sussex by the sea: supporting primary care commissioning erica rae and tom roper west sussex...
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Sussex by the sea: supporting primary care commissioning
Erica Rae and Tom Roper
West Sussex Knowledge & Libraries
West Sussex Knowledge & Libraries
• Two physical sites, at Chichester and Worthing• Support all NHS staff, whether acute, primary,
mental health, local authority, hospice…– Head of Library and Knowledge Services– Deputy Head of Library and Knowledge Services– Public Health & Commissioning Librarian and Primary
Care Librarian– Clinical Librarian and Knowledge Systems Librarians– Library managers and library assistants
A brief history of commissioning
• 1991: purchaser-provider split, GP fundholding, GP & locality commissioning
• 1995: total commissioning• 1997: Labour elected, committed to end
fundholding• 1999: fundholding abolished, PCGs (later PCTs)
established• 2010: coalition elected• 2011: CCGs• 2012: Health and Social Care Act passed
Continuum of commissioning before the election of the current government7
Smith J A , Mays N BMJ 2012;344:bmj.e980
©2012 by British Medical Journal Publishing Group
The commissioning cycle
Attribution: Bdailey86 from Wikimedia Commons
Sussex
Coastal West Sussex:Locality areas and practices
• Adur– 9 GP surgeries in Lancing, Shoreham-by-Sea, Sompting and
Southwick
• ARCH– 22 GP surgeries in Arundel, Bognor Regis, Chichester, East
Wittering, Loxwood, Midhurst, Petworth, Pulborough, Selsey, Southbourne, Tangmere and Yapton,
• Arun– 6 GP surgeries in East Preston, Littlehampton and Rustington
• Cissbury– 13 GP surgeries in Ferring, Goring-by-Sea and Worthing
• Chanctonbury– 5 practices in Billingshurst, Henfield, Steyning & Storrington
Coastal West Sussex
• GP Practices• One acute NHS hospital trust, two main
sites• Six NHS community hospitals• Over two hundred community nurses• A wide range of community teams• Over fifty NHS dental surgeries• Around ninety-five community pharmacies
Some salient features• Higher than average proportion of elderly people (20% over 65,
England 16%) • Considerable health inequalities • Poorer life expectancy in deprived areas• Rising numbers of people with disabilities• Rising numbers of people living longer with long term conditions.• Alcohol-related hospital admission rates have continued to increase.• Obesity affects all ages within the population• c.180,000 adults obese, at increased risk of
– Diabetes– Hypertension– Coronary vascular disease– Stroke– Cancer
Key relationships for the CCG
• NHS Commissioning Board• NHS Sussex and NHS South of England• Providers
– Western Sussex Hospitals NHS Trust– Sussex Community NHS Trust
• West Sussex County Council– Joint Commissioning Unit– Health and Wellbeing Board
• Patients and public
• Role of the PHCL Librarian
• Public Health and Commissioning – What’s the difference?
• Service changes
• Commissioning Cycle/Intelligence Model
• Example searches
• Current Awareness
Public Health & Commissioning Librarian
• The PCT – we’ve always been there!
• A change of service
• A change of customer base
• A new role for me
• The remit
• The practicalities
• Different teams, different approaches
• Major changes!
• Public Health will merge with Local Government
• CCG developing their role
• Joined up services
• A culture shift
• Branching out into Local Government
• A new client base?
• Requiring new tools and methods
• So what do we do?
• And why do we do it?
• A couple of illustrations…
The Commissioning Cycle
Copyright © 2011, Re-used with the permission of The Health and Social Care Information Centre. All rights reserved
• Traditional resources – – NHS Evidence
– HDAS
– Cochrane
• Who’s already done it?
• Thinking ‘out of the box’
• No Results?
Find more! using msk hub "service specification" site:nhs.uk
• Google –
For Public Health –
examples of other PCT’s health and wellbeing strategies
"alcohol strategy" pct or primary care trust
For the JCU –
information on the "Troubled Families Initiative”
"troubled families initiative" site:gov.uk
• New databases –
For Social Care information
Applied Social Sciences Index & Abstracts (ASSIA )
• Other resources –
Local Government Association website
National Centre for Social Research
• Help is at hand!
The Commissioning Handbook
• And finally...
• Marketing and Promotion –
Don’t wait for them to come to you
Current Awareness helps
Keep up to date yourself
Learn to speak their language
Netvibes/PubComm
Useful websites
•Commissioning Handbook for Librarians http://commissioning.pbworks.com
•Local Government Association http://www.local.gov.uk/
•National Centre for Social Research http://www.natcen.ac.uk/
•NHS Commissioning Board Special Health Authority http://www.commissioningboard.nhs.uk/
•NHS Information Centre for Health and Social Care http://www.ic.nhs.uk/commissioning
•NHS Networks Commissioning Zone http://www.networks.nhs.uk/commissioning
•NHS Primary Care Commissioning http://www.pcc.nhs.uk/
•Quality:MK http://www.qualitymk.nhs.uk/