Keeping our clients informed on emerging governance and wider policy developments is central to our relationship strategy.
We do this in many ways, but the most visible and successful aspect of this support is through the regular networking events that we organise. We have built up a reputation for securing speakers of national and international renown to address our clients on highly topical and relevant matters. Non-executives are a key audience for us but many of our events are valued by the wider Board and senior management.
Friday, April 7, 2017
Location: Haydock Park Racecourse (Lancaster Suite)
MIAA’s Annual Health Check on the state of Health and Social Care was introduced by Tim Crowley, Managing Director of MIAA. Tim welcomed everyone to the event with a key question about the future sustainability of health and social care. He introduced the first speaker, Anita Charlesworth, Chief Economist, The Health Foundation who presented a coherent narrative on how the funding of the NHS was playing out with some key priorities/ challenges for Board members to consider.
Anita summarised the current economic and financial position, reviewing the financial spend, proportion of deficits and the share of annual increase in NHS England spend by sector. The biggest conundrum was where this earlier NHS investment had gone and the analysis pointed to the fact that almost 45% was in the Non NHS provider sector. It was clear that going forward 2018/19 is going to be very challenging. Anita emphasised that drug costs are now emerging as a growing cost pressure for the system.
Challenge: Are you focussing on your medicine costs and what assurances does the Board receive in respect of medicines management?
Anita also highlighted the changes in activity over the period 2013/14 to 15/16, which found that elective inpatient activity within the NHS had an average increase of only 2.4%, but the mix of activity is changing with an increased focus on Emergency and short stay and outpatient activity, all of which has implications for cost, delivery and finance models that has not yet been fully realised.
Challenge: Do you understand how activity is changing in your organisation together with the impact this brings operationally?
Her final focus was on the workforce which she believes is the biggest challenge. During the recent period of austerity, an analysis of the change in number of staff between 2010 and 2016, demonstrates an increase in consultant numbers of over 20%. However during this same period there has been a decrease in consultant productivity by 2.3% a year. Anita suggested that without a corresponding increase in nursing numbers the support is simply not available to maximise on this investment. The NHS won’t be sustainable unless this can be turned around.
· Do you know how productive your consultants are and what variation there is in their productivity from the national average?
· How are you assured that the staffing model and skills mix in your organisation delivers quality, safe and cost effective patient care?
· What are your workforce plans over the next 5-10 years that take account of the impact of Brexit?
Councillor Linda Thomas, Vice Chair of the LGA’s Community Wellbeing Board and Deputy Leader of Bolton Council gave the local authority perspective for adult social care funding . Linda reiterated the fact that adult social care transforms peoples’ lives and matters to us all and ensuring the sustainability of the sector was important to all those within local government and health. Linda outlined the scale of the cuts faced by local government and how local councils were struggling to close the funding gap. Linda outlined the importance of the additional funding secured within the recent budget, but that this could only be a short term, small scale support. Competing for funding with the NHS is not helpful and Linda advocated that mature relationships between NHS and social care was about having a joint intention, shared values and building trust on a local scale.
Our last speaker Chris Hopson, Chief Executive, NHS Providers started off his presentation by arguing that workforce challenges are as big as financial pressures going forward. Currently there is no strategic answer to this. His concern is that government interventions are not solving the underlying issues and are fixing short term problems in an unsustainable way. Chris talked through the “ storm clouds gathering” in terms of the political, financial and operational environment and posed the question “ is this mission impossible?”, given the cost/demand versus funding/ efficiency requirements.
Chris questioned the progress of STPs and the difficulties faced in terms of governance when the current legislation limits the delegation of decision making powers and Trusts/ CCGs have statutory powers. Progress is being made but this is not consistent. Chris finished by saying ‘You can sort the money relatively easily if you have to. You can’t sort workforce issues in the same way.’
Tim chaired a question and answer session with the panel and summarised the event. In difficult times heroic things are done.
Friday, March 17, 2017
Location: Ernst & Young Office - Manchester
Wednesday, March 1, 2017
Location: Hotel Football - Manchester
Friday, February 10, 2017
Location: Manchester United Football Club (The Knights Lounge)
Friday, January 27, 2017
Location: Mercure Haydock Hotel (The Wrexham Suites)