The strategy driving the system in England comes from the Five Year Forward View (FYFV) developed in 2014 and then reviewed in the next steps to the forward view in 2017.
In addition, NHS England also published the Five Year forward view for mental health This sets out to improve the provision of mental health services, improve the funding available and raise the profile of mental health. The work is overseen by the NHS mental health taskforce.
To understand how this is being implemented see our Sustainability and Transformation Partnerships (STPs) page. The STPs are developing into Accountable Care Systems (ACS) – alliances of providers and commissioners within a geographical area working together to meet the needs of a defined population.
ACSs are seen as the first step between the STP and becoming an Accountable Care Organisation (ACO) – a multidisciplinary and multi service with a single single-provider having overall responsibility for managing the service, including the funding, resources, staff and patients services. The Kings Fund has further information on Accountable Care Organisations (ACOs).
Another key driver is to reduce variation in care to improve quality and safety across the system. The NHS Atlas of Variation in Healthcare tool identifies where opportunities to address unwarranted variation exist, by revealing the possible over-use and under-use of different aspects of healthcare.
NHS Right Care uses evidence on outcomes and variation to make sure care is delivered in the best way possible. Getting it Right First Time (GIRFT) is a programme that also builds on variation in clinical specialities and practice to support implementation of what works.
Engagement with the public in health and care plans is essential and there are various mechanisms to support this:
NHS Choices - further information on the structure of the NHS
NHS England - has a helpful introduction to the NHS
NHS Clinical Commissioners - the membership organisation of clinical commissioning groups
New NHS Alliance - a movement of people and organisations committed to building a sustainable, community-based health service