Devon Case Study Devon Success Regime (phases 1 and 2a) Partner Leads: Ben Richardson and Ruth Carnall The context In mid 2015, the combined NHS commissioner and provider economy in northern, eastern and western Devon was forecasting a deficit of £40m for 2014/15 and a recurring deficit of £87m into 2015/16, despite being 2% over target. Further, the system was failing to deliver some of the key performance standards including: RTT admitted, 6 week diagnostic, A&E four hour wait, cancer standards and 28 day cancelled operations. In addition, the provider/commissioner relationship had become overly transactional – to the extent that this was beginning to affect relationships. As a result, Devon was one of the three health systems to be placed into the “success regime’ by

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