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The seminars are being run by the ippr. For further information about these seminars, please contact Joe Farrington-Douglas at j.farrington-douglas@ippr.org. Seminar summaries will be published on this page as soon as they are available. Seminar 1: 16 November 2005 This first event explored how regulation has contributed to improvement in the past, and asked whether the market will offer enough incentives to replace regulation. It examined the implications would be for providers and staff working in the health system. The current review of health and social care regulation will examine the functions of all the regulators. With choice, contestability and Payment by Results being rolled out to drive improvement and responsiveness, should regulation be cut back to market regulation, quality assurance and patient protection, or should it continue to try and drive improvement through carrots and sticks? Have a look at Monitor’s discussion paper on this topic, Developing an Effective Market Regulatory Framework in Healthcare. The presentations given at the seminar can be downloaded below: How can regulation drive improvement? Lessons from regulating other public services: higher education What the NHS sees for the future of regulation There is also a summary of the presentations on the ippr website. Seminar 2: 5 December 2005 Current health reforms and overall health policy objectives rely heavily on effective commissioning. Primary care trusts (PCTs) are being reconfigured to increase their purchasing power and to reduce their role in direct provision of services. However, at the moment there are concerns about the ability and capacity of some commissioners within the health system. As direct provision is reduced, expertise could be lost by commissioners, creating challenges of expertise similar to those facing other sectors under best value. This seminar drew on the experience from other sectors to explore how PCTs can develop intelligent commissioning functions in the new patient-led NHS. Have a look at Monitor’s discussion paper on this topic, Developing Effective Commissioning in the NHS. A summary of the seminar will be available shortly. A summary of the seminar is available on the ippr website. Seminar 3: 19 January 2006 New models of healthcare provision, such as Foundation Trusts, were developed to devolve power away from the Department of Health to the communities they serve. They are intended to provide more local accountability and public involvement in health services. However, the extent of effective engagement and governance of public and Patients with Foundation Trusts has been questioned and public participation and governance in other health structures – such as PCTs and in primary care is underdeveloped. There is still a democratic deficit in health and as arguments about the most effective and equitable distribution of limited healthcare resources abound, this deficit looks increasingly significant. Primary care is set to be expanded following the white paper - but the lack of influence and involvement of Patients and public in primary care remains. This seminar explored issues of governance in the NHS. With an examination of the lessons from Foundation Trust governance models and assessment of how and whether they might be applied to other areas of the NHS, especially primary care. The speakers at the seminar were: Professor Rudolf Klein and Dr. Patricia Day - Lessons from Foundation Trusts' governance structures Peter Hunt, Chief Executive, Mutuo - Mutual governance models and primary care There is also a summary of the presentations on the ippr website. Seminar 4: 27 February 2006 Historical and structural boundaries between primary and secondary health sectors are frequently blamed for fragmenting patient care. Patients expect seamless pathways with effective team working. Institutional barriers can create inefficiencies and delays. Experiments with vertical integration of primary and secondary care in the UK and abroad have had varying success. The White Paper increases opportunities for new providers in primary care. Some Foundation Trusts, with greater freedoms to innovate, are keen to offer a wider range of services reaching out into the community and offering co-ordinated care, particularly for long term conditions. However, it is feared that expanding FTs might create an unbalanced market with unfair monopolies, preventing the creation of a primary care-led NHS. This seminar explored the benefits and risks of vertical integration. In particular, the case for and against the expansion of Foundation Trusts into primary care. The speakers at the seminar were: Dr John Coakley, Medical Director, Homerton University Hospital NHS Foundation Trust: Vertical Integration: you know it makes sense! Professor Chris Ham, Health Services Management Centre, University of Birmingham: Vertical integration and the NHS reforms: the missing link? Dr Pete Smith OBE, President, National Association of Primary Care There is also a summary of the presentations on the ippr website. Seminar 5: 20 March 2006 The final seminar looked at the lessons learned from the first year of Payment by Results. It focused on the policies and techniques for setting the PbR prices and debated the key questions of how the tariff should be developed in the future, and the relative roles of government and regulators. Have a look at Monitor’s discussion paper on this topic, Ensuring Payment by Results Enables System Reform. The presentations given at the seminar can be downloaded below: Liz Eccles, Deputy Director of Policy and Strategy - Payment by Results, Department of Health - Payment by Results: Setting the Tariff Jon Sussex, Deputy Director, Office of Health Economics - Future of Tariff Setting Dr Tim Richardson, GP, Chair of Epsom and Banstead commissioning group, Medical Director of Epsom Day Surgery Ltd - Effects of Payment by Results on Primary Care Commissioning and New Provider Services There is also a summary of the presentations on the ippr website. |