Maxine Powers, National Improvement Advisor at Department of Health, addresses Why QIPP and why now?, Programme design, National Work stream plans for safety and the role and contribution of AHPs. COT Annual Conference 2010 (22-25 June 2010)

1. QIPP: increasing productivity using existing resources 23 rd June 2010 College of Occupational Therapists 34th Annual Conference

3. Quality, innovation, productivity & prevention Q IPP QI P P QIPP QIP P QIPP

4. “ Our best chance lies in focusing on improving quality and productivity, linked together by innovation driving sustained improvements across the system.” David Nicholson, ‘The Year’, May 2009 The approach to the challenge is a focus on both quality and productivity

5. The QIPP programme will support the NHS to meet the challenge Supporting commissioners to commission for quality and efficiency – e.g. through improved clinical pathways, decommissioning poor value care Provider efficiency – supporting providers to respond to the commissioning changes and efficiency pressures by transforming their businesses Shaping national policy and using system levers to support and drive change e.g. primary care contracting & commissioning Care closer to home More standardisation Earlier intervention Empowered patients Fewer acute beds Reduced unit costs Characteristics of a sustainable system: Areas covered by Quality, Innovation, Productivity and Prevention (QIPP) programme

7. Action to deliver the programme will be needed at every level of the system Local action – without support Local action – with support Regional action – shared work Regional action – one leads National action Other networks

8. LTCs Safe Care Right Care Back office EOL Care Pathology Digital Procurement Staff Medicines Primary Care Urgent Care Tariff Contract PBC Commissioning Competition National programmes Enablers e.g. Assurance and alignment £15-£20bn savings The current architecture of our response There are three main components to the work which need to align London S Central S West W Mids E Mids SE Coast E England Y / Humber N West N East Regional plans

10. What’s worked? MRSA Bacteraemia & C. difficile

11. What have we learned? http://www.mortality-trends.org Death from falls A decade of stability! 851 per year since 2000

14. Occupational therapy & QIPP Care closer to home More standardisation Earlier intervention Empowered patients Fewer acute beds Reduced unit costs Characteristics of a sustainable system : Safe Equitable Effective Patients empowered Efficient Quality Healthcare :

17. Stroke Services - Warrington OT within 4 days 73% to 90% Length of stay 25 to 15 days MDT work across boundaries

18. Individuals Lead Change

20. “ You may never know what results come of your action, but if you do nothing there will be no result” Mahatma Gandhi