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System Reform and Organisational Design

System Reform and Organisational Design

The appropriate size and shape of NHS organisations continues to be a hot topic for debate.

NHS Networks has been supporting PCTs to be proactive in local debates about appropriate size and shape of local systems by facilitating debate and feedback across the system, developing tools and signposting knowledge of the current picture.

We are keen to widen the discussion to include members from the wider health system.

Case study: Mentoring for Success
Short report on how three Strategic Health Authorities worked with a consultancy firm to introduce a comprehensive mentoring programme. (Word, 28KB)

How is your organisation or health community approaching organisational design ?

Organisational Design Discussion Forum in Network Talk - Share your views in this public arenaSubmit information to share on this part of the site - Change practice, case studies, board papers, discussion papers, presentations, agreements, diagrams, internal and external communications...

Signposts

A Strategic Approach to Shifting Services and Resources  'upstream' from Acute Hospitals to Primary and Community settings is the title of a paper published by the Eastern Health and Social Services Board, Northern Ireland. The paper presents a strategic approach to moving £4.2m from hospital services 'upstream' to the Community, redeploying the £4.2m and creating the equivalent of 114 beds in schemes designed to keep people out of hospital or speed their discharge and return to independence. The four-page document is now available to download, together with three supplementary documents. For further information, please contact Anne Lynch.

Quality and Value: focus on productivity and efficiency
The NHS Institute for Innovation and Improvement has published a number of documents aimed at helping commissioners and providers identify where to focus for the greatest potential productivity and efficiency gains. There are digest and summary documents, but also a series of documents focusing on high volume Healthcare Resource Groups (HRGs) such as cholycystectomy, caesarean section, and hip and knee replacement.

Improving the improvement system - learning from the Improvement Partnership for Hospitals (PDF, 92KB)
Jointly published by the NHS Institute for Innovation and Improvement and Matrix, this document summarises the lessons learnt from the Improvement Partnership for Hospitals (IPH). It shows that IPH did have an impact, and that people were most likely to adopt clinical systems improvement ideas after training at local and national workshops.

Managing your career at a time of change - a report from a session for PCT Chief Executives at the NHS Alliance Conference, 2005 (50KB)
This report was prepared by Rick Stern, Special Advisor in Primary Care Management, NHS Alliance who was one of the facilitators. The other facilitator was Helen Fentimen, Honorary Secretary of the NHS Alliance and Chief Executive of South East Sheffield PCT. For more information or to discuss this further, contact Rick Stern  at NHS Alliance.

PCTs Fitness for Purpose Event 5th July 2005
Key figures from primary care, PCT leadership and academia get to grips with Fitness for Purpose

National Network of Directors of PCT Associations and Communities

65% of PCTs planning structural changes in next six months
NHS Networks snapshot survey results; detailed case studies coming; we can put you in touch with other PCTs facing a similar challenge or rooportunity

A review of the evidence on Organisational Development for Effective Commissioning in the NHS (Word 113KB)
James Murphy, PCT Development Manager at Norfolk, Suffolk & Cambridgeshire Strategic Health Authority outlines key drivers for current thinking around fitness for purpose for PCTs. James is happy to share his thinking with others and has provided contact details for those who wish to discuss further:James.Murphy@nscsha.nhs.uk

Organisational Design Toolkit (PDF, 202KB)
Developed from PCT leaders' participation in the Does Size Matter? Network events and intended to support PCT Leaders with that initial internal debate and provide the basis of a decision making process.

Reconfiguring PCTs: Influences and Options (PDF, 256KB)
Briefing paper by Professor Edward Peck and Dr Tim Freeman March 2005, HSMC Birmingham and NHS Alliance.

Our organisational design work programme:

Contact:

NHS Networks Associate Director: Ann Hepworth 07867 538165 ann.hepworth@nwlha.nhs.uk