Learning From the Past – Looking to the Future

Jeff Crawshaw reports from a recent event organised by the West Midlands branch, which looked at major service changes taking place such as the Five Year Forward View and integrated care.


People, politics and poetry were three of many topics covered in a lively meeting of the West Midlands branch of the HPMA as colleagues from across the region explored the challenges and opportunities created by the Five Year Forward View (FYFV), major service changes and ‘Devo Manc.’

The event was generously hosted by Capsticks Solicitors LLP at their Birmingham office.

Gary Hay, Employment Partner at Capsticks, and his colleague Laura Lobb, a Senior Lawyer in Capsticks’ Employment team, gave a whistle stop tour of Multi-Specialty Community Providers, Integrated Primary and Acute Care Systems and the other new models outlined in the FYFV, before looking at a range of potential legal issues, including applying TUPE regulations.

Guest speakers Richard Haynes and myself, of Crawshaw Haynes Associates, shared our experiences of working in some of England’s most challenged health economies, and how the lessons learned could be applied to future organisational and service change.

With a general election looming, FYFV vanguards pressing ahead with their plans, and a range of integration initiatives under way, Jeff and Richard stressed the importance of remaining focussed on outcomes for patients, effective stakeholder communication and staff engagement.

Taking inspiration from sources as diverse as poetry on the underground and the management theories of Hewlett and Packard, Jeff and Richard challenged the audience to take the initiative and use their skills, insight and networks to act as the catalyst for change.

HPMA West Midlands Vice-Chair David Holmes then took the David Dimbleby role as Jeff, Richard, Gary and Laura faced a series of questions from the floor. The panel were quizzed on issues as diverse as potential conflicts of interest between GPs as commissioners and providers, the future of the Foundation Trust pipeline and managing the consequences of competitive tendering.

David Holmes said: “The ambitions for rapid and radical change set out in the Five Year Forward View, and the Dalton Review, could herald one of the biggest changes in health and care culture and service delivery in the history of the NHS.

“The insights and guidance Gary, Laura, Jeff and Richard shared with us were fascinating and valuable. We may be heading for unprecedented times – but there are lessons we can learn from what we, and our colleagues, have done before.”

Jeff Crawshaw, Director, Crawshaw Haynes Associates Ltd


Movement to Work, a collaboration of UK employers that aims to tackle youth unemployment
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