Influencing with impact

Change cartoon

Since the new government came into power in May, we have continued to ramp up our efforts to represent and support members on the key issues facing health and care services. 

Here’s a snapshot of what we’ve been doing over the past three months – and what's to come – on NHS finances, new models of care, care quality and the NHS workforce.

NHS finances

Getting the right funding settlement

  • Engaging extensively and meeting regularly with Number 10, HM Treasury and Department of Health to establish how the £8bn funding commitment will be phased and to secure a multi-year deal that will provide stability and support planned and purposeful change.
  • Working closely with the Local Government Association to influence the upcoming Spending Review, pushing for a sustainable long-term settlement for social care.

Achieving efficiencies

  • Leading work with the national bodies to engage members in planning how to deliver the £22bn of efficiency savings by 2020, with opportunities for more of our members to get involved in the work over the coming months.
  • Bringing our members together with the new minister for NHS productivity, Lord Prior, to sound out his views and feed into initial plans; follow-up meetings are scheduled for later in the year.
  • Feeding into the Carter review and holding a procurement conference to help NHS organisations harness their purchasing power to reduce waste and achieve maximum value for money.
  • Hosting the inaugural NHS Value Lecture at our annual conference in June with Prof Sir Muir Gray.
  • Working on NHS Future-Focused Finance's (FFF) 'Best Possible Value' strand delivery group.
  • Supporting the Academy of Medical Royal Colleges' 'Choosing Wisely' initiative, championing how clinicians can work with patients on the better use of resources.

Costing, payment and incentives

  • Representing members immediately following the objection on the 2015/16 National Tariff proposal, providing sense-making and support on the Enhanced Tariff Option.
  • Engaging members ahead of time on the 2016/17 National Tariff, continuing to work with our members, Monitor and NHS England on enhanced impact assessments to help national bodies understand the sustainability of proposed prices at a local level and pushing for long-term urgent reform in this area.
  • Working with Monitor’s costing team to help shape its costing strategy proposals.

Addressing immediate financial pressures

  • Reporting to the cross-party parliamentary committee on the guidance for trust special administrators (TSAs). The majority of our recommendations were incorporated in the final guidance published earlier this year.
  • Continuing to work with partners on the success regime process with a workshop with the national bodies in autumn to help shape its implementation.

New models of care

Delivering the Five Year Forward View

  • Leading work with the national bodies on developing a strategy for engaging NHS leaders on the Five Year Forward View Time to Deliver plans and developing resources to aid local implementation. 
  • Producing a discussion paper to provide early thinking on the role of community services in delivering the FYFV.
  • Establishing a cross-system commission, led by Dr Mark Newbold, focused on getting care models right across the urgent and emergency care system.
  • Our NHS European Office has been commissioned by NHS England to help the vanguard and pioneer sites understand innovative EU models of care with webinars and visits in the coming months to Sweden, Netherlands and Germany, prior to major EU models conference in March.

Integrating health and social care

  • Hosting a joint event for MPs and peers with the LGA and producing case studies demonstrating how the NHS and local government have been working together to redesign services.
  • Producing a joint report and hosted joint events with the LGA on integrating health and social care, with a follow-up event planned for the autumn.
  • Working with policymakers involved in the Better Care Fund (with monthly catch ups with Anne Radmore, BCF director, NHS England), ensuring we learn lessons from the planning process for BCF1 and to influence future BCF developments.
  • Our NHS European Office has brought together the full range of national ALBs involved in information governance to successfully push for changes to the revised EU law on data privacy, ensuring a flexible legal framework for sharing data across health and social care.

Achieving devolution

  • Monitoring the passage of and meeting with senior officials involved in drafting the Cities and Devolution Bill to fully understand the potential implications for the NHS. Our blog and explainer provide further information.

Quality of care

Safety, regulation and outcomes

  • Holding a dinner with Sir Mike Richards, David Prior and a range of members to examine the early lessons learned from the new inspections process.  
  • Hosting ongoing meetings with the CQC engagement team to push for a more system-based approach to regulation.
  • Meeting with David Behan to ensure early engagement on CQC’s regulatory strategy – we will be consulting with and keeping members updated.
  • Joining forces with NHSCC, LGA, ADASS and ACPO to produce an updated resource on adult safeguarding.
  • Representing members on the NHS Prevention Board, CQC Urgent and Emergency Care Advisory Group, NHS England Urgent and Emergency Outcomes Working Group.


  • Hosting meetings with members, national bodies back and Parliamentary and Health Services Ombudsman (PHSO) to discuss how the ‘blame culture’ in the NHS could be eradicated at all levels with plans for follow-up discussion later in the year.


  • Publishing a joint briefing with our AHSN members – Cracking the innovation nut – on the barriers and enablers to adopting and diffusing innovation at scale in the NHS.
  • Hosting three events, producing interactive presentations, videos and slide packs as part of our 'Health sciences and the NHS' project highlighting how the NHS can harness healthcare sciences to innovate and improve patient care.
  • Working closely with Paul Rice and his team at the National Information Board on local digital roadmaps and the digital maturity index planned for publication in the autumn. 
  • Our NHS European Office has been providing practical and strategic support for trusts targeting Horizon 2020, the EU’s flagship research funding programme, and European Structural and Investment Funds (ESIF), which support economic and social development projects.
  • Our NHS European Office has given bespoke advice to NHS trusts, AHSNs and LETBs across the country to help develop relationships with their Local Enterprise Partnerships (LEPs) – ensuring the NHS is placed firmly at the centre of local growth strategies and benefiting from subsequent investments in the areas of innovation, skills and employment and social inclusion.


  • NHS Employers, the workforce arm of the NHS Confederation, has been taking the lead in responding to the range of both immediate and longer-term issues facing the NHS, including seven-day services, recruitment, agency spend and the thorny issue of immigration.

Primary care

  • Producing a joint paper with NAPC on the future needs of the primary care workforce
  • Submitting written and oral evidence to Health Education England's Primary Care Workforce Commission.

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