chim 5 november 2008 commissioning. commissioning “is the prioritisation (rationing or resource...
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CHIM
5 November 2008
Commissioning
Commissioning“is the prioritisation (rationing or resource allocation) of healthcare based on the expressed health needs of a defined population and framed by mandated care and local and national health priorities …. A process of differentially valuing various forms of healthcare; a set of moral judgments about the relative value (benefit) of different kinds of health services framed by politically and clinically defined requirements”
Tritter, 2008
World Class Commissioning
D.O.H. approach to strengthen Commissioning
Improving Wellbeing and Health
World Class Commissioning
• Vision
• 3 key components
- Outcomes
- Competencies
- Governance
• Assurance Review Process
World Class Commissioning: VisionWorld class commissioning is not an end in itself, so in order to prove themselves successful, commissioners will need to demonstrate better outcomes; adding life to years and years to life
Better health and well-being for all• People live healthier and longer lives• Health and inequalities are dramatically reducedBetter care for all• Services are evidence based, and of the best quality• People have choice and control over the services that they use, so they become more personalisedBetter value for all• Investment decisions are made in an informed and considered way, ensuring that improvements are delivered within available resources• PCTs work with others to optimise effective care
The vision for world class commissioning will be one that is developed, articulated and owned by the local NHS, with a strong mandate from local people and other partners (such as local authorities). PCTs should state what their vision for world class commissioning is locally, and what they will achieve through continually commissioning better services and delivering better outcomes based on local priorities.
World Class Commissioning
3 Key components: outcomes,competencies and governance
World Class Commissioning
Outcomes
Reflect the overall improvement in the health and well being of the population
Up to 10 outcomes for review
2 national - life expectancy and health inequalities
Up to 8 determined locally in line with strategic plan
World Class Commissioning
Improvement based on ‘relative’ outcomes
World Class Commissioning
Competencies
Competencies reflect improvements in the PCT’s skills and behaviours as commissioners
They describe the Commissioning Process
Competency 11 is assessed within the governance component of assurance
World Class Commissioning
11 world class competencies
• 3 indicators/competency
• Criteria/indicator
• Rating 1 to 4
• Self assessment
• Survey Feedback
World Class Commissioning
GovernanceGovernance reflects the underlying grip that the Board and the organisation have on their core business
Key components:Strategy Strategic PlanFinance Financial PlanBoard Self Certification + evidence
Organisational Development Plan
R
R
R
A
A
A
G
G
G
World Class Commissioning
April May June July August September October November December January February March
Calibration
PCT PLANS
COMMISSIONING ASSURANCE*
Publication of Next Stages Review(2008)
PCT preparation
Ongoing follow-up
Ratings published(2010 onwards)
Annual operating plan
Five-year financial plan
Strategic plan
Revised strategic plan
Organisation development plan
Panel day
Panel preparation
Strategic planscomplete
Timed around an annual cycle
World Class Commissioning
World Class Commissioning: Why?World Class Commissioning: Why?• Commissioning in a health context still very new• Key to achieving Govt’s aims and objectives
- put the emphasis on improving wellbeing and health
- end historic pattern of provider led service development
- investment based on needs assessment and involvement in public and patients
• Move from contracting to commissioning• Become Health Benefit organisations
System Reform – Made Easy
Group Work 2
What are a PCTs information requirements to successfully support the 3 components of World Class commissioning ?
- Outcomes- Competencies- Governance – particularly the Strategic
Plan and the Financial Plan
Are these information requests readily available to the PCT ?