NHSBSA Strategy 2021-24 - On the front foot to support the frontline
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NHSBSA Strategy 2021-24 On the front foot to support the frontline NHSBSA Strategy 2021-24 (V1) 04.2021
Contents Foreword from Chief Executive and Chair………….................3 Executive summary……………………………………...............4 Who we are and what we do…………………….....................5 Our purpose, vision and values.........................………..........15 Our strategic goals .........………...........................................16 Our teams …...................…….............................................19 How we deliver………..........................................................22 Our strategy on a page.........................................................27
Foreword Foreword from Chief Executive and Chair Last year we introduced our strategy with Our people know how important our work is to the words: “The NHS is our nation’s greatest support the frontline NHS day-to-day and they institution. It provides hope, it fixes us at our time have been there every step of the way. We are of need and helps us to live longer and healthier truly proud of how all our colleagues have worked lives, creating more memories with those we care tirelessly in the fight against COVID-19, and we about the most.” We didn’t know then quite would like to pay tribute and thank each and how much we would rely on the NHS and most every one of them for their care, commitment and importantly the wonderful people who make it dedication in these difficult times. We could not the institution it is. When our collective time of have asked for anything more. need came, the NHS stood up to be counted and it was a pleasure to stand on our doorsteps each Our work during the pandemic has been described week during the summer to thank our frontline as “mission critical” by the Secretary of State colleagues. for Health and Social Care, who praised our “remarkable ingenuity and resilience”, and telling To be at its brilliant best, its most efficient and our people “when you look back at the role you most effective, the frontline NHS needs the right have played during this important chapter in support, and the NHS Business Services Authority our national story, you can be rightly proud” – a (NHSBSA) exists to provide that support. sentiment that we of course both share. We’ve deepened our collaboration with NHS England We are the expert delivery organisation relied upon and Improvement, the Department of Health and by Government and the health and care system Social Care, Public Health England, NHSX, NHS to provide a range of complex and essential high- Digital and other key organisations within the volume business services to support the day to health and care system during this time to deliver day running of the NHS. We provide a platform both services and products to support the national for at scale, national payments for primary care response. services to dentists and pharmacists. We support the NHS People Plan providing employment, HR The focus for the NHSBSA in this strategy remains and payroll platforms, as well as providing financial our unwavering resolve to do all we can to fight support to NHS students and managing the NHS against COVID-19, to deliver our core services Pension Scheme. We also provide a wide range efficiently and effectively with our customers in of services direct to the public to help citizens in mind, and to progress our Big Ambitions as set out gaining access to the healthcare and support with later. All of this is in pursuit of our core purpose to costs to which they are entitled. We are the NHS be a catalyst for better health. supporting the NHS. It is a profound honour and privilege to lead the Last year was a challenging year for all NHSBSA, and a responsibility we undertake openly organisations. At the outset of the pandemic, we and transparently, and with the greatest of care, set ourselves three priorities: attention and compassion. • First and always, ensuring the health, safety Watch our short video for an and wellbeing of our colleagues; introduction from Michael Brodie • Secondly, keeping our business-critical services including all payment functions operating to ensure that NHS colleagues and providers were paid on time and in full every month; and • Thirdly, supporting the national response to the pandemic, utilising our capacity, capability and culture to stand up an extensive range of Michael Brodie Silla Maizey new services. Chief Executive Chair NHSBSA Board 3
Executive Summary Our 2021-24 strategy outlines the current direction We’re an ambitious organisation too, with a of travel for the NHSBSA. It sets out our plans to drive to do more to improve the health of the be “on the front foot to support the frontline” nation. One of our big ambitions will see us use as we fulfil our purpose of being a catalyst our national reach, data and insights to create a for better health and our vision of being the population health offering to improve the health delivery partner of choice for the health and and wellbeing of patients and people across the care system. UK. We have a key role to play in the recently outlined Government White Paper, Integration and The NHSBSA is a forward thinking, innovative Innovation: working together to improve health organisation. We help the NHS to run efficiently and social care for all. We believe we can make a by delivering platforms and services to support big difference. the NHS Workforce, Primary Care and millions of UK citizens. We are trusted to manage around We hope our strategy inspires you to find out £35 billion of NHS spend annually. Data analysis, more, whether you are interested in how we can insight, digitisation and collaboration are at the work with you to help the NHS further or whether heart of our business so we can improve patient you are interested in working for us. You can see outcomes, support the NHS workforce and save our vacancies on our website or if you would money across the wider health and social care like further information about any aspect of our system. During the COVID-19 pandemic, we’ve strategy please contact us at stood up almost 50 new services to support the nhsbsa.strategy@nhs.net frontline NHS and the Government’s response. We’ve grown our reputation as a trusted delivery partner and expert in our field. We know what we do, what we deliver and how we deliver matters. It matters because we support the NHS frontline. It matters because we can help people live healthier lives. It matters because we contribute to patient safety. It matters because we care. We’re a passionate organisation with passionate people. We developed our values with our people – we’re Collaborative, Adventurous, Reliable and Energetic – we CARE. Our people are key to our success alongside the strategic goals we set ourselves and how we deliver through what we call our levers. 4
Who we are and what we do We are an Arm’s Length Body of the Department Our support for the NHS workforce agenda of Health and Social Care (DHSC), responsible for starts right at the beginning of the career providing platforms and delivering services which journey, administering the NHS Students Learning support the priorities of the NHS, Government Support Fund to support people through their and local health economies, and in doing so we professional training. We help over one and a manage around £35 billion of NHS spend annually. half million people to find work each year or progress their careers with the NHS through our By providing these services once, nationally and national NHS Jobs service. Our Electronic Staff at scale, and by digitising services and utilising Record (ESR) system, the largest centralised HR leading-edge technology we deliver great taxpayer and payroll system in the world, with over 1.8 value, providing huge savings for the NHS which million staff records, is the platform on which NHS can then be reinvested in frontline care. As we organisations record essential workforce, skills and cement our role right at the heart of the system, training information and pay their staff over £45 the breadth and depth of services that we have billion per annum accurately and on time. been asked to undertake has grown significantly. We group them into three operational areas: Once our NHS colleagues have completed their careers, we support their retirement through • Workforce Services: platforms and services delivery of the NHS Pension Scheme and where we provide to the NHS to best support its appropriate support their beneficiaries. NHS people; Pensions is the largest centrally administrated pension scheme in Europe. On behalf of all NHS • Primary Care Services: services we provide to organisations, we manage three million member support essential primary care functions; and records and run payrolls every working day to pay over one million pensioners over £12 billion per • Citizen Services: services direct to the annum accurately and on time. public to enable people to gain access to the healthcare and help with health costs to which We also provide HR Shared Services delivering at they are entitled. scale, efficient, effective and value for money HR services to other NHS organisations. What we do in NHS Workforce, Primary Care and Citizen Services is summarised below along with We are NHS workforce specialists. the benefits associated with these important areas: 5
Workforce Services 1.6 million unique portal users of 4.7 million applications submitted Electronic Staff Record (ESR) on NHS Jobs Over 300,000 job adverts published on NHS Jobs 5,500 70,000 NHS recruitment customer campaigns contacts handled supported by HR by HR Shared Shared Services Services £ ££ 3.4 million members of £12 billion paid to pensioners the NHS Pension Scheme each year 6
Primary Care Services Primary Care is the cornerstone of NHS service they provide to patients and the public. During delivery as shown in the roll out of the COVID-19 the pandemic we have seen a significant shift to vaccine. We are privileged to be able to play electronic prescriptions which saves the NHS time our part in supporting primary care in the and money, and we have undertaken services such NHS by helping commissioners undertake as signposting for emergency dental care. We also assurance activities such as managing contractual provide a high-tech scanning service, which saves arrangements with NHS providers. We also work NHS organisations money and, as importantly, vital with pharmacy, dentistry, ophthalmic and GP office and operational space in their buildings. partners to deliver their essential services to the NHS. We do this by processing of over one billion We are NHS pharmacy and dentistry services prescription items each year and over forty million experts. dental claims, making over £12 billion of accurate and timely payments for the essential services 7
Primary Care Services Over 1 billion prescription items processed Submit 70 million £9 billion paid 100% of dental items scanned for 1 NHS to pharmacy contractors for claim forms are Trust, helping to save space vital drugs they have submitted electronically and increase efficiency dispensed to patients 43.6 million dental claim forms are processed £2 billion per year paid to Over 88% of people dental contractors for treatment provided using Electronic Prescribing Service to patients Engaged with 25,000 primary care contractors to collaboratively provide assurances regarding contract compliance, quality and value for money, with a financial benefit of £53.4 million in 2020 8
Citizen Services COVID-19 has highlighted the stark reality of the to ensure that only those entitled to help with inequalities in accessing vital services, as well as health costs receive them and we have taken over provision of healthcare. In Citizen Services we responsibility from DHSC for a range of Healthy support members of the public in gaining access Foods schemes, helping families on low incomes to healthcare services and the help with health make healthier choices. All of these are key costs to which they are entitled. Whether that be preventative and population health interventions, through the range of exemption schemes that helping to address inequalities and support the we operate (such as maternity, low income and Government’s levelling up agenda. We operate a medical exemption schemes), providing free or multi-channel and multi award winning contact reduced cost prescriptions or dentistry, or through centre, capable of standing up new services within our work supporting UK residents living or working 24 hours to support key national events and issues. overseas and the broader reciprocal healthcare arrangements with other countries following the We are NHS customer experience UK Transition from the European Union. Each professionals. year we support around five million citizens in this way. We provide an exemption checking service 9
Citizen Services Issued over Won at the 2020 NHS 1.6 million cription NHS pres Buy a ent prepaym Sustainability Awards al details Person digital exemption certificates for moving prescription prepayment certificates from plastic cards to digital certificates Launched a brand new Check what help you could get to pay for NHS costs online application system Submit supported by colleagues in Technology, in Start July 2020 for students applying for NHSLSF in the 2020/21 academic year More than 380,000 Achieved readiness people used our online for the end of the transition period with the eligibility checker Department of Health and Social Care* Successfully launched a new online portal for individuals entitled to a new UK EHIC and managed more than 237,000 applications through this process** Launched the UK Rolled out Real Time Exemption Global Health Insurance Card Checking in nearly 4,200 pharmacies Paid over in £75m ex-gratia support payments Supported over 3,000 England Infected Blood to EIBSS members Support Scheme (EIBSS) members Managed Almost 100,000 students registered for an 5 million NHSLSF account and contacts to the contact centre 80,000 students are already in payment Supported over 18,000 people through the Immigration Health Surcharge scheme and reimbursed more than 6,300 beneficiaries *(which included implementation of the Citizens Rights Agreement, Northern Ireland Protocol as well as the Trade and Cooperation Agreement) ** figure is since the launch in November to date 10
It isn’t just what we do that matters, what is Because of the national and at scale nature of our equally important is how we do it. In many ways services, we produce and collate vast amounts this defines who we are and our sense of purpose: of data. Our first duty is to ensure the safety, security and accuracy of this data and we then We take pride in designing our services around apply our analytical skills to produce actionable the needs and experience of our users and other insight. Understanding the move towards open customer groups, and wherever appropriate having data, we collaborate and innovate with partners a digital first mentality, whilst ensuring accessibility and stakeholders to drive improvements in patient for all. Our multi award winning organisation outcomes, patient safety and taxpayer value. is testament to our belief in inclusivity and accessibility of our services by all. We are NHS data scientists. We are NHS digital designers. We collaborate with both world leading organisations and small/medium enterprises to offer the best solutions and cutting-edge technology. We collaborate with our NHS partners in the areas of technology services, solutions and governance. We’ve quickly enabled our colleagues to work flexibly and from home, using the latest platforms so that we can support our people and continue to make a positive difference to our customers. We are NHS technology specialists. 11
Developing and enriching the NHSBSA Best Companies index 2 star accreditation for outstanding employee engagement Defence Employer Recognition Established a Scheme Silver Award Clinical Network Accreditations 68 apprentices ISO14001 certified across the business organisation wide Declared Climate Emergency and a goal of Net Zero by 2030 Managed reduction in*: Greenhouse gas emissions 81%, Water consumed 61%, Waste 60%, Paper 75% *Performance at Q2 2020-21 New producer of official statistics, working to the high standards set by the UK Statistics Authority to serve the public good Open Data Our Rolled out Portal (ODP) eDEN eDEN to Dental is the home of data we Providers and Practice release to the public in a Log In Managers single place (2,000 new users) Enhanced organisational-wide governance through providing due diligence and improved data governance Responded to 4 consultation documents to support the direction of the health and care system 12
The pandemic has been all-encompassing over this We already work collaboratively, but during last twelve months. It has impacted upon us as COVID-19 this gathered much more momentum. a nation, as organisations and as individuals. We Our networks, partnerships and relationships were have been incredibly proud to play our part in the strengthened as we worked on many new services response. The NHSBSA stood up nearly 50 new and solutions. We worked with NHSE/I, DHSC, services at pace, and in collaboration with others NHSX, PHE and other partners to make things to support the NHS frontline and Government’s happen quickly and effectively and in the spirit response. You can read more about these of organisations without walls and boundaries. on our website. This level of collaboration has been recognised by Government in its recent White Paper as vital in One noticeable learning from the pandemic creating a truly integrated health and social care was that changes which previously may have system. taken years to implement have taken just weeks. Recognising this significant shift, we undertook We set out in our 2020-23 strategy a desire a discovery programme called New Horizons to to look at how we could support social care. better understand the drivers of change, what COVID-19 brought into sharp focus the needs of worked well and what we should retain to inform this particular sector and to support the social care the future of our working environment. It is clear workforce, we worked collaboratively with our that our working methods and the ways in which partners to develop the COVID-19 Care Workforce our customers access our services has changed, app. This app enabled immediate messaging and and we know change will continue. The feedback communications to be issued to colleagues across from New Horizons and ongoing learning have social care to ensure they received important news been considered in the development of this and updates and was well received, downloaded strategy and will continue to be used by wider by more than 50,000 social care colleagues. groups across the organisation. 13
National response to coronavirus 47 new services and projects stood up to support the national COVID-19 response Over 15 million text messages sent to vulnerable and shielding members of the public 60,000 test Over £370 million in payments to support community results by email per pharmacies to address day – and rising unprecedented demand Built a website to support Almost 8,000 hours the NHS COVID-19 app in spent ensuring our buildings Over 1 million less than 7 days are COVID-safe test results by text Roll out of key Office 365 tools to enable colleagues to work effectively, including Microsoft Teams, SharePoint, Yammer and OneDrive In excess of4 million PPE items being Dedicated 111 COVID-19 Contact Centre helpline stored, providing a back-up plan for hospitals, care homes and GP practices stood up within Enabled colleagues to 12 hours, with work from home quickly, over 54,000 calls distributing over taken since February 2020 3,800 pieces of equipment including Over 145,000 additional calls laptops, desktops and undertaken by NHSBSA Contact Centre Agents peripherals in response to COVID-19 Added functionality within ESR to enable doctors, nurses and other staff to move seamlessly between NHS organisations to where they are needed most 14
Our stakeholders Social Care Health Research Authority Healthcare providers England and Improvement Digital Health Education England Business Services Authority Blood and Transplant ICSs PCNs x Regions National Institute for Health Proctection Resolution Primary Care Providers Counter Fraud Authority 15
Our Purpose, Vision and Values Our Purpose Our Values Our purpose is to be a catalyst for better health. Our values have been developed with our people, This means we work in collaboration with our for our people. They reflect the fact we CARE stakeholders, customers and partners across the passionately about what we do. We know that health and care system with the intention to the way we approach our work contributes to innovate, try new things and explore different our colleagues’ health, wellbeing and sense ways of working, driving efficiency for the taxpayer of connection to the business, allowing us to and helping people to live longer, healthier lives. transform our vision into reality. We know how We do this to support the delivery of the NHS Long important our people and our culture are to our Term Plan, Pandemic System Recovery Plans, DHSC success and we are continuing to build on being a priorities and the move towards a Population great, inclusive place to work. We want our people Health and Care System. to take pride in their work, understand and feel valued for the role they play in our success and Watch our short video to learn more the contribution we make to the wider health and about our purpose. care system and society. Our values are embedded across the organisation and guide us in our Our Vision decision making and delivery of our services. Our vision is to be the delivery partner of choice for the health and care system. We work with Watch our short video to hear more and through our sponsor team in DHSC and about our vision and values. partner with a number of organisations in the Arm’s Length Bodies sector. To achieve our vision, we have focused on building on our existing Our colleagues on the front line rely on relationships, on creating new networks and have you for the deployment and delivery that established meaningful partnerships with key allows them to do their jobs with stakeholders to ensure we are best placed to have confidence. a positive impact on the health and care system. Matt Hancock Our Values - we care 16
Our Strategic Goals Our strategic goals help us bring our purpose of being a Two-star company with Best Companies and vision to life, and they focus on the things means we have outstanding engagement with our that are important to us. Our goals underpin people, of which we are truly proud. how we deliver our business, our strategy and our ambitions. We continue to make significant People Measures progress towards these goals, measurement of which is captured within our Balanced Business 1. Deliver great communications and Scorecard and quarterly and end of year reports. engagement for our colleagues so we work towards an improvement across the eight For 2021/22 we have introduced a new sixth factors of engagement as outlined in Best strategic goal ‘Pandemic support’ which highlights Companies during 2021/22. the importance of our contribution to the 2. We will meet the Government’s COVID-19 response and our intent to do this until recommended target for apprenticeships of we reach the other side of the pandemic. 2.3% whilst setting ourselves an additional stretch target of achieving 3% during Watch our short video for an 2021/22. introduction to our strategic goals. 3. Maintain enei (Employers Network for Equality and Inclusion) Gold Standard Customer – we actively seek feedback from and Employer status during 2021/22. listen to our customers to enable us to design and deliver brilliant business in a way that best meets Social impact – we work with partners to better their needs. Our customers are at the heart of understand and respond to growing challenges what we do. of health inequality and sustainability, using our systems, services and data insight to have Customer Measures a positive impact and help create better health and care for the wider population. We also invest 1. We will pay our customers on time and in and support our local communities and local accurately in line with our annual business economies as well as working towards minimising plan targets. our environmental impact. 2. We will achieve our annual Net Promoter Score and Net Easy Score targets for 2021/22. Social Impact Measures 3. We will achieve our annual Right First Time and Delivered in Full on Time targets for 1. We will develop our social impact measures 2021/22. during 2021/22 and report against these in 4. We will develop and implement a customer the Balance Business Scorecard. experience metric dashboard for all four 2. We will establish a baseline and increase customer groups by 30 June 2021. citizen take up of help with health cost exemptions and other schemes we administer Our People – we enable our people to be their during 2021/22. best by creating a fantastic colleague experience, 3. We will achieve Net Zero by 2030, as well as providing ongoing development opportunities interim targets published in our Environment with an eye to future needs and being a great, Strategy for 2021/22. inclusive place to work. Achieving an accreditation 17
Value – create value for our customers and Ambition Measures stakeholders in the outcomes we deliver, in helping them to meet their needs and we generate efficiency across the health and social care system 1. We will deliver our annual business plan targets for our five Big Ambitions during to provide better health and care outcomes and 2021/22. better taxpayer value. We are the NHS, supporting the NHS. Pandemic Support – we will support national, regional and local efforts in times of challenge and Value Measures crisis by using our skills and expertise to develop and deliver services to meet the needs of our 1. We will operate within Departmental colleagues and the population of the UK. Expenditure Level (DEL), delivering against annual financial target during 2021/22. Pandemic Support Measures 2. We will generate £84 million of wider system efficiencies during 2021/22. 1. We will deliver against each of the agreed 3. We will include Commissioner Pays in the service levels for the COVID-19 services that multi-year spending review discussions for we continue to deliver throughout 2021/22, providing quarterly updates and assurance 2021/22 and then move to Commissioner through the DHSC Accountability Review Pays Model during 2022/23. and NHSBSA Board. Ambition – we understand the changing landscape and we seek to innovate to improve our services and make better use of our rich data, sharing our expertise and joining up with health and care systems to help drive the NHS prevention, workforce and population health objectives. Through delivering new services, we continue to support the health and care system to have the staff and services it needs and help people to live longer and healthier lives. Goals £ £ Customer Our Social Value Ambition Pandemic People Impact Support 18
Our teams Our organisation comprises our core operational directorates and a range of enabling services. We work closely together to ensure we are aligned, making best use of NHS spend and supporting each other in the delivery of our priorities - we are one NHSBSA. Our structure is illustrated below: Primary Care Services NHS Dental Services NHS Prescription Services Proving payments, support and assurance Provider Assurance across primary care services. Scanning Services Citizen Services Customer Operations Exemption Services Delivering a wide range of contact, support, Director of Citizen Health & Community Services signposting and other essential services to the Services Overseas Healthcare Services population of the UK. Student Services NHS Workforce Services NHS Pensions HR Shared Services Providing workforce services across the NHS Director and of Citizen NHS Jobs wider system, enabling our customers to maximise Services Electronic Staff Record (ESR) the benefits from the use of our workforce solution. Workforce Service Optimisation Finance, Commercial and Estates Strategic Finance and Reporting Financial, Commercial and Estates strategy, Director of Citizen Financial Operations planning, management, operations,Services compliance Loss and Fraud Prevention and reporting. Loss and fraud prevention. Commercial Services Strategic sourcing including supplier management, Estates and Facilities Management procurement and contract management. Strategy, Performance and Development Strategy, Planning and Performance Leading on the strategic direction of theof Citizen Director Partnership and Opportunity Development organisation, providing assurance to our Board and Business Innovation and Customer Experience Services Sponsors, identifying opportunities for driving and Professional and Clinical Services improving customer experience and innovation. People and Corporate Services People Communications and Marketing Enabling our people to be their best and Director ofcreating Citizena Governance, Risk and Assurance great inclusive environment. Delivering professional Services Safety, Health and Environment services to advise, govern and transform the Information Governance and Security business as well as manage its reputation. Change and Project Delivery Technology Technology Applications Design, specify, deliver, manage and support Director of Citizen Technology Governance technology platforms, services and Services solutions that Technology Operations empower our business services. Technology Service Integration and Management Digital Transformation – end to end User Experience, User Research and service Design Director of Citizen Digital Application Development and Continuous Digital and Data Services Improvement Providing digital transformation based around user Customer Insight experience, whilst making the most of the data External Information Services we manage. Business Intelligence and Data Warehousing Data Science Official Statistics Producer and Data Provider Data Strategy and Governance 19
Our national and local presence As an organisation, we are well placed to support the Department of Health and Social Care’s response to the levelling-up challenge set by Government and to help with building back better as part of the COVID recovery response. We are proud to have our Head Office in the North East of England and other sites across the country allowing us to deliver services nationally, regionally and locally. Over the last 12 months we have been able to support more than three quarters of our people to work remotely and flexibly to ensure their safety and wellbeing during the pandemic. We’ve also made all our sites COVID secure, to make sure our colleagues are as safe as they can be to continue to deliver critical services to support the NHS frontline. Like other organisations we will be reviewing our estate requirements and our ways of working over the next year, in line with return to work and lease requirements. Stella House: Bridge House - People and Corporate Services - England Infected Blood Support - Digital, Insight and Technology Scheme (EIBSS) - Finance, Commercial and Estates - Customer and Contact Services - Strategy, Performance, Business - Overseas Healthcare Services Development and Growth - Patient Services - Change and Project Delivery - NHS Prescription Services - Healthy Food Schemes - Provider Assurance (Pharmaceutical Greenfinch - Exemption Checking Services Services and Opthalmic Services) - NHS Jobs - HR Shared Services - Scanning Gateway - Fraud, Loss & Prevention Benton Team - Archiving - NHS Workforce Newcastle - Storage and retrieval Optimisation Team of prescriptions Fleetwood - Hesketh House Wakefield - NHS Pensions - Student Services - Prescription processing - Customer and Contact Services and scanning - NHS Workforce Optimisation - Customer and Contact - Strategic Finance and Reporting Services - Financial Operations and - NHS Workforce Estates and Facilities Management Optimisation team Middlebrook - Ridgeway House Sheffield - Prescription processing and scanning - Electronic Staff Record - NHS Pensions - Provider Assurance (GP Services) - Student Services - Digital Services Warwick - NHS Jobs - Electronic Staff Record Eastbourne - NHS Dental Services - Provider Assurance (Dental) 20
Brilliant Business All organisations love to have the opportunity expectations. We put the customer at the centre to develop new services and undertake exciting of everything we do and we have segmented them transformation work. We’re no different. But it’s into four groups: important to always retain a focus on those core services on which our existing customers rely. 1. Our Users – anyone who uses our services, Providing these ‘business as usual’ functions well, from a member of the public to clinical delivering great quality services and value for the providers; taxpayer gives us the permission to develop our 2. Our Sponsor – we are accountable to the big ambitions. Delivering our core services well Department of Health and Social Care; requires all of our people to understand their roles, 3. Our Commissioners – anyone who to value each other’s contributions and to support commissions a service from us for example each other through a “One NHSBSA” approach. NHS England and Improvement, NHSX or the Scottish and Welsh Assemblies; and This includes all our colleagues whether working 4. Internal customers – our internal NHSBSA in corporate services such as finance, commercial, colleagues. strategy, HR, communications and governance or in our operational services or our digital, data and To ensure we are delivering our brilliant business technology areas. Delivering our ‘business as usual’ throughout the year, we measure key performance services efficiently, effectively and professionally indicators and produce a monthly Balanced is what we describe as our brilliant business in Business Scorecard that reports on our progress to recognition of the hard work our people do our sponsor, to our board and to our people across every day. each of these customer groups. In addition, we provide quarterly progress reports and an end of To deliver brilliant business we need to really year report on the delivery of our commitments. understand our customers, their experiences and Primary Care NHS Workforce Citizen Services Services Services People and Corporate Services Strategy Performance, Business One NHSBSA – Our Brilliant Business Development and Growth Technology Finance, Digital Commercial and Data and Estates 21
How we deliver Levers We pride ourselves on being a catalyst for better health. And we recognise that there are a number of levers that we can pull which give us the unique formula for our capabilities, capacity and culture that helps us to deliver against this core purpose. It is the combination of these levers that explains ‘how’ we deliver and has helped us to develop a reputation for agility, flexibility and reliability. We describe these levers below: Emerging Digitisation Data Technologies Our Strategic Business Relationships People Sourcing Innovation and Networks Digitisation – we transform the way we deliver Strategic Sourcing – we secure taxpayer value services through increasing digitisation. Our while choosing innovative partners to support our solutions are designed based on customer insight drive and ambitions. and user experience. Business Innovation – we continue to innovate Data – we use our data to accelerate insight and in all that we do, by learning and collaborating drive innovation across the health and care system with others as well as our customers. to improve the health of the UK population. Relationships and Networks – we use our Emerging Technologies – we look to use the relationships and networks to ensure our services most effective and up to date technologies to reflect need and reach across the health and care ensure high quality service delivery, making it system to make a positive difference. easier for our customers and our people. Watch our short video to learn more Our People – we recognise that our people are about our levers. critical to the success of our organisation and we will create a great, inclusive place to work so they can bring and be their best. 22
Our Big Ambitions We are an ambitious organisation. We are We have identified five key areas of focus which ambitious for our people and what they are we believe we can develop to support and drive capable of, we are ambitious for our customers further change within the wider system. These and the services they should receive, and we are are known as our Big Ambitions and are set out ambitious for the health and care system and the below: beneficial impact it can have on people’s lives. Supporting the health and care workforce – Our ambition is to support the delivery of the national people agenda through effective recruitment, retention and workforce planning, building on our national platforms. Through our partnership work with NHS England and Improvement and other key stakeholders, we will improve and transform our solutions so that they are easier to use, reduce administrative bureaucracy and increase integration with wider workforce systems. This will support employee and employer journeys, embrace the NHS People Plan and help to make the health and care sector the best place to work. We will do this by: Supporting Increasing employees ESR usage via smartphone to improve access Engaging Supporting NHSE/I Transforming Pension in delivering NHS Jobs Scheme Long Term Plan members Using data Providing value to support for money decision HR services making Watch our short video to learn more. 23
Developing our Population Health offering – our ambition is to use our capabilities and expertise in collaboration with our health partners including the new Integrated Care Systems to improve the health, wellbeing and outcomes for patients and people across the UK, in line with the Government’s recent White Paper. We will do this by: • Maximising the uptake of our citizen • Using our data analytics and insights. services to help to address inequalities We seek to utilise the rich breadth and in access to services. By ensuring everyone depth of data from our multiple services to gets access to the support that they are support national and local decision makers to entitled we can help to address population maximise health outcomes, improve patient health outcomes and we will work with safety and deliver best value. policy makers nationally and with local health systems to reach those who currently do not • Supporting integrated health and care access their entitlements. systems. We feel we are well placed to support Integrated Care Systems to deliver • Maximising the contacts we have with against their population health agenda, by UK citizens to signpost to further support. utilising our core skills and levers to design With five million contacts with members and deliver population health interventions of the public annually, we are uniquely and solutions. placed to support national and local public health campaigns and messaging, and the Government’s prevention agenda. 24
Service Developments Each of these service developments will improve take up of services, provide insight and join up organisations and networks to enable NHSBSA to truly deliver value and efficiency as well as improve the population’s health. At each stage, valuable system resources can be reassigned to have a positive impact on health and care. Supporting Health & Care Integrated systems Support Make a difference Improved networks, to health insight and outcomes Citizen Contacts Maximise impact of contacts Health Benefits Increase service uptake Watch our short video to learn more. Developing our Provider Assurance Networks – our national Provider Assurance Service manages the effective performance and contracts for primary care providers on behalf of NHS England and Improvement and other clients. Our ambition is to expand this into other areas for example integrated care networks, which will help ensure a high-quality service for patients. We will do this by: • Working collaboratively with NHSE/I and the • Delivering digitisation of services; and NHS Counter Fraud team; • Providing robust governance. • Providing clinical and contractual expertise; 25
NHSEI NHSBSA NHSEI Counter Commissioning teams Fraud Team Flexibility Digitisation to adapt to Specialised Supporting local needs Investigate Commissioning local Continuous Standard systems Improvement Operating egio nal Team Model Integrated 7R s Shared planning Care Assurance Fraud & Central Contract Service: Error NHSEI Counter Team Enhanced Assurance Quality Reduction Fraud Team Services s Probity Co am Case is t ns te en cy a c ro s s re g i on al VFM escalation STP & CCG Planning Clinically Robust Oversight led insight Governance Inform Assurance Pathways Clinical and interventions contractual Wh En expertise te at N and gag l ua N H H S En gla n d d o e | E n ble | E v a S Im pr a ove m ent Professional Representative Bodies Watch our short video to learn more. Preventing Fraud, Error and Waste – We are committed to safeguarding public funds and our aim is to design out the risk of loss and fraud within the NHS and where applicable, the wider health and care system. We will do this by: • Identifying and tackling system weaknesses • Designing accessible, customer focused digital across all NHSBSA services that could lead to systems, with in built controls and fraud and loss; loss analytics. • Educating our customers through national campaigns to help them to prevent fraud and loss; and Watch our short video to learn more. Supporting Health and Care Transformation – This is a new Big Ambition this year. COVID-19 accelerated organisations coming together to address the critical issues we faced collectively and the NHSBSA were a key organisation in many collaborations. We recognise that we offer a vast range of services and solutions to individuals, to providers and to the wider workforce and we learnt that we create greater value and efficiencies by sharing our expertise and knowledge. Whilst we have engaged in this activity on an ad hoc basis, we believe that through offering our skills and capabilities, we can collaborate further in order to support the evolution of the whole health and care system for the benefit of the health of the nation as recently outlined in the White Paper, Integration and Innovation: working together to improve health and social care for all. Watch our short video to learn more. If you would like to understand more about our big ambitions, you will find more detail in our Business Plan for 2021-22. 26
Our strategy on a page Purpose Vision To be a catalyst for better health To be the delivery partner of choice for the health and care system CARE Values Collaborative Adventurous Reliable Energetic Goals £ £ Customer Our Social Value Ambition Pandemic People Impact Support Levers Emerging Our Strategic Business Relationships Digitisation Data Technologies People Sourcing Innovation and Networks One Primary Care NHSBSA Services NHS Workforce Services Citizen Services People and Corporate Services Strategy Performance, Business One NHSBSA – Our Brilliant Business Development and Growth Technology Finance, Digital Commercial and Data and Estates Our Big Ambitions Workforce Population Provider Fraud, Error Health Assurance and Waste Networks Prevention Supporting Health and Care Transformation 27
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