QIPP. It stands for Quality, Innovation, Productivity and Prevention . They will be at the centre of future NHS care. The Department of Health has set up twelve workstreams to help manage the delivery of QIPP in the NHS. The national workstreams are in three key areas – commissioning and pathways, provider efficiency, and system enablers.
Commissioning and pathways
- Back office efficiency and optimal management
- Clinical support
- Productive care
- Medicine use and procurement
Can you see what’s missing? Surely it’s obvious!
A comprehensive programme of quality has been designed without accreditation. Instead it is using issues that have the potential to matter to patients. Or at least NHS managers. Perhaps accreditation will be buried somewhere in the workstreams after all.
However this turns out, and with UKAS aggressively moving into other areas of clinical measurement, it is amusing to see the self-importance of the accreditation cartel ignored for once.
Fighting back, UKAS speaks of itself as “closely aligned” with the NHS next Stage Review 2008, High Quality Care For All. However, Lord Darzi’s final report does not mention this sort of accreditation at all. UKAS’s phrase is like the difference between silk and “contains silk”, or perhaps just “silky”. It sounds like UKAS is indulging in wishful thinking and it may take a few dinners and seminars to overcome its unimportance. UKAS is working to sell its parasitic services to a programme that saw no need for it.