147,087 members

Skip to content. | Skip to navigation


Martin Plackard’s implementation framework


Blog headlines

  • Structuring a PCN Social Prescribing Service for the post COVID world
    25 February 2021

    This week we have a blog by Nick Sharples.

  • Community-Oriented Integrated Care
    18 February 2021

    The blog this week is a short extract from a paper considering an approach primary care networks could use to move towards community-oriented integrated care.

  • Strategy Unit releases opensource model for planning vaccine centre capacity
    11 February 2021

    This week's blog is from The Strategy Unit who are sharing an opensource model to help with vaccine centre capacity planning.

  • Time to talk day
    4 February 2021

    A small conversation about mental health has the power to make a big difference.

  • Supporting Staff: the emergence of ‘long-covid’
    28 January 2021

    As we are now well into a second, or is it now the third, wave of Covid-19 it is becoming apparent that Covid is something we have not experienced before and it has unique implications for staff management. It is not just the possibility that staff may become acutely ill with the virus, but that for some they may go on to develop persistent debilitating symptoms that will affect their ability to go back to work. This article looks at the implications of long-covid for HR and service managers when looking to support health care professionals (HCPs) return to work.

  • Link of the week: Clinically-Led workforce and Activity Redesign (CLEAR)
    21 January 2021

    This week we are sharing a link to the Clinically-Led workforce and Activity Redesign (CLEAR) site that is funded by Health Education England.

  • So much more than an extra pair of hands
    14 January 2021

    The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

  • Primary Care Networks – how did we get here?
    7 January 2021

    This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

  • A year like no other
    17 December 2020

    On 5 July 1948 the NHS was born, over the last 72 years challenges and changes have been remarkable but the service has probably never been tested as much as in the last nine months. There have previously been numerous re-organisations, multiple changes to hospitals, mental health services and a shift from the family doctor towards more integrated primary care services delivered by a range of professionals. However, rapid transformation of services to embrace digital technologies, and a shift change to work differently has been forced upon all areas of the health service this year.

  • Guest blog: David Hotchin
    11 December 2020

    This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

  • What now for commissioning?
    3 December 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What now for primary care
    4 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

Friday, 5 July 2019

Martin Plackard’s implementation framework

This week, NHS Blithering's communications supremo Martin Plackard, looks forward to delivering the commitments of the NHS Long Term Plan. But first he has to reassure Sir Trevor Longstay, head of the Blithering STP, that the newly published NHS England Implementation Framework leaves plenty of scope for local determination

I am excited to start another landmark week at NHS Blithering where we have more success to celebrate and more initiatives to kickstart than ever.

It’s great to see that NHS England has published an implementation framework for the NHS Long Term Plan, which means we can finally start planning in earnest. We have about eight weeks to submit our draft five-year strategy ready for a full rollout before Christmas.

I brief Sir Trevor about the implementation framework so he doesn’t have to waste time reading it. He isn’t happy about the phrase “a practical programme…including a number of specific commitments”, but I warn him not to read too much into these words. They are not meant to be taken literally.

There are two different planning horizons, I explain. Any “practical” and “specific” items, or “outcomes”, refer to the ten-year term of the long-term plan. That will give us time for two five-year strategies, and possibly more if we allow for pauses, resets, refreshes and interim plans.

I urge Sir Trevor to think of our five-year strategy as the pre-specific, shadow implementation phase of a backloaded long-term plan.

He looks reassured.

I also remind him that the autumn spending review, the next prime minister, a change of government or the complete economic and social collapse likely to follow a no-deal Brexit may oblige us to revisit our planning assumptions long before we’re called to account.

“So we'll trot out the usual rubbish,” says Sir Trevor, genially.

“I prefer to think of it as building on the success of our last plan,” I say, in an effort to maintain a degree of gravitas.

“Jolly good, Plackard. Carry on,” he snorts, before toddling off to his next meeting.

I spend a productive afternoon drafting the five-year strategy. The NHS England implementation framework provides the chapter headings. I cut and paste the rest from our 2017 two-year plan Towards Transformation, taking care to remove references to vanguards, new care models and general practice and make numerous mentions of “integrated care systems”, “place” and “primary care networks”.

After that it only remains to align our key priorities with the national programme by making sure that the words “as part of the NHS Long Term Plan” appear at least once on every page.

I’m pretty pleased with the title. Planning to Deliver: the Next Five Years. It tells you everything you need to know about our level of ambition.

Editor: Julian Patterson


Mark BRANTON says:
Jul 11, 2019 01:34 PM

Very strange news letter, no relevant to North Lincolnshire. What are the Planning Assumptions?

Anonymous says:
Jul 11, 2019 02:05 PM

Glad you're back!
Excellent summary of how to navigate the new implementation framework successfully, re-hash the ones we did years ago and change the key words. That is literally what we've just done. Learn the new lingo and you're on for a winner, you could make a career out of writing a new policy once you've failed to implement the old one and still look highly successful....err hang on....hmmm