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NHS London and the London Deanery: Supporting change in medical and dental education

The major challenges for healthcare globally are well understood - but solutions to these problems are not. Ageing populations, a rise in the prevalence of long term conditions, the spiralling costs of delivering healthcare, and a growing expectation on the part of patients to receive personalised, informed healthcare all place pressure on healthcare systems that struggle to cope.

NHS London - together with the London Deanery, needed to change the model of managing Postgraduate Medical and Dental education in London. They were responding to a UK health policy requirement to separate commissioning from provider functions. In parallel, the organisations wanted to continuously improve quality, promote innovation of education delivery and realise long term efficiency savings in response to the changing financial environment.

PA Consulting Group was asked to support the design and implementation of a new system of commissioning and provision. This included the design of new organisations and the development of a market of provider to oversee local education delivery. We also supported the devolution of the provider activities, and worked closely with the London Deanery staff to create organisations that will commission and support this activity.

Our combined teams of procurement, shared services experts, organisational change specialists and medical and dental workforce leads have delivered a series of highly complex assignments. This has culminated in the transition of a new commissioner for all medical and non-medical education in London, overseeing a spend of approximately £1.1bn.

The changes are expected to bring significant improvements in the quality and effectiveness of medical and dental education, as well as reductions in cost. Independent assessments suggest these savings will amount to more than £20 million by improving care to patients through better education and training of doctors and dentists.

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