ghccg_powerpoint_templatecomissioning
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http://www.kirklees.nhs.uk/fileadmin/uploads/greaterhuddersfieldccg/Staff/Commissioning_Readiness_Scheme/GHCCG_powerpoint_templatecomissioning.pptTRANSCRIPT
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So what is commissioning?
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Commissioning is:
• A cycle, an ongoing process.• Nothing new.• What IS new is the clinical input as well as
involvement from patients and the public.
• Securing the highest quality healthcare services to meet the identified needs of a population within available resources.
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We DO commission….
• NHS elective, non elective, urgent and emergency services
• Most community health services• Mental health• Learning disability services• All elements of the commissioning
process
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We DON’T commission…
• Primary care services e.g. dental, optician, pharmacy services OR PRIMARY CARE.
• National or regional specialized commissioning
• Our own services. Conflict of interest
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NAPC
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Planning• How do we know what we need to
commission?• Sources of information include JSNA,
patient surveys, benchmarking, national directives, ONS.
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What have we got, where are the gaps and what are the
priorities?• PROM information, patient surveys,
Links, benchmarking, capacity.• National directives• Risk registers, • Outcome frameworks,• Financial, QIPP
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Procurement
• Designing or redesigning the services, clinical challenge invaluable.
• Contracts with service specification. May be AQP or competitive tendering but quality in contract vital (CQUIN)
• Manage the demand – pathways.
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Monitor the service
• Activity and quality• Payments (challenge)• User , LA and H&WB will want
information on the service and help to inform patients.
• Feedback to practices to help us manage our commissioning budgets.
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NAPC
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Public Health has moved..
• Now part of PHE.• Aligned to LA, accountable to LA, ring
fenced budget.• - Protect and improve H&W and reduce
inequalities• -Health Protection• - Health Intelligence – JSNA.
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Public Health
• Think population v individual• Get to grips with the drivers of demand• Think upsteam• Input into commissioning in LA and
CCG• Support the H&WB to be effective in
implementing the JHWS• ‘Rainbows’
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Health and Wellbeing Board
• New structure that links LA and CCG/NHSCB to deliver JHWS
• 2 GHCCG board members sit on H&WB.
• PH consultant – Dr Nicky Hoyle sits on governing body of GHCCG.
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Healthwatch
• Formerly LINks – consumer champion• Tasked with raising involvement in
planning and checking services.• Ensure that decision makers know the
community views-influence policy.• Provide information• Support complaints
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How will we be measured?• Outcomes > process• Outcome frameworks• Nice quality standards• QOF• Variation is benchmarked – Atlas.• Financial, QIPP• NHSCB.
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Who commissions us??
• NHS CB.• Primary care contracts will move to
NHSCB• Quality driven outcomes.
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How we can all help our CCG and our practices.
• Contribute• Support• Promote• Represent• Quality• Lead
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Useful resources
• RCGP. Centre for Commissioning. Competencies for Clinically – led Commissioning. Pt 1. 2011
• NAPC The Essential Guide to GP Commissioning
• JSNA – 2011 Kirklees
• NHS outcome framework