Two of the conference sponsors, Vifor Pharma and Janssen, ran breakfast workshops before the main conference. These workshops were open to all attendees and were entirely funded and organised by the sponsors.
Workshop 1: Tackling the issue of emergency admissions
The impact of anaemia and the prospect of reducing 15,000 emergency admissions and over 8,000 bed days each year
- Anaemia, identifying an opportunity
Liz Mills, Vifor Pharma UK
- What does care look like for anaemia patients in the NHS?
Professor Ceri Phillips, Swansea University
- Where to start? Putting recommendations into practice
Dr James Kingsland, National Association of Primary Care
This meeting was entirely funded and organised by Vifor Pharma UK Ltd.
Workshop 2: Creating a culture of innovation within a complex organisation
Johnson & Johnson Innovation as a case study and how can we learn from this in the NHS?
How can we create a culture of innovation within the NHS?
- Patrick Verheyen, Head, Johnson & Johnson Innovation, London
- Professor Richard Bohmer, Professor of Management Practice, Harvard Business School, Visiting Fellow, The King’s Fund.
The breakfast was chaired by Professor Richard Bohmer, Visiting Fellow, The King’s Fund, and Professor of Management Practice at Harvard Business School.
This meeting was entirely funded and organised by Janssen.
Session one: Reforming the NHS from within
Keynote: Transforming the NHS from within
Ed Smith, CBE, Deputy Chairman and Chair of the Audit Committee, NHS England
Panel discussion: lessons for the NHS
- How can organisations support clinicians to become leaders in improvement?
- How can staff and managers be empowered to make a commitment to shared decision-making?
- How can system leaders and policy makers support the NHS to reform from within, where improvement is based on collaborative commitment rather than compliance?
- What can organisations and managers do to enable staff to achieve continuous improvement and become a more engaged and motivated workforce?
- What kind of tools and systems are required to better support collaborative working, including reporting and monitoring, and how can we make best use of modern devices to support patients to live more independently?
Dr Tracey Batten, Chief Executive, Imperial College Healthcare NHS Trust
Dr Maureen Baker, Chair, Royal College of General Practitioners and Clinical Director for Patient Safety, Health and Social Care Information Centre
Dr Jennifer Dixon, Chief Executive, Health Foundation
Session two: Streams
Delegates had the choice of attending one of the following sessions:
A: Enhancing the role of patients – conversations for change
Chaired by: Alison Trimble, Leadership Associate, The King's Fund
This workshop provided an opportunity to explore with two experienced patient leaders new and creative ways to engage with patients in order to ensure their healthcare needs are met and they receive an excellent patient experience. The session was interactive and delegates came away with insights as to what they could do differently in their workplace to move this agenda forward.
Session led by:
- Mark Doughty, Director, Centre for Patient Leadership
- Alison Cameron, Patient Leaders and Associate of Mark Doughty Associates
B: Workforce development and empowerment
Chaired by: Nigel Edwards, Chief Executive, Nuffield Trust
An evolving workforce: what kind of workforce will be delivering healthcare in the future
Candace Imison, Deputy Director, Policy, The King’s Fund
Dr Richard Bohmer, International Visiting Fellow, The King’s Fund and Professor of Management Practice, Harvard Business School
Challenging the status quo: working collaboratively to make continuous improvements
Dr Steve Adler, Consultant Neurologist, Plymouth Hospitals NHS Trust
Workforce innovations and developments in Bromley-by-Bow
Dr Sam Everington OBE, Chair, NHS Tower Hamlets Clinical Commissioning Group and GP, Bromley-by-Bow
C: Incentivising continuous quality improvements
Chaired by: Catherine Foot, Assistant Director, Policy, The King's Fund
NICE Quality Standards and Indicators
Nick Baillie, Programme Director: Health & Social Care Quality (Acting), National Institute for Health and Care Excellence
Katy Steward, Assistant Director, Leadership, The King’s Fund
Quality Improvement Fellowship Programme
Professor Simon Gregory, Director of Education and Quality/Postgraduate Dean, NHS Health Education East of England
David Sexby, Complex Patient Support Lead, East of England Ambulance Service NHS Trust (EEAST) Gemma Holland, Specialist Occupational Therapist on Dual Frailty, West Hertfordshire Hospital NHS Trust
Session three: Making continuous improvement
Keynote: Reforming from within, supporting the NHS to make continuous improvement
Rt Hon Jeremy Hunt MP, Secretary of State for Health
- How can we move beyond short-term thinking to a clear long-term strategy for improvement?
- What can we do to engage clinicians, managers and staff in continuous improvement?
- How can we engage medical leaders in setting the pace for change?
- What can we do differently to make the most appropriate use of regulation and inspection?
- Dame Fiona Caldicott, Chair, Caldicott Review
- David Bennett, Chief Executive, Monitor
- David Behan, Chief Executive, Care Quality Commission
- Claire Marx, President, Royal College of Surgeons and Associate Medical Director, Ipswich Hospital NHS Trust
- Dr Richard Bohmer, International Visiting Fellow, The King’s Fund and Professor of Management Practice, Harvard Business School
Session four: Innovations and movements for change
Chris Naylor, Senior Fellow, Policy, The King’s Fund
Facilitated by: Robert Johnstone, Chair, Access Matters
B: The eHealth Innovation system - and the provision of integrated care - in the Region of Southern Denmark
Christina E. Wanscher, International Consultant, Health Innovation of Southern Denmark
Facilitated by: Matthew Rice, Senior Consultant, Leadership Development, The King's Fund
C: The Spiral Health story - how social enterprise is innovating local health services
Tracey Bush, Managing Director, Spiral Health
Facilitated by: Rebecca Gray, Director of Communications, The King's Fund
D: Right Care: a high impact approach for delivering long term improvement and sustainability across the health and social care economy
Bridget Fletcher, Chief Executive, Airedale NHS Foundation Trust
Facilitated by: John Appleby, Chief Economist, The King's Fund
Session five: Power to patients, staff and organisations
How strong and stable leadership from managers and clinicians can make a positive impact: the experience of Salford Royal
Sir David Dalton, Chief Executive, Salford Royal NHS Foundation Trust
How informed decision-making empowers patients and improves health outcomes
Dr Aseem Malhotra, Cardiologist
Closing keynote: Pursuit of the perfect patient experience: how Virginia Mason became a high performing healthcare system
Sarah Patterson, Executive Vice President and Chief Operating Officer, Virginia Mason
Summary and closing comments
Professor Chris Ham, Chief Executive, The King's Fund
Close of conference
Rt Hon Jeremy Hunt MP
Secretary of State for Health
Sir David Dalton
Chief Executive, Salford Royal NHS Foundation Trust
Sir David is Chief Executive of Salford Royal NHS Foundation Trust – an integrated provider of hospital, community and primary care services, including the University Teaching Hospital. The Trust has a turnover of £440m, employs 6,500 staff and provides local services to the City of Salford and specialist services to Greater Manchester and beyond.
Sir David has been an NHS Chief Executive for over 20 years, serving at Salford Royal for 13 years. He has a particular interest in quality improvement with a focus on improving patient safety and service reliability. He is leading a programme to achieve the lowest mortality rate in the NHS and to achieve harm-free care for the patients of his Trust. He has served this year on the Berwick Review of Patient Safety which reported its recommendations to the Prime Minister last year. Salford Royal has the highest rating in both the NHS staff satisfaction and NHS Patient Satisfaction surveys of any Acute Trust in the 2013 surveys.
Sir David is currently working with colleagues in primary and social care to develop a new integrated care service in Salford with its triple aim of improved outcomes, better experience and lower cost. He Chairs the Haelo Group which organises improvement activity with Salford Partners to improve the health of the population.
He is Vice Chair of the Greater Manchester Academic Health Science Network which aims to improve health through better adoption of evidence of best practice and to improve wealth in the city region with a better interface with industry between NHS and University partners to adopt new devices and technologies.
Sir Chris Kelly
Chair, The King’s Fund
Professor Chris Ham
Chief Executive, The King’s Fund
Chief Executive, Care Quality Commission
President, Royal College of Surgeons and Associate Medical Director, Ipswich Hospital NHS Trust
Ed Smith CBE
Deputy Chairman and Chair, Audit Committe, NHS England
Ed is a former senior partner, Global Assurance COO and Strategy Chairman of PricewaterhouseCoopers (PwC), where he had a 30 year career holding many leading boards (including human capital, global learning and development and innovation) as well as top client roles in the UK and globally.
He now enjoys a largely philanthropic and public service portfolio of board roles in sustainable development, higher education, transport, sport, health and thought leadership as well as a number of commercial interests. He is also Pro-Chancellor and Chairman of the University of Birmingham. He is a former Deputy Chairman of HEFCE where he served as a Board member and Chairman of the Leadership Governance and Management Committee. He is a member of the UK Competition & Markets Authority, which reviews proposed acquisitions and markets for adverse competition outcomes.He is a non executive Board member of the Department of Transport where he provides oversight of all major infrastructure investments. He has recently been appointed as non executive Chairman of Crown Commercial Services, a Trading Fund in the Cabinet Office.
In addition, he is a Member of Council & Treasurer of Chatham House and has recently stood down from the Board of Opportunity Now, the leading gender campaign within Business in the Community as well as being a member of the Commission on the Future of Women's Sport. He was Chairman of The Student Loans Company, Chairman of British Universities & Colleges Sport and Chairman of WWF-UK and a member of the WWF International Board between 2007 and 2014.
Dr Niti Pall
Managing Director, Pathfinder Health India
Chief Executive, Monitor
Dame Fiona Caldicott
Chair, Caldicott Review
Dame Fiona Caldicott is the Chair of the Oxford University Hospitals NHS Trust and was appointed Chair of the Independent Information Governance Oversight Panel in June 2011. Since 2012 she has led an independent review of information governance for the Secretary of State for Health, producing the first report in March 2013. Its recommendations having been accepted she has since chaired the Independent Information Governance Oversight Panel.
Dame Fiona is an Honorary Consultant Psychiatrist, having been Consultant and Senior Clinical Lecturer in Psychotherapy for the South Birmingham Mental Health NHS Trust. She worked there as a Unit General Manager and as a Clinical and Medical Director in that Trust.
As President of the Royal College of Psychiatrists (1993-1996) she was also Chair of the Academy of Medical Royal Colleges (1995-1996). From 1996-1997 she chaired the Caldicott Committee on patient identifiable data for the National Health Service Executive, leading to the creation and appointment of a number of ‘Caldicott Guardians’ in all Providers in the NHS.
Specialist Occupational Therapist on Dual Frailty, West Hertfordshire Hospital NHS Trust
Gemma Holland is a specialist Occupational Therapist working on The Dual Frailty Unit at Watford General Hospital, West Hertfordshire Hospital Trust. She has completed a Quality Improvement Fellowship run by Health Education East of England and The King's Fund. Her interests are in dementia and delirium. She is currently involved in the design and implementation of a Delirium Recovery Programme in collboration with Dr Tammy Angel consultant geriatrician and finalist for HSJ Inpirational Woman of the year 2014.
Dr Maureen Baker
Chair, Royal College of General Practitioners and Clinical Director for Patient Safety, Health and Social Care Information Centre
Dr Tracey Batten
Chief Executive, Imperial College Healthcare NHS Trust
Professor of Management ePractice, Harvard Business School and International Visiting Fellow, The King's Fund
Director, The Centre for Patient Leadership, and Director, Mark Doughty Associates
Mark is a director of The Centre for Patient Leadership and director of Mark Doughty Associates Ltd. Using his experiences of living with LTCs and with over 25 years of supporting people with illness, injury and disability develop their leadership potential Mark has pioneered the design and implementation of patient leadership learning and development in the NHS. Since 2011 he has supported the development of over 700 patient leaders and he has been shortlisted for national and international awards for his work in this field. His programmes have been used as a template by organisations in the NHS in order to develop their patient leaders. He is also a member of the Faculty at the NHS Leadership Academy, and he advises organisations on how to engage effectively with patient leaders.
Patient Leader, and Associate, Mark Doughty Associates
Alison Cameron had ten years’ experience running international development projects notably in the Chernobyl zone. Her career was cut short when she was diagnosed with PTSD after the death of her colleagues in the course of her work. Consequences included multiple admissions to hospital, homelessness and identity loss. She became motivated to use her experiences to bring about change and she now advises NHS and social care organisations on working in genuinely equal partnership with those using services. She is a Fellow of CLAHRC North West London and the first Patient Leader to be admitted to the NHS Leadership Academy. She was also named by the Health Service Journal as one of 50 Inspirational Women in Healthcare for 2014. She is an associate of Mark Doughty Associates supporting the development of patient leaders.
Director, Leadership Development, The King’s Fund
Director of Policy, The King’s Fund
Leadership Associate, The King's Fund
Dr Steve Allder
Consultant Neurologist, Plymouth Hospitals NHS Trust
Director, Nuffield Trust
Nigel Edwards is Chief Executive at the Nuffield Trust. Prior to becoming Chief Executive in 2014, Nigel was an expert advisor with KPMG’s Global Centre of Excellence for Health and Life Sciences and a Senior Fellow at The King’s Fund.
Nigel was Policy Director of the NHS Confederation for 11 years, where he remains an honorary visiting professor.
Nigel has a strong interest in new models of service delivery and a practical focus on what is happening at the front line as well as a wealth of experience in wider healthcare policy in the UK and Internationally.
Associate Director, Quality Standards and Indicators, NICE
Nick is currently Programme Director for the Health and Social Care Quality at NICE. The team is responsible for NICE’s new work on social care; quality standards across public health, social care and healthcare; and indicators for the Quality and Outcomes Framework (QOF) and Clinical Commissioning Group Outcomes Indicator Set (CCG OIS). He has previously worked at NICE in the implementation programme and a number of quality improvement roles in the NHS.
Professor Simon Gregory
Director of Education and Quality and Postgraduate Dean, NHS Health Education East of England
Simon is Director of Education and Quality(DEQ), Health Education England, Midlands and East, having been DEQ & Postgraduate, Health Education East of England. He is also Regional Postgraduate Dean, University of Cambridge and Visiting Professor at Norwich Medical School, University of East Anglia (UEA) and Anglia Ruskin University (ARU), and a Fellow of Homerton College Cambridge. He is COPMeD Lead Dean for Selection and Recruitment, Obstetrics and Gynaecology, Sexual and Reproductive Health, Pre-Hospital Emergency Medicine and Nutrition. Simon also chairs the HEE Medical and Dental Recruitment Group and sits on the Genomics Advisory Board (co-chairing the Implementation sub-group), serves on the HEE Medical Workforce Advisory Group and is a Board member of the Anglia Ruskin University Postgraduate Medical Institute.
Simon is clinically trained and continues as a part-time salaried GP in Northampton. His research interests are curriculum development, selection methodology and “value-added” in medical education, and his clinical interests respiratory medicine and women’s health.
Outside of medicine and healthcare education Simon’s interests include being Medical Adviser to the Scout Association Safeguarding Team, Chairman of Northampton High School Board of Governors, being a season ticket holder at Northampton Saints RFC, woodturning and reading.
President, Royal College of Surgeons and Associate Medical Director, Ipswich Hospital
Clare Marx has worked as an orthopaedic surgeon at Ipswich Hospital NHS Trust for over 20 years. She studied at medicine at University College London Medical School qualifying in 1977. In 1990 was appointed a Consultant Orthopaedic Surgeon at St. Mary's Hospital and St Charles Hospital London with a particular interest in early surgical education. In 1993 she moved to Ipswich hospital becoming clinical director of the combined A&E, Trauma & Orthopaedics and rheumatology directorate. She is currently Associate Medical Director for at the trust with a special remit for revalidation and appraisal. She was elected to RCS Council in 2009 and took up the Presidency of the College in July 2014.
Senior Fellow, Policy, The King's Fund
Christina E. Wanscher
International Consultant, Health Innovation of Southern Denmark
Christina E. Wanscher has been working in the field of digitalisation and innovation in the health and social care sectors on a national as well as European level for more than ten years. Today, she is the International Coordinator at the Health Innovation Centre of Southern Denmark, where she is responsible for coordinating the engagement in international activities and projects for the Region of Southern Denmark.
Among her many activities, she has been the Deputy European Coordinator of Renewing Health, as well part of the Danish specialist team in SmartCare. She is also actively involved in the Region of Southern Denmark’s activities in the European Innovation Partnership on Active and Healthy Ageing as well as in the LifeKIC application. She is active in the Scientific Committee of the 15th International Conference of Integrated Care.
Wanscher’s presentation will give an insight into the eHealth innovation system in the Region of Southern Denmark and how ICT solutions have empowered patients with a chronic condition.
Chief Executive, Airedale NHS Foundation Trust
Bridget was appointed Chief Executive of Airedale NHS Foundation Trust in July 2010. She had previously been Chief Operating Officer/Chief Nurse. She joined the Trust as Director of Nursing in 2005. Prior to this she held senior management roles in other NHS Trusts and was responsible for acute health services and professional nursing services. As Chief Operating Officer/Chief Nurse, Ms Fletcher's main focus was on embedding patient quality and safety systems across the organisation.
As Chief Executive she is now concentrating on leading whole system redesign to help create a sustainable local health and social care economy. This means leading a radical change from a mainly traditional medical hospital dominated delivery model to one based on diversified services, designed in partnership with commissioners, providers, commercial partners and the community, delivered at the most appropriate point for patients. Patient orchestrated care, at home/closer to home enabled by technology is at the heart of Ms Fletcher's strategy to deliver the organisation’s Right Care vision.
Executive Vice President and COO, Virginia Mason
Managing Director, Spiral Health
Tracey is Managing Director of Spiral Health. In April 2012, Spiral Health was the first social enterprise to take over an NHS hospital, converting it into a community interest company owned and run by its staff. Spiral Health now runs two nurse-led rehabilitation units near Blackpool, has been praised for its work on employee engagement and has achieved national recognition for its pioneering approach to patient care. Tracey says, ‘I believe that social enterprise has a role in the provision of local health care. At my organisation we have an energised workforce which owns the company and cares about its reputation. We have the autonomy to make our own decisions and stand by them - and we forge relationships with GPs and community teams, which means our patients benefit from a merging of health and social care.'
Tracey began her career as a registered general nurse and has worked for a number of large charities including Creative Support, Alternative Futures Group, Leonard Cheshire Disability, the Walsingham charity and the Royal Preston Hospital. She joined Spiral Health in 2012, in a role which allows her to consolidate the skills and experience she has gained working in health and social care for over 20 years.
Dr Jennifer Dixon
Chief Executive, The Health Foundation
Jennifer was Chief Executive of the Nuffield Trust from 2008 to 2013. Prior to this, she was director of policy at The King’s Fund and was the policy advisor to the Chief Executive of the National Health Service between 1998 and 2000. Jennifer has undertaken research and written widely on health care reform both in the UK and internationally.
Originally trained in medicine, Jennifer practised mainly paediatric medicine, prior to a career in policy analysis. She has a Master’s in public health and a PhD in health services research from the London School of Hygiene and Tropical Medicine. In 1990, Jennifer was a Harkness Fellow in New York. She is currently a trustee of NatCen Social Research and joined the board of the Care Quality Commission (CQC) in July 2013. In addition, Jennifer is a visiting professor at The London School of Economics and Political Sciences, Imperial College and the London School of Hygiene and Tropical Medicine. In 2009, Jennifer was elected a fellow of the Royal College of Physicians. She was awarded a CBE for services to public health in 2013.
Dr Aseem Malhotra
Dr Aseem Malhotra is an Interventional Cardiologist and this year has been appointed as Consultant Clinical Associate to the Academy of Medical Royal Colleges. He is the Science Director of campaign group Action On Sugar and is Honorary Consultant Cardiologist at Frimley Park Hospital. He has been the central catalyst in igniting the debate around the harms of excess sugar consumption in the UK through commentaries in the BMJ and mainstream media. Aseem has managed to galvanise leading academics, the media and politicians into making sugar reduction a health priority and has been invited twice to 10 Downing Street in the past year because of his tireless campaigning on tackling the obesity epidemic. In October last year he busted the myth of saturated fat and heart disease in the BMJ in a commentary that became one of the most read medical journal articles in the world for 2013. His assertions appear to be correct with many subsequent studies implicating sugar as an independent risk factor for cardiovascular disease and possible protective effects of saturated fats from dairy foods in two large scale Cambridge MRC studies.
Aseem gave a speech at the British Medical Association's annual representative meeting in June last year where his motion calling for a ban on the sale of all junk food in hospitals received an overwhelming majority. He has developed a passion for writing on various health related issues. He has published numerous articles in various publications, incluing the Guardian, Observer, BBC online, Huffington Post, Daily Mirror, Daily Mail, Daily Telegraph and the Sun. He also has an 'Observations from the Heart' column in the BMJ.
He regularly makes appearances on major news channels including BBC, Sky News, ITV and Channel 4 and is not afraid to take on vested interests that engage in behaviours that he believes undermine public health. Most recently Aseem co-authored a letter to NICE highlighting possible biases in their recent recommendations for prescription of statins to those at low risk. This letter was also signed by the president of the Royal College of Physicians, Sir Richard Thompson and Clare Gerada. Aseem has managed to engage respectable medical bodies and celebrity figures such as Jamie Oliver and former England football captain Steven Gerrard in campaigns to improve school food and ensuring access to automatic defibrillators in all public places. Thanks to Aseem's work this has now become government policy that AEDs will be introduced into all new schools. He is on the British Heart Foundations chain of survival steering group.
He is concerned about the harms of over diagnosis and over treatment and has been instrumental in bringing the BMJ's 'Too Much Medicine' campaign to mainstream media for public awareness. Aseem was recently named in the London Evening Standard's top 10 'super smart set' in their 1000 most influential list. He has also made the Health Service Journal's top 50 BME outstanding contribution to health care list for the past two years in succession. Aseem has been arguably the most influential secondary care doctor in the UK on issues that effect public health in the past year.