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I'm Professor Matthew Cripps, I'm programme director of
NHS Right Care. In my former life I was
a finance manager
and I joined the NHS in
1996 and the National Finance management
training scheme and worked my way
up to acting director level in commissioning
over a number of years. Whilst I was in finance something
that I always felt frustrated about was
the percieved need to me to be the one who held
the rest of the team back in terms of it's ambition and
and reform, it's you know the old adage about finance
always have always being the one to say no
and and that led me to thinking about well how can
we create a system where finance not only can say
yes, but wants to say yes within their role
and responsibilities
and for me that was the use of
financial and clinical variation data
and triangulating spend, opportunities to save money
when there's in-efficiencies, for example with
the opportunity to increase patients, improve patient outcomes
and increase quality in the system. And so we went about
with NHS Right Care developing a system that helps
health economies to identify those areas
and I as a finance person lead that where I worked
it doesnt have to be a finance person but it's something that I felt
strongly about so I did
and as a result of that
we were able
in the
health economies I worked in
to make sure that our improvement programmes focused on areas that
would increase quality in patient outcomes
whilst saving money it allowed me and the other senior finance officers
to deliver on their responsibilities
also allowed us to say yes more often than we used to
and it also meant everyone on our board or governing body
as they now are in CCG's was comfortable with the programs we were working on
because it didn't matter what your perspective was whether you were a clinician
head of quality, accountable officer, director of finance, whatever it was
the programs we were identifying as priorities ticked all the boxes
and that meant everyone was able to push in the same direction
together
and that's now been built up into what we know, what we call
the NHS Right Care approach
and it is across the country in CCG's
and health economies that have adopted it helping to drive improvements in
population level healthcare