Implementing primary and acute care systems

New models of vertically integrated care
Date: 
Venue: 
The King's Fund, London W1G 0AN
Event type: 
One-day conference

About

About this event

Building on our report, Acute hospitals and integrated care, this event explored how acute hospitals must become more closely integrated with other forms of care to respond to the changing needs of the population.

The NHS five year forward view calls for a collaborative approach to improving patient care, and our event shines a spotlight on one of the new models of care which joins up GP, hospital, community and mental health services – primary and acute care systems (PACS).

Showcasing the opportunities and challenges faced by two of the recently announced vanguard areas, our expert speakers discussed and debated the future role of the acute hospital. Conference sessions examined how the PACs model promotes a greater proportion of care being delivered beyond the hospital walls, and hospitals having an increased role in prevention and population health.

The presentations and talks from the conference will be available soon.

Programme

Breakfast workshop: delivering health care in the home

Our breakfast event explored pioneering models of care that enable patients to receive acute hospital-level care in the comfort of their own homes. It brought together leading physicians from Australia, the United States and Italy, and was a chance to hear evidence-based approaches to meeting patients’ evolving needs outside of the hospital.

Welcome and introduction

Ruth Poole, Group Commercial Director, Healthcare at Home (UK)

Hospital in the home: definitions and models

Dr Michael Montalto, Director of the Hospital in the Home Programme, Royal Melbourne Hospital and Epworth Hospital (Australia)

Hospital at home: evidence and potential for the US health care system

Professor Bruce Leff, Associate Professor of Medicine, Johns Hopkins University School of Medicine (Baltimore, USA)

Questions and discussion

Session one: Opening plenary

Welcome and introduction

Professor Chris Ham, Chief Executive, The King's Fund

 Looking at the integrated hospital and primary care provider – primary and acute care systems

  • Progress made in delivering the NHS five year forward view and supporting the vertical integration of services.

Samantha Jones, Director of New Models of Care, NHS England

Acute hospitals and integrated care

Chris Naylor, Senior Fellow, The King's Fund

Questions and discussion

Session two: Spotlight on the vanguards – primary and acute care systems

Welcome back

Dr Nicola Walsh, Assistant Director of Leadership, The King's Fund

PACS – next step or final destination on the integration journey?

Jim Mackey, Chief Executive, Northumbria Healthcare NHS

Dr Alistair Blair, GP and Clinical Chief Officer, NHS Northumberland Clinical Commissioning Group

Redesigning services for local populations

Dr Andy Whitfield, Chair, North East Hampshire and Farnham Clinical Commissioning Group

An international perspective on vertically integrated care

Geraint Martin, Chief Executive Officer, Counties Manukau District Health Board (CMDHB)

Questions and discussion

Lunch, exhibition and networking

Session three: Delivering acute care beyond the hospital walls

Welcome back

Professor Chris Ham, Chief Executive, The King's Fund

Hospital in the home: how to build a 500 bed hospital that isn’t there – lessons from Victoria, Australia 1994 to the present

Dr Michael Montalto, Director of the Hospital in the Home Programme, Royal Melbourne Hospital and Epworth Hospital

Delivering the Active Recovery Pathway in Sheffield

Kirsten Major, Director of Strategy and Operations, Sheffield Teaching Hospitals NHS Foundation Trust

Ruth Brown, Operations Director, Combined Community and Acute Care Group, Sheffield Teaching Hospitals NHS Foundation Trust

Questions and discussion

Refreshment break, exhibition and networking

Session four: National context for driving the primary and acute system model forward

Welcome back

Michelle Mitchell, Trustee, The King’s Fund and Chief Executive, Multiple Sclerosis Society

Next steps: rolling out learning from the vanguard sites across the country

Ian Dodge, National Director, Commissioning Strategy, NHS England

Developing payment tariffs and competition laws that support the model

Paul Dinkin, Programme Director, New Models of Care Team and Provider Sustainability, Monitor

What do these new models mean for patients and providers?

Chris Hopson, Chief Executive, NHS Providers

Questions and discussion

Closing comments and close of conference

Speakers

Samantha Jones

Director for New Models of Care, NHS England

Samantha has a clinical background and brings substantial experience of the NHS to the Trust, as well as senior leadership in the private health care sector. She was previously a Director of Care UK, the largest independent provider of healthcare services in the country, following her role as Chief Executive of Epsom and St Helier Hospitals NHS Trust. Samantha was appointed Chief Executive of West Hertfordshire Hospitals NHS Trust in February 2013. In 2014 Samantha was awarded HSJ CEO of the Year and the Trust’s “Onion” was highly commended in the patient safety award. In January 2015 Samantha was appointed by NHS England as Director of New Models of Care and will lead the implementation of changes to health and care services outlined in the NHS Five Year Forward View.

Dr Michael Montalto

Director of the Hospital in the Home Programme, Royal Melbourne Hospital and Epworth Hospital

Associate Professor Michael Montalto graduated from University of Melbourne Medical School in 1986. Since 1993, he has devoted his career to research, policy, and clinical care delivery and development in Hospital in the Home. In 1999, he was awarded a PhD from University of Melbourne on quality indicators in Hospital in the Home care. He has established or remodelled 3 acute Hospital in the Home Units, and is currently the Director of Hospital in the Home at the Royal Melbourne Hospital (a large public teaching hospital) and Epworth Healthcare ( a large non-for-profit private hospital). He has cared for over 10,000 admissions in acute Hospital in the Home. He has been a member of the Victorian Ministerial Health Innovation and Reform Council since 2012.

Professor Bruce Leff

Associate Professor of Medicine, Johns Hopkins University School of Medicine (Baltimore)

Jim Mackey

Chief Executive, Northumbria Healthcare NHS Trust

Jim Mackey is a qualified accountant who joined the NHS in 1990 becoming a Director of Finance at North Tyneside Healthcare NHS Trust and then Deputy Chief Executive for the new Northumbria Healthcare NHS Trust.  Jim spent 18 months on secondment as Regional Director of Finance before returning to Northumbria as Chief Operating Officer in 2002. He was appointed Joint Chief Executive in 2003.

Jim acted as interim Chief Executive of Northumberland Care Trust in 2004/5 and returned to Northumbria Healthcare as sole Chief Executive in August 2005, leading the Trust to Foundation Status in 2006.

Dr Alistair Blair

GP and Clinical Chief Officer, NHS Northumberland Clinical Commissioning Group

Dr Andy Whitfield

Chair, North Hampshire and Farnham Clinical Commissioning Group

Geraint Martin

Chief Executive Officer, Counties Manukau District Health Board (CMDHB)

Kirsten Major

Director of Strategy and Operations, Sheffield Teaching Hospitals NHS Foundation Trust

Ruth Brown

Operations Director, Combined Community and Acute Care Group, Sheffield Teaching Hospitals NHS Foundation Trust

Ian Dodge

National Director, Commissioning Strategy, NHS England

Paul Dinkin

Programme Director, New Models of Care Team and Provider Sustainability, Monitor

Chris Hopson

Chief Executive, NHS Providers

Professor Chris Ham

Chief Executive, The King's Fund

Read Chris' biography

Chris Naylor

Senior Fellow, The King's Fund

Read Chris' biography