The new NHS chief said care systems outside hospital need to change and need greater investment, especially to support the elderly.
‘Modern health service’
“You cannot have a modern health service that is not treating older patients with dignity and compassion, supporting them at home and ensuring targeted prevention [of ill health],” he said.
He added: “There is a big opportunity to reorganise that so it meets the needs of those at home. At the moment it is too complicated and too fragmented.
“If you were starting from scratch you would not design community services like that.”
Businesses should also financially reward employees for losing weight and adopting a healthy lifestyle, he suggested, mimicking similar schemes in the US.
On Wednesday he will make a speech to the NHS Confederation’s conference in Liverpool, outlining new models of care to build community services around small hospitals and meet the needs of an ageing population.
He said it could see hospitals taking over the running of some GP services, and more close working between specialist and community care.