By 2018……..

Ian Atkinson

Accountable Officer

NHS Sheffield CCG

My journey

The drivers for change

And further…..

A few fiscal facts

• £1.6 billion: The value to the public purse of every one per cent of public sector staff time saved through a productivity measure.

• £1 billion a week: What the UK state already spends on debt interest – more than it spends on education.

• 2044: The year the UK’s spending on servicing debt will overtake spending on public services – if it fails to eliminate the deficit.

• £1.63 trillion: The state’s net liability at last count (2012-13) – an increase of £283 billion year on year, and the biggest rise since the start of public sector-wide accounts in 2009-10.

Industry views

“The UK is half way through a far-reaching fiscal consolidation programme that is reducing the size of the state.

“The public sector reform required to achieve the second half looks set to alter the way that many public bodies operate. And the Scottish Referendum has triggered a fundamental rethink of how power is devolved across the UK. In the next five years, the UK and its public sector will change profoundly”

Deloitte – The state of the state 2014/15

Health and Care

• radical upgrade in prevention and public health• we will advocate for stronger public health-related powers for local

government and elected mayors• when people do need health services, patients will gain far

greater control of their own care• patients will gain far greater control of their own care• the NHS will take decisive steps to break down the barriers in

how care is provided• England is too diverse for a ‘one size fits all’• the Multispecialty Community Provider• the integrated hospital and primary care provider – Primary and

Acute Care Systems

Conclusion..

Delivering on the transformational changes set out in this Forward View and the resulting annual efficiencies could – if matched by staged funding increases as the economy allows – close the £30 billion gap by 2020/21

Devolution

ManLeeSheffPool

The Northern Powerhouse• An elected mayor for Greater Manchester in return for

devolution cash• It's expected to be confirmed the Greater Manchester councils

will agree to a single elected mayor - in return for a one billion pound devolution package.

• The ten local authorities are thought to have agreed a deal with the Chancellor George Osborne after months of negotiations.

• The money will be used for job creation schemes and house building and could provide a blue-print for devolution in other parts of the region.

• Richard Leese, Leader of Manchester City Council says residents deserve more power and control to allow North West cities to thrive.

BBC News November 2014

Smart CitiesWith the aim of becoming a world reference for Smart Cities, Barcelona is working to merge urban planning, ecology, and information technology to ensure the benefits of technology reach every neighbourhood and improve the lives of citizens.

Somerville

SomerStat• SomerStat is a performance management initiative that helps

Mayor Curtatone supervise the work of city departments and use timely data to inform decision-making and implement new ideas. Four SomerStat staff study financial, personnel and operational data to understand what's happening within departments. Then, in regular meetings with City department managers and other key decision-makers, SomerStat helps to identify opportunities for improvement and then track the implementation of those plans.

Chicago

Rats!

Milton Keynes

Milton Keynes - Smart City

• Milton Keynes is set to benefit from a £16m project to accelerate its ‘Smart City Programme’. The MK: SMART project will gather real-time information from a range of sources across the city and provide innovative analysis tools to enable much more efficient use of transport, water and energy infrastructures

IoT

By 2018…

• Halfway through the NHS efficiency programme• A new administration implementing the Forward

View• New models of care and commissioning and

provider organisations • Smart cities using data, more devolution and

greater expectation• Expectation• Technology..or Invention and Innovation

The future is here now

So for us?

• Organisation less important • Open systems and interconnectedness

across unfamiliar landscapes• Technology and Information experts as

leaders• Data confident executives• Data driven communities• Digital Strategies for our communities…

Digital Strategy

A new CIO

Reflections

• Think communities not organisations• Integration in everything NOT just BCF• Everything is or will be connected• Data will be more capable of accurate prediction

from Rat catching to likelihood of disease• Data management is an executive responsibility• Leadership is a responsibility of us all