in NHS South of England to implement Innovation Health and Wealth (December 2011) Confirm due regard given to the Equality Due and appropriate regard has been Act 2010 and compliance with the three given to the three aims of the equality aims of the Equality Duty as part of the duty: process of decision making eliminate unlawful discrimination advance equality of opportunity between people who share a protected characteristic and those who do not foster good relations between people who share a protected characteristic and those who do not Link to strategic objectives and priorities Takes forward the priority to improve quality, innovation, productivity and prevention Risk associated with the subject matter As set out in the paper of this paper Resources implications As set out in the paper Any legal implications or links to All Technology Appraisals published by legislation the National Institute for Health and Clinical Excellence carry a statutory funding implication Freedom of information including Draft until published restrictions Public involvement history Public involvement takes place in each local health community Previous considerations None Preface This document sets out the implementation plan for Innovation Health and Wealth in NHS South of England. The approach to reducing variation and increasing compliance will ensure that patients have access to cost effective treatments approved through Technology Appraisals published by the National Institute for Health and Clinical Excellence. Significant progress is expected in 2012/13 to take forward the six high impact innovations. The plan sets out the ambitions and expectations, investments, trajectories and timetable for the high impact innovations, including the position in each Primary Care Trust cluster. The plan will be updated following the completion of national work to define the specific outcomes and measures for the six high impact innovations and further work on the implementation of Technology Appraisals. Sir Ian Carruthers OBE Chief Executive 10 October 2012 NHS South of England Innovation Health and Wealth: Implementation Plan Table of contents Page No. Assessment sheet Preface Table of contents Section 1 Introduction ................................................................................................1 ......... Section 2 Approach ...........................................................................................3 Section 3 Implementation plans in NHS South of England .............................9 Section 4 Next steps ...........................................................................................2 7 Appendices Appendix 1 Compliance with technology appraisals Appendix 2 Schedule of CQUIN incentives to support high impact innovations Appendix 3 Approach to setting ambitions and expectations for the six high impact innovations 2012/13 to 2015/16 Appendix 4 Draft Primary Care Trust cluster delivery plans 2012/13 Section 1 Introduction This section sets out the background to Innovation Health and Wealth (December 2011) 1. Introduction 1.1 The NHS Innovation Review, Innovation Health and Wealth (December 2011), was launched by the Prime Minister alongside the Strategy for UK Life Sciences (December 2011). It is the contribution of the NHS to The Plan for Growth (March 2011). 1.2 The document highlights eight areas where it makes recommendations: we should reduce variation in the NHS, and drive greater compliance with guidance from the National Institute for Health and Clinical Excellence; working with industry, we should develop and publish better innovation uptake metrics, and more accessible evidence and information about new ideas; we should establish a more systematic delivery mechanism for diffusion and collaboration within the NHS by building strong cross- boundary networks; we should align organisational, financial and personal incentives and investment to reward and encourage innovation; we should improve arrangements for procurement in the NHS to drive up quality and value, and to make the NHS a better place to do business; we should bring about a major shift in culture within the NHS, and develop our people by ‘hard wiring’ innovation into training and education for managers and clinicians; we should strengthen leadership in innovation at all levels of the NHS, set clearer priorities for innovation, and sharpen local accountability; we should identify and mandate the adoption of high impact innovations in the NHS. 1.3 There is a national implementation plan for Innovation Health and Wealth which has 25 workstreams at various stages of progress and staff from across NHS South of England are playing an active part in many of the Task and Finish Groups that are proposing the way forward on the recommendations in Innovation Health and Wealth. 1.4 NHS South of England has developed an Implementation Plan that sets out the way forward in all eight areas. It is also working with the thirteen Primary Care Trust clusters to develop local implementation plans further for handover to new bodies to ensure that there is a clear transition of responsibilities between 2012/13 and 2013/14. Page 1 of 128 1.5 In the South of England, the local NHS, universities and industry will be working together on the new architecture for innovation set out in Innovation Health and Wealth. This work is being led nationally by staff from NHS South of England and includes the creation of Academic Health Science Networks that will ‘align education, clinical research, informatics, training and education and healthcare delivery … their goal will be to improve patient and population health outcomes by translating research into practice and developing and implementing integrated healthcare systems’. Page 2 of 128 Section 2 Approach This section sets out the approach to implementation of Innovation Health and Wealth in NHS South of England Page 3 of 128 Page 4 of 128 2. Approach 2.1 Innovation activity across the South of England in 2012/13 is focused on three main aims: seeking out and applying innovative technology and practice that supports the delivery of demonstrably improved quality and productivity; developing the capability of individuals and the system; ensuring that in transition the impetus and focus is maintained, such that the health economy as a whole with its partners continues to discover, develop and deliver innovations that support continuous improvement in commissioning and the provision of care. 2.2 NHS South of England is working equally with commissioners (initially Primary Care Trust clusters but increasingly emerging Clinical Commissioning Groups and NHS Commissioning Board Local Area Teams) and providers (NHS Trusts, NHS Foundation Trusts but also the independent and third sectors) to embed Innovation Health and Wealth in local planning and delivery systems. Innovation Health and Wealth local implementation plans will be handed over to new organisations to enable a smooth transition without loss of momentum into the new commissioning architecture in 2013/14. 2.3 Early progress in NHS South of England on innovation over the past two years includes: delivering innovations that improve quality and reduce costs and that are strongly aligned to strategic priorities, as set out in Annual Innovation Reports; calls for innovation projects and for adoption projects that have resulted in more than 60 innovation projects being delivered each with a focus on quality and productivity; progress on all the high impact innovations in different parts of the NHS in the South of England; well established partnership work and initiatives to improve dementia care and support the commissioning of the community and voluntary sector; productive partnerships with academia and with industry across NHS South of England that have resulted in active participation in bidding for the Delivering Assisted Living Lifestyles at Scale (DALLAS) programme as well as work led by partners such as the Health Innovation and Education Clusters; extensive networks in place that support innovation; Page 5 of 128 clinical programmes that can support clinical engagement and that have supported clinical leadership of many innovation projects; South East Coast and South Central are two of only three Strategic Health Authorities nationally that have conducted Small Business Research Initiatives (SBRIs) and have innovative products both in development and already commercially available. Those that are commercially available will support the ‘Assistive technologies’ and ‘Digital first’ agendas; specific projects reported in the respective Strategic Health Authority Annual Innovation Reports – to be produced as a single NHS South of England document for 2011/12 in June 2012; educational and Expo events delivered to wide audiences across the South of England. Commissioning for Quality and Innovation (CQUIN) in 2012/13 2.4 Commissioners and providers were required to take into account the Innovation Review, Innovation Health and Wealth (December 2011) when developing local CQUIN schemes for 2012/13. This will be used as a pre- qualification criteria for CQUIN in 2013/14 and commissioners and providers must prepare for this during 2012/13. 2.5 It is also considered
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