Friday 13 November 2015

Delivering the Five Year Forward View

It is just over a year since the NHS Five Year Forward View highlighted the stark realities, difficult choices and reform challenges we face in the health and care sector. The pace of reform has noticeably quickened and there are subtle but potentially seismic cultural shifts beginning to occur as new care models and organisational forms develop. More importantly there is increasing interest in working better together, in collaboration.

Collaboration recognises that individuals, communities and organisations need to work together to bring about meaningful change. Collaboration is not about everyone agreeing, it is about achieving the best possible outcome from a challenging situation, it is about the quality of the creative conversations and dialogue to get you there.

Our approach as a CCG, which is being taken into all our work, particularly in One Halton, has collaboration as one of 6Cs that guide us. The others are compassion, communication, common purpose, cooperation and coproduction. They are easy to say, they are sometimes difficult to put into action, but if we don't then we will not deliver the services that the local people we serve want and need.

There is often talk of winners and losers in any change situation. This is fair enough as not everyone can be a winner in scenarios that are often volatile, uncertain, complex and ambiguous. Nonetheless the magnitude and scale of the challenges we face in the health and care sector and the absence of a status quo option - there is not a no change choice as to do nothing means decline - make collaboration a necessity. Without collaboration everyone loses.

Simon Banks