Shared principles

These are the shared principles for the future of health and social care that emerged form the Leading Clinical Commissioning event held by NHS Birmingham East and North on 20 and 21 July 2010. Add your views in the comments below.

Patients

• Commit to ‘no decision about me without me’ at individual, local and Birmingham level
• Delivers and hears the needs of patients
• Focus on wellness and empowerment
• Empowers patients to take control of their own healthcare having been given information to do so
• Redesigned around patients to respond to their needs
• Engage patients in the design, delivery and evaluation of services
• Responsive and adaptable to patient need that provides information and incentives to promote responsibility, self care and informed choice
• Keep patient informed, involved, satisfied and healthier

System that can manage its resources that is sensitive to needs inclusive of a wide range of stakeholders and equitable

• Make best use of available resources
• Allocate resources efficiently and fairly
• Delivers value for money
• Identify and respond to prioritising budgets/resources to deliver quality
• Promote cost awareness to aid alignment of clinical decisions to a financial consequence
• Make wise decisions about effective use of resources to balance books
• Assure us that as tax payers our money will be used effectively to improve health and social care outcomes

Recognise the needs of the whole population, in a locality, and deliver services that meet those diverse needs

• Engage and act at both strategic and local level
• Deliver top quality care appropriate to the population it serves

All stakeholders become enabled together

• Values patient, clinical and managerial experience and values prevention as much as it values treatment
• Clear rules of engagement and dispute resolution
• Treats people with dignity and respect at all levels
• Dignity for all patients
• Respect for all healthcare professionals
• In all care and community settings
• Win Commitment to a shared vision and values through inspired leadership

Outcome

• Place safety and quality at heart of every decision
• Deliver good health, social, and lifestyle outcomes
• Measure quality of care on outcomes
• And will continue to improve standards
• Improve health and reduce health inequalities
• For us as patients we want involvement and information so that we can be confident we are getting the right care delivered in the right way for us at the right time and place

Incentivise individual and organisations to share information and work together in the best interest of the patient

• Communicate simply
• Be easy to understand, simple communication, accessible to all
• Can listen
• Share good practice and how it is applied
• Understands who commissions what in the whole system (i.e. subsidiarity includes specialist commissioning, local authority commissioning, consortia and individual commissioning)
• Easy to understand and navigate

Capture, promote and build on innovation

• Builds on existing strengths and adapts
• Maintain organisational memory
• Innovate, learn from its mistakes, learn from the best, improves outcomes and quality

Handle complex adaptive change

• Adapt
• Has a solid infrastructure but retains flexibility

Safeguard services for vulnerable people

• Makes me want to come to work, respects my professionalism and rewards me accordingly

Empower clinicians and patients to improve health within a defined budget

• Supports all 30,000+ staff in Birmingham to believe they can make a difference and supports them to do so

Open and honest system and is not only aspirational and actually works

• Be transparent with high quality standards whilst cutting bureaucracy
• Be honest
• Provide freely accessible, good quality, contemporaneous data from anywhere within health and local authority system