News

NHS Five Year Forward View (“5YFV”)

Purpose

To consider why change is needed, what success might look like, and how we might get there. The Forward View will provide:

  1. A clear vision, setting out the particular contribution that the NHS and others can make to the health of our nation, and the transformation required to meet the changing needs of current and future patients.
  2. A shared understanding of the extent and nature of the gap between where we are and where we need to be, including: the financial’ context for both demand and supply, the ‘health’ opportunity and the ‘care’opportunity – transformation requires all three to be addressed.
  3. A range of care models that could deliver transformation (the what) identifying the actions required at the local and national level to support delivery (how).
  4. Priority areas for targeting transformation, identifying what needs to happen to support delivery and the potential benefits for patients and taxpayers.
  5. Actions that we can take nationally to create the conditions for local action.

Outcomes

  • Set out the challenges and choices for action and further discussion.
  • Identify action that we can take nationally to create the conditions for local action to improve care for patients of today and tomorrow.
  • Greater clarity and consensus about our shared purpose and our respective roles and responsibilities in delivering this.

Work streams

In order to achieve our aims, the 5YFV will look at a range of issues including:

  • How can we improve the health of our population and what role might the workplace play in particular?
  • How can we support patients to be more active and engaged in their own health, and how can we improve the responsiveness of the NHS when they are ill?
  • What tangible steps can we take to support the carers and volunteers?
  • What are the new care models that could deliver integrated and responsive care, and how can we achieve delivery?
  • What is the true cost and value of the NHS to UK plc; how can we ‘future proof’ the NHS, taking advantage of technology, innovation and genomics?
  • What benefits will any recommendations provide for patients and taxpayers, and what is the underpinning model of change that will drive improvement?

Process

  • The NHS and social care system is not short of reports or evidence. Therefore, in the majority of areas we will not be commissioning new work, and instead will examine existing research for review and challenge.
  • In particular, we will draw upon the extensive engagement and consultation that formed the basis of A Call to Action, and the five-year plans developed by CCGs and NHS providers.
  • We will not run yet another lengthy and costly engagement exercise, asking people what they want from health and health care. We will draw upon existing research and work with National Voices and NHS Citizens to hold a Review and Challenge session with patients, to ensure that we have heard what they have said and to provide a common sense check on emerging proposals.
  • We will seek active engagement with a wider list of stakeholders upon publication of the report, which we will use as the beginning of a conversation with the wider system.

We welcome any relevant comments, research or contributions for us to consider and would be grateful if these could be sent to england.fiveyearview@nhs.net