NHS Services, seven Days a WeekLevers and incentives workstream

Dr Mark Spencer

NHS England, October 2013

Commissioning 7DS – How ?

The main levers fall into the following categories:

Commissioners – CCG, H&WBB, Senate

Contractual mechanisms – standards, PBR

Payment system mechanisms – tariff, CQUIN, Litig Auth

Inspection and assurance - CQC

Measurement and transparency

Education commissioning and revalidation

Engagement – heart, mind, courage, leadership

Community – General Practice and Social Services

GP Standards

• NW London – Shaping a Healthier Future – Out of Hosp

– Individual Empowerment and self care

– Care planning and Multidisciplinary Support

– Information and Communication

– Access, Convenience and Responsiveness

• Telephone access 24/7

• Urgent and Routine appointments

• Development of London Standards for consultation in Spring

– Access

– Continuity and Co-ordination

– Proactive Care

– Safety