Dr Mark Porter, chair of BMA Council
“Policymakers have tried to pretend that structural reorganisation and extending a competitive market can make up for lack of proper resourcing.
“NHS England’s Five Year View shows that you can’t, and contains a central message that the NHS needs a programme of sustained, long term investment that allows it to meet the difficult challenges that it currently faces. This is exactly what the BMA has been saying to policy makers for some time.
“When the NHS is given adequate resources it has a track record of delivering results. It is now for politicians to stop saying they understand this problem and act to give clinicians throughout the NHS the ability to deliver first rate care to patients.
“Many of the new models of working contained in these proposals could deliver benefits to patients and it is important that we look at new, flexible ways of working. As the report clearly states, the next Government must avoid another top down and expensive restructuring of the NHS that is driven by central political targets rather than local clinical priorities.”
RCP president Professor Jane Dacre
‘NHS England’s five-year plan offers several new models of care that echo the RCP Future Hospital report’s ideas of promoting integrated care and bringing care closer to the patient.
“The variety of new care models suggested in this thoughtful plan show that NHS England recognises the need for a flexible approach to providing local services, and supports integration of primary, secondary and community care much more effectively than before.
“The RCP’s recently published five point plan for the next government – Future Hospital: more than a building - asked for no top down reorganisation of the NHS, and for the removal of the financial and structural barriers to joined-up care for patients. We are therefore delighted that the plan recognises that top down reorganisation is not the way ahead, and that the default position for the NHS should be local reorganisation ideally arising from work to develop the new care models suggested in the plan.
“We also welcome the recognition of the need for transition funding to pump-prime and fast-track projects, and the awareness that the new models of care and service provision will need to be piloted and assessed for their effectiveness in improving patient care as well as reducing costs.”
Gill Bellord, director of employment relations and reward at the NHS Employers
“This is a positive programme that can help local services to adapt and plan their care in ways that are best for patients. NHS Employers looks forward to working with NHS England on this programme.
“The emphasis in developing new roles as part of improving models of care is an important one and employers will want to engage and involve their staff early in any changes. At a national level NHS Employers will work to support Health Education England in this area.
“We welcome further development around its call for new incentives to support better health and well-being, and strongly support this in principle. Effective well-being programmes are expanding rapidly in the NHS but aren’t always prominent enough in board-level planning. There is a lot of good work in the NHS around staff health and well-being and this is an area where we can - and should - act as an example for employers in other sectors.
“Employers support the continued emphasis on expanding community services, which is where the greatest gains can be made for public health, but many will want to highlight the ongoing financial strain from expanding their clinical workforce both in hospitals and the community.
“We welcome its recognition that modernising pay terms and conditions for NHS staff is necessary to reward them for the quality of the care they give, encourage new ways of working, and make the provision of services effective and sustainable seven days a week.”
David Hare, chief executive of the NHS Partners Network
“It is very welcome that NHS England recognises the importance of developing new models of care in order to protect and sustain a free at the point of use NHS. This will only be achieved by harnessing the skills and experience of all parts of the health service including independent sector providers.
“With more evidence available about the quality of NHS services delivered by the independent sector and the growing range of services being offered by independent sector providers it is clear that these organisations must play a big part in helping the NHS meet the demands of the future.
“NHS England’s renewed commitment to making good on patients’ legal right to choice is particularly welcome. Choice puts patients in control of the care they receive and when combined with meaningful comparative information enables patients to drive real improvements in the quality of local service provision.
“This issue must be put front of centre as NHS England and Monitor move to implement the proposals contained within the Five Year Forward View.”