Five year forward view: the Success Regime: a whole systems intervention

Document type
Corporate author(s)
Monitor (Agency : Great Britain)
Date of publication
3 June 2015
Health Services
Social welfare
Material type

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There are a number of challenged local health and care systems where the quality of care commissioned and provided to patients requires improvement; where services do not meet the expectations of the public, as enshrined in the NHS Constitution; or where the cost of providing services is greater than the financial resources available, meaning that there are sustainability risks in the medium and long-term. The problems in these health and care economies are often deep-rooted, long-standing, and spread across the whole system as opposed to individual organisations. Local and national organisations may have worked hard for some time to improve services for patients and the public, but not made the required progress. Transformation is therefore now required, and this will only be achieved if national and local leaders take a different approach to those taken previously, which have not yet delivered the expected improvements for patients and the public.

NHS England's Five Year Forward View signalled the intention by the national bodies to introduce a new regime to address these issues, and create the conditions for success in the most challenged health and care economies: the ‘Success Regime’. This new regime will represent a change in approach to providing support and challenge to local systems.

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