Making a reality of the Accelerated Access Review: Improving patient access to breakthrough technologies and treatments

Department of Health

The government has announced a new fast-track route into the NHS for “breakthrough” medicines and technologies. This will speed up the time it takes for patients to benefit from ground-breaking products for conditions such as cancer, dementia and diabetes.

From April 2018, the new ‘accelerated access pathway’ will mean products with the greatest potential to change lives could be available up to 4 years earlier. It will be done by reducing the time it takes to negotiate evaluation and financial approvals before the NHS can purchase the products.

Under the scheme, a number of products each year will receive ‘breakthrough’ designation. This will unlock a package of support allowing firms to accelerate clinical development and gain a fast-track route through the NHS’s approval processes.

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Transformational change

Leading Large Scale Change: A practical guide | NHS England Sustainable Improvement Team | NHS England Horizons Team

This guide from NHS England has been produced to help all those involved in seeking to achieve transformational change in complex health and care environments. This is a fully revised update of the original 2011 publication, responding to current health and care policy and practice, and introducing new concepts, tools and techniques to help deliver successful large scale change. It is relevant to all those involved in transformational change programmes such as Sustainability and Transformation Partnerships (STPs) and the development of new care models, and has relevance across public services.

The publication includes:

  • Updates on the leading transformational change models
  • The latest thinking from national and global improvement
    experts and change leaders
  • New tools, techniques and tips to help effectively progress
    large scale change programmes
  • Case studies and learning that will help leaders and
    change agents in health and care and across public
    services
  • Signposting to a host of new online resources including
    videos, presentations and digital media links.

Full document: Leading Large Scale Change: A guide to leading large scale change through complex health and social care environments

 

Use of Resources assessment framework

A framework for evaluating how providers are making use of resources, leadership and governance in order to provide high quality care that is efficient and sustainable | NHS Improvement

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Following sector-wide feedback, we’ve produced this framework, finalising our approach to the Use of Resources assessment. This will help us to better understand how effectively and efficiently providers are using their resources – including finances, workforce, estates and facilities, technology and procurement – to provide high quality, efficient and sustainable care for patients, and will help us to deliver tailored support to providers.

The Use of Resources assessment will also help us to identify providers’ support needs under the Single Oversight Framework (SOF), and deliver targeted support accordingly. We are now updating the SOF to reflect these and other changes in our oversight approach and will publish an updated version in October, following feedback.

Read the full overview here

Tackling variations in clinical care: Assessing the Getting It Right First Time (GIRFT) programme

The Getting It Right First Time (GIRFT) programme aims to bring about higher-quality care in hospitals, at lower cost, by reducing unwanted variations in services and practices | The King’s Fund

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Image source: The King’s Fund

It uses national data to identify the variations and outcomes, shares that data with all those concerned with a service – not only clinicians, but also clinical and medical directors, managers and chief executives – and monitors the changes that are implemented.

The programme began with orthopaedics and is now being rolled out to 32 different surgical and medical specialisms across the English NHS. Through an informal assessment of the programme, this paper sets out what the programme is, why it is needed, what is different about it, what it has achieved, what challenges it faces and what potential it has. It also contains vignettes illustrating hospitals’ experiences of the programme.

Best practice case studies

The NHS Confederation has published further case studies highlighting examples of best practice: