Working in 3 dimensions through networks
The 20th century is the century of the system and the network. A bureaucracy is often set out as a hierarchy and the different types of care, generalist, specialist and super specialist services are often depicted as hub and spoke organisations. But to deliver value and to create and sustain a culture of stewardship networks are needed, with every node in the network whether it be a professorial unit, a primary care team or a patient care group being of equal status although having a different function.
This module focuses on the development of networks which require not only to develop a culture of stewardship but also a collaborative culture and the word collaborative is used 55 times in the White Paper Integration and Innovation.
Networks operate with different population sizes – primary care network bringing together a number of different primary care teams focused on a population of approximately thirty to fifty thousand. The place based partnership focuses on, and is accountable to, a bigger population of three to six thousand population and the third type of network is the integrated system for a million or more
The precise relationship of one type of network to another will vary but they will all have the mission of delivering the objectives of the systems designed to optimise value for each segment of the population and they will know they can only do this, not by telling other people what to do or by competing with others, but by working together in a collaborative culture with a clear sense of the longer term culture of stewardship that is essential for the survival of the NHS. The Triple Aim gives them clear strategic direction:
- to support better health and wellbeing for everyone,
- Better quality of health services for all, and
- sustainable use of NHS resources.
And the focus on the system as the key organisation is summarised in four purposes.
- Improving population health and healthcare;
- Tackling unequal outcomes and access;
- Enhancing productivity and value for money; and
- Helping the NHS to support broader social and economic development.
All of these require networks that involve the population served as a key partner and which will provide a base for not only ensuring individuals get the result they value highly, the subject of the next module but also that a culture of collaboration and stewardship can be created and fostered.
Module 5 Micromodules and Topics
- Micromodule 5.1 – Understanding population stewardship forums as a network
- Micromodule 5.2 – Leading population stewardship forums as a network
- Micromodule 5.3 – Managing population stewardship forums as a network