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Published 15 December 2014
The pressure on NHS providers to improve performance whilst also embracing rapid transformative change shows no sign of abating.
Sir David Dalton’s Review “Examining new options and opportunities for providers of NHS Care” was published on Friday 5th December 2014. The Review sets out a number of recommendations focussed on achieving a greater consistency of quality across NHS service provision, assisted by speeding up the transactions required to implement the required models of care.
No prescribed organisational form should be nationally dictated to providers - local circumstances should inform any proposed solution.
The regulatory landscape to change organisational forms can be complicated, leading to resource draining and complex transactional processes. This often deters providers from engaging in transactions at all, stifling change. Save in exceptional circumstances, all transactions should be completed within one year from the date of approval of Monitor and/or the NHS TDA .
Ambitious and successful organisations wishing to 'spread their wings' should be 'credentialed' thereby allowing them to bid to take on the management of and/or acquire challenged organisations.
The Review recognises that the FT pipeline is in a logjam. If implemented, the actual categorisation of the remaining 93 NHS Trusts and their plans for sustainability will be published (although there is no definite timescale for this in the Review). Where NHS Trusts are categorised as not being in a position to reach FT status in their current form, batched procurements are suggested for mergers/acquisitions of those organisations, or other management arrangements such as franchising or management contracts.
Frontrunner organisations with well-developed plans for a new organisational form should be supported to become 'demonstrator sites', who would then share learning with other providers to facilitate wider and faster adoption over time.
We welcome the Dalton Review, as it sets out a clear recommendation for the implementation of a framework giving NHS providers more flexibility in developing local solutions to improve local patient care.
We are developing a web-based resource for providers seeking to understand more about the legal implications of the various models set out in the Dalton Review, with case studies of the projects we have been involved in.
We work with organisations who are already implementing this agenda:
London - Walbrook
+44 (0)20 7894 6531
+44 (0)113 251 4785
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