Balancing act: supporting finance leaders to deliver on short- and long-term priorities 17
Appendix B: Transformation roadmap The table below sets out the key areas of focus within each of the three horizons. It can be used as a discussion tool to develop a transformation roadmap.
Horizon 1
Horizon 2
Horizon 3
Optimise urgent and emergency care. Drive out of hospital care improvements.
Shift acute care (diagnostics, pharmacy, outpatients) into the community. Reduce hospital bed base.
Personalised and preventive health.
Shift left such as reduce acute bed days
Local assessment and proposed actions:
Streamline intermediate care and discharges.
Integrated delivery models across health and social care.
Integrated community team(s) with joined up journeys and continuity of care.
Maximising independence after crisis such as intermediate care costs and outcomes
Local assessment and proposed actions:
Enhance primary care access.
Multidisciplinary care teams around GP populations. AI and data for predictive care. Empower patients and link with voluntary sector. Unified ‘one-stop-shop’ access.
Reform financial incentives to support outcomes-based care.
Maximise healthy life expectancy and prevent crisis
Adopt accountable care organisations (ACOs). Integrate genomics and personalised medicine. Use advanced data for prevention and tailored interventions.
Local assessment and proposed actions:
Consolidate HR, finance, IT at system level.
Sub-regional scaling of corporate functions.
Back office cost efficiency
Local assessment and proposed actions:
Improve elective care throughput. Digital tools to support workflow.
Front line productivity (provider efficiency and staffing)
Local assessment and proposed actions:
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