Forward View and the 2015 Challenge

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The NHS Five Year Forward View reflects most - but not all - asks in the 2015 Challenge, a campaign led by the NHS Confederation with 20 other health and social care organisations

See our slide set for members only, outlining the key points from the Forward View.

What we asked for in the 2015 Challenge Manifesto 

The Five Year Forward View

Prioritise prevention and wellbeing Emphasises this and includes specific measures
No top down structural reorganisation Urges no top down structural reorganisation 
Avoid mandatory ‘one size fits all’ models for service change  Sets out a range of models for local areas to adapt and choose
Politicians to play a leadership role in ensuring debates about service change are constructive Clear that local service change will need explicit support from the next Government 
Make available a range of organisational models for providers, and clarify intentions for FT pipeline Outlines some potential organisational models but says nothing on FT pipeline 
Sector led programme to support NHS to adopt self management Sets out programme of support for self management
Equip and support staff to work in new models of care, and help build consensus on expectations and support for 7 day working Commits Health Education England to leading work to develop workforce for new models of care. Reference to 7 day working implementation framework 
Concrete plans for making mental health care as accessible as physical health care  Strong emphasis on parity of esteem, but no new commitments and plan to support this needs more work 
Develop simplified outcomes framework, aligned across health and social care  Not covered 
Ensure right conditions in place for locally led deployment of innovations to underpin better models of care  Emphasises importance of this, but does not outline solutions 
Facilitate longer term approaches to investing in service change  Nothing on this 
Commit to making faster progress towards new payment mechanisms  Recognises importance of redesigning payment system, but nothing on speeding it up 
Put in place a transition fund of at least £2bn per year  Commits to developing model for a Transformation Fund (funding would require ministerial decision)
Political parties must recognise their accountability for funding health and care adequately  Sets out clearly the need for political decision re: additional funding, also mentions impact of social care on demand 

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