Speaking at a Westminster Health Forum event this week, he said it was a ‘profound mistake’ to believe new care models could be ushered in within five years, after vanguard test sites experienced setbacks.
NHS efficiency savings
Some areas are reportedly finding that it took 12-18 months just to get an initial alignment between what were previously separate institutions – such as the CCG, providers, the local authority and all the GP surgeries, he told the conference.
Others were struggling to devote the vast amounts of time necessary to invigorate change while trying to balance keeping current services running.
He said: ‘As we go round and talk to vanguards, it’s really pretty clear to us that this is much more complicated and difficult than we thought.
‘The idea that this would take three to five years seems to us to have been pretty profoundly mistaken. This is a five to 15 year journey.
New care models
‘We all get the sense that if you want to do this properly, you’ve actually got to change a huge amount, much more than you might initially expect.’
He went on to add: ‘It’s very clear there is little evidence that moving to new care models will release rapid or significant efficiency savings. So for all the people out there who are thinking that new care models are the answer to the funding gap between increasing demand and funding available: it is not going to be the answer.
‘It’s also clear that the existing framework – the way money and regulation works – actually stops you from automatically moving towards new care models. You have to change the model because it’s acting as a pretty big drag on everyone else.’