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Future Shift

Developing our vision for a ‘Future Shift’ in health and care

Partners in the Suffolk and North East Essex Integrated Care Partnership (ICP) are working together to develop the central high level concept of enabling a ‘Future Shift’ in our whole health and care system over the next decade. This will ensure that Suffolk and North East Essex ICS has a clear high level overarching strategic context within which our ICB, Alliance and broader ICS strategies and plans can become even further aligned.

‘Future Shift’ – WHY? 

Our world is changing. We are living through a period when new and unprecedented challenges are fast emerging through population change, climate change and the realities of globalisation and international conflict. At the same time we are also experiencing rapid social, economic and political change. The health and care needs of the people and communities that we serve are also changing. Projections of future demand and capacity in our local health and care system show that continuing to work in the way that we currently do is unsustainable. However we also have new opportunities to work together as a system, to respond to a changing outlook in our workforce and to embrace the potential of new medical, technological and digital capability.

‘Future Shift’ – HOW?

Over the last few months a discussion has begun in our ICS about the need to effect what has been described as a ‘Left Shift’ in health and care. A ‘Left Shift’ is about changing the way that we work in health and care over time by aligning all five elements of our ICS Integrated Care Strategy. These are about:

  • enabling everyone living in Suffolk and North East Essex to ‘Live well’ – to Start Well – Be Well – Stay Well – Feel Well  – Age Well – Die Well;
  • supporting more people to live well for longer by preventing disease and slowing progression. Identifying problems and intervening early. Building resilience. Focusing on the wider determinants;
  • ‘Thinking Differently Together’ to move care and resources towards more local community-based solutions. Investing in place and neighbourhood working. Building a more resilient VCFSE sector;
  • enabling equality and equity of access, experience and outcomes in health and healthcare;
  • taking a ‘Can Do’ approach that is collaborative, compassionate, cost effective, courageous, community focused and creative. Proactively driving innovation and disruption through our digital, finance, estates, workforce, education, clinical and quality strategies.

‘Future Shift’ – WHAT?

What we still need to do is to agree together WHAT we will do in the NHS, local government and VCFSE sector so we move this agenda forward over the next few years. We need to think and plan for the longer term so that we can move forward from the here and now, so that we don’t miss opportunities, we spot risks and we make decisions that stand the test of time. The ‘Three Horizons Model’ is a useful tool to enable us to do this.

The model can help us to think about:

  • The need for the current situation to change (Horizon 1)
  • Our vision for the future (Horizon 3)
  • Ideas for how to get there from where we are now (Horizon 2)

It can also be used to think about how things may change over time:

  • Horizon 1: right now, current trends and issues
  • Horizon 2: emerging trends
  • Horizon 3: trends that might dominate the future, competing visions

The model is particularly powerful because it can draw together different knowledge and perspectives to build a shared vision of the future and the steps that are needed to get there. It can also help us to see the role that all three horizons can play in bringing about change.

Recordings from Workshop

Future Shift: Introduction

Shifting Demand and Capacity

Shifting Attitudes

Seeing the Future

Future Shift: Resources

Future Shift: IntroductionDownload PDF
Shifting Demand and CapacityDownload PDF
Shifting AttitudesDownload PDF
Seeing the FutureDownload PDF
Future Shift Workshop ReportDownload Report

For further information on ‘Future Shift’ or to get involved contact

Last Updated on 10 May 2024

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