National Health Service, Strategy Group, England (Co-Sponsored with the Harvard Global Health Institute)

Please Note: This internship is co-sponsored with the Harvard GHI, and therefore you should apply through the HGHI-IOP funding source in CARAT. Applications will be accepted until February 4th, 2018 at 11:59PM.

NHS England leads the National Health Service (NHS) in England. It sets the priorities and direction of the NHS and informs the national debate to improve health and care. NHS England shares out more than £100 billion in funds and holds organisations to account for spending this money effectively for patients and efficiently for the tax payer. It also directly commissions certain services such as primary care and specialised services. NHS England sets the strategic vision for the NHS and works with partners and regional teams to deliver that vision: getting serious about prevention, identifying and delivering improvements in health care, redesigning the NHS so it continues to meet the needs of patients, ensuring the NHS is financially sustainable and engaging the public in this whole process. We work closely with central government including the Department of Health, Department of Work and Pensions, the Office for Life Sciences and others. We also have a good relationships with national bodies responsible for the regulation of health and care, health research and local government.

The Strategy Group:

The Strategy Group is directed by Emily Hough and sits in the Strategy and Innovation Directorate. The team was central to the creation of the NHS England’s contribution to the 2015 Five Year Forward View, the overall strategy that set out the change we need to see in order to transform the health and care system in a sustainable way. The team  is now critical in supporting delivery against this strategy and is made up of about 35-40 people, coming from various professional backgrounds including: local government, health policy think tanks, government civil service, consultancies, social finance and medical professions.

The current team projects include long term strategy pieces such as working alongside the Department of Health on Brexit and its impact on the NHS, working with demonstrators to create healthier NHS workforces, testing out how new housing developments can improve health, and piloting new innovations to improve patient outcomes and reducing overall costs through combinatorial innovation. There are also shorter term consultancy style pieces of work on a variety of topics, such as articulating NHS England’s strategy for research and innovation or evaluating the impact of other policy initiatives.  Most projects involve working with a range of stakeholders across the NHS and the wider health and care sector.

Website: https://www.england.nhs.uk/about/

Summer Project:

The intern will be working in a team that has three key functions, including:

  • delivery of national demonstrator programmes to accelerate implementation of national priorities and transformative initiatives set out in the Five Year Forward View,
  • development of strategic think pieces and methodologies to support NHS England’s senior management team in their decision-making,
  • facilitation, influencing and co-ordination of policies and stakeholders across the healthcare sector to reach consensus or agree action on key issues

The intern will be assigned to work on one or more of the team projects in train in May 2018 and we expect that their role will involve aspects of each of the key functions set out above. 

Responsibilities:

Successful delivery may entail:

  1. Project scoping: conducting desk research, interviews with internal and external stakeholders,  and designing and administering questionnaires
  2. Project management: managing own work (from inception to end product) and contribute to wider team projects including drafting project plans and stakeholder engagement plans
  3. Analysis: synthesizing evidence and analysis to build logical narratives and insight  and use these to write briefing papers 
  4. Communicating findings: Producing deliverables such as written accounts of their projects and presenting their findings to their immediate team, the wider team and external stakeholders
  5. Relationship management: building effective relationships within the organization to achieve shared goals

Qualifications:

No specific requirements. However, skills in doing literature reviews, basic qualitative and quantitative analysis, powerpoint and event design will be beneficial.  Experience of facilitating group discussions and managing stakeholder communications would also be welcome but not essential.  An understanding of and interest in the UK health system would be welcome.

Work assignments may be flexed to reflect specific skillsets as appropriate.

Brief description from the Summer 2017 Fellow:

I am working on the Test Beds program within the Strategy Group at NHS England. The Test Beds program involves a collection of seven sites pioneering the use of integrated digital health technologies in their hospital systems, clinics, and pharmacies by working directly with innovators from industry. The program is now in its evaluation phase, and I am responsible for using qualitative and quantitative research methods to consolidate key learnings and analyze the thematic implications of the program. Through my analysis, I am working to understand the bearing of the NHS Test Beds program on health services research, and how we can apply what we've learned from this program to inject digital health innovation in other health systems through a unique industry-system-patient collaborative model.

Pooja Chandrashekar '18 

Throughout college, I’ve enjoyed the vast majority of all the internships I’ve done. This summer at NHS England’s Strategy Group truly stands out however. I came in thinking it would be an interesting but “standard” internship - i.e. working on one main project in-depth for the summer, with occasional side tasks. Instead, my work has only gotten more exciting and diverse over time. Based in the Healthy Workforce team, I have dug into the economic, clinical, and commercial factors governing out-of-hours healthy food barriers for NHS staff; participated in site visits/stakeholder roundtables to observe how the massive problem of health worker sickness absence is being addressed in hospitals; and helped refine an economic incentive scheme/”minimum offer” of NHS staff health and wellbeing initiatives that will be offered nationally. Every amount of energy and curiosity I’ve put in has been returned twofold in the form of deeper policy knowledge, project management exposure, and analytic/communications skill-building.

The Strategy Group is fueled by people with the drive and expertise to drive improvement at the highest level of the health system, This provides any intern with the ideal mix of exposure and opportunity to meaningfully contribute. I’ve been able to hear from a clinician at the frontline of implementing the Strategy Group’s Elective Care Program, describing how she helped reduce a man’s medication from 14 pills to 4 a day through a rapid-testing quality improvement initiative. At the same time, I and Pooja (the other Harvard intern) have also been invited to give a presentation to the group on recent developments in American health policy. The culture of the Strategy Group is one that thrives on an openness to personal exploration - that willingness to take on projects with a steep learning curve and collaborate with people from diverse professional backgrounds. As someone coming from an economics and public health background, I am confident that students with similar interests will find the Strategy Group to be a fantastic platform for broadening their skill set and learning more about public/private sector collaboration. As someone with a deep passion for policy and medicine, it has been a profoundly eye-opening experience to see the cross-cutting social effects of the NHS’s actions as a care provider, employer, and political issue. Coming out of this summer, I am sure that I am much better prepared to conduct research, manage complex projects, and contribute to health policy discussions at Harvard and beyond - and I’m sure any engaged intern will end their time with NHS England’s Strategy Group feeling the same way.

Antonia Chan '18

London, England
International, Public Health, Advocacy/Policy