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Devon NHS publishes ‘Case for Change’


Success Regime Today sees the publication of a Case for Change document that sets out the key issues and challenges facing the NHS in Northern, Eastern and Western (NEW) Devon.

It has been published as the first stage in the Success Regime programme, which began gathering evidence in the Autumn.

The Case for Change comes less than a week after the national report by Lord Carter into NHS productivity and performance.

Commenting on the document, Ruth Carnall, Chair of the Success Regime in the NEW Devon area, said:  “There are some excellent NHS services across the county and we know how highly people value them.

“However, we also know that people’s health varies greatly from one part of the county to another, as does their ability to access some services.

“Many people spend too long in hospital and could fare better with more support in the community.

“Financially, the NHS is also living well beyond its means.  By 2020, the NHS in the NEW Devon area will face a deficit of around £440 million if it continues as it is.

“The publication of the Case for Change is the start of our engagement with people about what needs to change and why.

“All of the local NHS organisations, and local authorities, are committed to working with each other to deliver system-wide improvements.

“It is important for people to understand the pressures on the NHS and to help us to plan how to maintain and improve services whilst meeting our financial obligations.”

Last year, Northern, Eastern and Western Devon was one of three health economies identified nationally for the Success Regime programme.

The other two are Essex and North Cumbria. The Success Regime is a collaboration between the NHS Trust Development Authority, Monitor and NHS England.

The NHS Five Year Forward View, published last year, sets out a vision for the future of the NHS, including how it will need to change to meet the increased demand on local NHS services.

NEW Devon’s case for change will now be discussed at the following NHS meetings, held in public.

  • February 24 Royal Devon and Exeter NHS Foundation Trust board
  • March 3 South Western Ambulance Service NHS Foundation Trust board
  • March 3 NHS NEW Devon CCG board meeting
  • March 14 Devon Partnership NHS Trust board meeting
  • April 5 Northern Devon Healthcare NHS Trust board meeting
  • April 8 Plymouth Hospitals NHS Trust board meeting

Check organisational websites for full details.

Details of how people can get involved in the next stage of the Success Regime programme will be made available in due course.

For more information please contact your local NHS service press office or call NHS NEW Devon CCG.


The success regime is a national intervention aimed at securing sustainable services for the population. It is initiated when the problems are significant enough to be beyond the capacity of individual organisations to solve them.

Its purpose will be to improve services for patients in local health and care systems that are struggling with financial or quality problems, or sometimes both. It will provide increased support and direction, and aims to secure improvement in three main areas:

  • short-term improvement against agreed quality, performance and financial measures
  • medium and longer-term transformation, including the application of new care models where appropriate
  • developing leadership capacity and capability across the health system, ensuring collaborative working.

The members of the Success Regime in the NEW Devon area are:

  • Devon County Council
  • Devon Doctors
  • Devon Partnership NHS Trust
  • Healthwatch (Devon and Plymouth, also representing Torbay and Cornwall Healthwatch)
  • NHS Northern, Eastern and Western Devon Clinical Commissioning Group (NHS NEW Devon CCG)
  • Northern Devon Healthcare NHS Trust
  • Plymouth City Council
  • Livewell Southwest (formerly Plymouth Community Healthcare)
  • Plymouth Hospitals NHS Trust
  • Public Health England
  • Royal Devon and Exeter NHS Foundation Trust
  • South Western Ambulance Service NHS Foundation Trust
  • Virgin Care


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