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Poor health and lower life expectancy has been in the news recently, but with so much on the agenda where should the immediate focus be?

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Where are we on QIPP delivery?

Jim Easton, NHS National Director for Improvement and Efficiency says: ‘Where are we on QIPP delivery? You will have your own views but here is my take, informed by the many discussions we have been having over recent weeks.’

Where are we on QIPP delivery?

Jim Easton

  • You have made a great start in communicating the scale and nature of the problem, and of how we should respond. There is widespread understanding now of the QIPP challenge. Of course that is now being tested as change becomes real, and I hear worries that we are losing the ‘Q’ for quality, which I am determined we do not do. 

  • Similarly there has been great work in developing local plans for QIPP delivery. Now is the time when they need to be translated into delivery and our focus with you will be on that, increasingly integrating our monitoring of that with performance processes to minimise bureaucracy. Of course the impact of organisational change is real, and the work we do on transition planning for reform has to address the question of how we deliver QIPP plans against that background.

  • The national workstreams are now producing their products to support local delivery. Local teams are working with John Oldham to redesign long-term condition care; we have sent every PCT information about their spend for different conditions and variations in provision; and we will publish jointly with the Foundation Trust Network the work they have done on lowering back office costs.

And overall we are continuing to make the links with the process of reform, also finalising over the next month the joint requirements for local QIPP and reform plans. 

The task remains huge and complex but the preparatory work we have done together places us in a good position. With April 2011 rapidly approaching, progress against early deliverables at a national, regional and local level is essential.