integration & ccgs
Post on 16-May-2015
166 Views
Preview:
TRANSCRIPT
Commissioning – a view from the frontline
Dr Robert Varnam PhD MRCGP
Clinical Lead for Primary Care & Commissioning
robert.varnam@institute.nhs.uk @robertvarnam
Commissioning for integration
If our goal is betteroutcomes & experiencefor patients …
… our focus should beon transitions, gaps &navigation …
… not justindividual episodesor services
What do CCGs have?
a) Patient focus
b) Motivation to improve integration
c) Knowledge about the problem
d) Credibility with professionals
e) Trust of the public
f) Part of the solution
A. Joined-up commissioning
B. Commissioning joined-up care
C. Providing joined-up care
Three drivers of integration
212 CCGs
Population:260,000 average (68 – 900,000)
bit.ly/Qeefx5
© NHS Institute for Innovation and Improvement, 2012
Authorisation
Pre-ApplicationPre-ApplicationPre-ApplicationPre-Application
ApplicationApplicationApplicationApplication
NHSCB NHSCB led reviewled reviewNHSCB NHSCB
led reviewled review
COMMISSIONING DEVELOPMENT PROGRAMME
WORK IN PROGRESS – STRICTLY NOT FOR FURTHER CIRCULATION
Authorisation domains
1 A strong clinical and multi-professional focus which brings real added value
2 Meaningful engagement with patients, carers and their communities
3Clear and credible plans which continue to deliver the QIPP challenge within financial resources, in line with national requirements (including outcomes) and local joint health and wellbeing strategies
4
Proper constitutional and governance arrangements, with the capacity and capability to deliver all their duties and responsibilities, including financial control, as well as effectively commission all the services for which they are responsible
5Collaborative arrangements for commissioning with other clinical commissioning groups, local authorities and the NHS Commissioning Board as well as the appropriate external commissioning support
6 Great leaders who individually and collectively can make a real difference
Development for Commissioners Programme
Authorisation Timetable
Development for Commissioners Programme
Key actions for CCGs
Be a positive & proactive member of the Health & Wellbeing Board
Commission joined-up pathways for complex needs Use tariff to serve patients Design incentives & disincentives for providers Develop care coordination/navigation models & services Help general practice fulfill its potential
Key actions for NHS CB
Develop measures of integration Pilot Year of Care tariff Support positive CCG & HWB development Align outcomes frameworks Ensure national & local commissioning join up
appropriately Build a system which supports CCGs’ local autonomy
A. Joined-up commissioning
B. Commissioning joined-up care
C. Providing joined-up care
Be your CCG’s best friendFree staff to collaborate &
innovateIntegrate around the patient
A. Joined-up commissioning
B. Commissioning joined-up care
C. Providing joined-up care
Sisters are doing it for themselves
top related