How does funding flow in NHSE Regions?

Pharma Market Access Insights - from Mtech Access

Which decisions are made at Region level in the NHS in England? How do finances and funding work at this level? And how can industry best support and engage with Region leaders?
We sit down with guest speaker Richard Smale (Interim Director of System Co-ordination, NHS England [NHSE] – South West) for an all-encompassing discussion that explored finance, funding flows, system priorities, and the decision-making process in NHS Regions.
Richard heads up system co-ordination work across the NHS South West Region. The Region has seven Integrated Care Boards (ICBs), 22 Trusts, nine counties and a resident population of over 5.5 million patients stretching from Gloucestershire and Wiltshire to the Isles of Scilly.
The interview was led by David Thorne (Principal Consultant, Mtech Access and Transformation Director at Well Up North Primary Care Network [PCN]) who put both the NHS and industry perspectives to Richard to explore the real state of the NHS.
In this episode, David and Richard discuss:
- Where the NHS is heading and what this means for your strategy and business planning
- Decision making, finances, and funding flows across the NHS
- The role of NHS Regions, particularly with key funding decisions like Specialised Commissioning
- Delivering service change across integrated systems
- Policy priorities in practice and what to expect in an election year
- How Pharma, Medtech, and Diagnostics companies can best engage NHS leaders at Region level
This episode was first broadcast as a live webinar in February 2024.
Learn more about the webinar and Richard at: https://mtechaccess.co.uk/how-does-funding-flow-in-nhse-regions/
Discover more about our NHS Insights services at: https://mtechaccess.co.uk/uk-nhs-insights/

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1. Welcome and introductions (00:00:00)

2. Regions and Integrated Care Systems (00:04:38)

3. Are ICS leaders accountable to Region? (00:06:54)

4. How does money flow around the system? (00:10:07)

5. Late release of NHS operating plan (00:12:00)

6. Postcode lottery - bridging the gaps (00:14:49)

7. Long term vs short term pressures (00:23:28)

8. Where does NICE sit? (00:25:55)

9. Specialised commissioning (00:29:25)

10. Mainstream service budgets (00:31:36)

11. Funding variation between ICSs (00:35:58)

12. In a year's time... (00:38:56)

13. What is a good outcome? (00:40:47)

14. Who should industry engage with? (00:44:18)

15. How many people work at Region level? (00:47:08)

16. Provider collaboratives (00:50:09)

17. Final thoughts (00:57:09)