The management of health care is poorly suited to single, simplistic, solutions; it is intrinsically complex, multifaceted and, crucially, needs to successfully meet varying local health needs.
The requirement to support, enable and facilitate innovation and change at the local level lies at the heart of the review Sir David Dalton is leading on provider models in the NHS. His brief is to “secure the clinical and financial sustainability of providers of NHS care by offering new options for organisational forms”.
There is a clear consensus that to ensure long term clinical and financial sustainability, providers need to rapidly move to different, more integrated services built around patients, and placing greater emphasis on care closer to home. This will require much greater collaboration and cooperation between providers than we currently see.