Commissioning an integrated and efficient health system

Dr Martin McShane

Director of Commissioning Development & QIPP NHS Lincolnshire

Health • Partnerships

• Prevention

Planned Care

• Choice

• Competition

Long Term conditions

• Integrated

• Personalised

ACCESS

National

Local

Simple Complex

Need for integration

NHSCB

CCGs

Care

Commissioning

Public Providers

Principles

• Value clinical leadership and develop clinical ownership

• Comprehensively engage with the public

• Understand the rules

• Use information

• Vertical and Horizontal Integration

• Programme and Project manage change

Louth Pictre

Horizontal integration within a CCG

Planned Care

pathways

LTC

care plans

Navigator