North Cumbria to benefit from success regime

NHS England Chief Executive Simon Stevens today (Weds) announced in a speech at a major health conference that North Cumbria would be one of three areas in England where local health and care organisations worked together to make improvements for patients as part of the new Success Regime.   The regime is a collaboration between Trust Development Authority, Monitor and NHS England.

North Cumbria is one of three areas in England where local health and care organisations are going to work together to make improvements for patients as part of the new Success Regime.

The NHS Five Year Forward View, published last year, set out a vision for the future of the NHS, including how it will need to evolve to meet the challenges of the future on health and wellbeing; care and quality; and funding and efficiency.

As part of this, it set out an ambition to start transforming services for the future and some organisations are already at the stage of piloting new models of care.  But it also looks at what can be done to support those areas which still face challenges and where the conditions for transformation do not yet exist.

The Success Regime aims to help create the conditions for success in these challenged areas.  Its purpose will be to protect and promote services for patients in local health and care systems that are struggling with financial or quality problems, or sometimes both.  It will provide increased support and direction and aims to secure improvement in three main areas:

  • Short-term improvement against agreed quality, performance and financial metrics;
  • Medium and longer-term transformation, including the application of new care models where appropriate;
  • Developing leadership capacity and capability across the health system, ensuring collaborative working.

North Cumbria

North Cumbria, alongside Essex and North, East and West Devon, has been selected as one of the first three areas to take part in the Success Regime.  The organisations that will be working together in the regime are:

  • North Cumbria University Hospitals NHS Trust
  • Cumbria Partnership NHS Foundation Trust
  • NHS Cumbria Clinical Commissioning Group
  • Cumbria County Council

North Cumbria was one of 11 challenged health economies which received support with strategic planning in 2014/15 and the Success Regime will seek to build on this work.  It will not replace any ongoing work – for example, North Cumbria University Hospitals NHS Trust will remain in special measures while working alongside partners in the Success Regime.

The Success Regime will consider the quality of care provided in North Cumbria, with all partners working together in recognition that the causes of and power to address issues do not sit exclusively with one organisation but also across the whole health and care economy.

The health economy faces financial challenges – with both trusts ending 2014/15 in deficit, the regime will consider long-term sustainability.  As well as the financial situation across the whole health economy, it will also look at governance and other issues, such as workforce, recruitment and retention.  It will aim to produce a single strategic plan for the local health and care system, shared by all local stakeholders.

The local community and patients will engaged in the work to improve their health and care system through the Success Regime and will be consulted if any major changes are suggested as a result of the work.

About the Success Regime

The Success Regime will seek to address deep-rooted and systemic issues that previous interventions have not tackled across the whole health and care economy.  It provides local organisations with the means and opportunity to work together to improve services for patients and they will benefit from support and resource to achieve this.

The Success Regime will build upon existing approaches to providing support and challenge to local systems by working across whole health and care economies in a more joined-up way to fix the current problems rather than focussing on a single organisation when trying to solve systemic problems.

As well as identifying the issues and any changes required, it will provide both support and challenge to health and care organisations within North Cumbria and work with them to implement any necessary changes.  This will include working with organisations to develop and strengthen leadership, with a particular focus on leaders working together to drive improvements for patients and for their organisations.


Notes to Editors

These are the first three areas to enter the Success Regime.  Further areas may enter the regime at a later point.

The Success Regime will be overseen jointly at local and national levels by NHS England, Monitor and the NHS Trust Development Authority to ensure consistent oversight of the whole health economy.  A Programme Director with significant experience and leadership skills will be appointed to drive the process in each area shortly.

The precise work carried out in each area will be tailored to local circumstances, but there will be a common process followed by all:

  • A diagnostic phase will be carried out in order to establish the key underlying issues. This will draw on any previous work and bring together any ongoing initiatives.
  • The next focus will be on developing solutions, considering how both short-term performance and longer-term strategic issues will be addressed, and starting work to address immediate performance issues.
  • The final phase will implement the longer-term strategic plans, during which the health economy will receive support to turn these plans into reality.

There will not be a fixed time-limit on the regime but there will be clear and agreed timelines for each phase of work, tailored to each region.  The focus will be on ensuring that the necessary improvements are made – with this in mind, a health and care economy may stay in the regime for some time, although the level and nature of support, challenge and oversight is likely to vary at different points throughout this process.  However, as local health and care economies increasingly demonstrate the capacity and capability to successfully deliver the plans, the levels of challenge, support and oversight may reduce, ultimately allowing the health and care economy to exit the regime.

For further information on the Success Regime, please contact one of the three national bodies:

For further information on the individual organisation in North Cumbria, please contact the relevant organisation below:

  • Cumbria Partnership NHS Foundation Trust on 07826 892442
  • NHS Cumbria CCG on 07803 790334
  • North Cumbria University Hospitals NHS Trust on 01228 814344
  • Cumbria County Council on 01228 226447]

To access the press releases on the other areas in the success regime, please follow the below links:

  • Devon (NHSE):
  • Essex (Monitor):
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