Wendy Saviour Director of Commissioning Development Safer high
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Wendy Saviour Director of Commissioning Development Safer, high quality care Better patient experience Improved health Value for money Real influence More accessible services
Liberating for Excellence • Aims To: • Empower clinicians to design services and make commissioning decisions in return for accountability for results. • Empower patients to exercise choice and local populations to improve quality. • Create a competitive market environment.
Commissioning for patients • How: • GP Commissioners • PCTs • NHS Commissioning Board • Local Authority
Managing the transition • SHA role: • Build on progress made in the East Midlands in respect of commissioning • Work and operate on the principle of subsidiarity • Consider collaborative commissioning arrangements, (primary care, specialised, prisons, maternity) • Advise, support and assure on the development of GP commissioning • Influence emerging policy and the bill • To ensure appropriate Leadership development for GP Commissioners
Managing the transition • SHA Role Cont’d: • Ensure engagement with wider stakeholders LAs, secondary care and related work programmes • Develop authorisation process for shadow consortia in preparation for April 2011 • Agree regional / national approach to regional budget setting • Regional Information review - October • Sharing best practice through existing networks - National pathfinders and PPI pilots • Identifying commissioning capability and stimulating the market
GP Consortia Role – emerging themes • All practices to be part of a GP commissioning consortium • Duty to manage resources effectively as a provider • Duty to offer choice • Consortia to work with LA to undertake needs assessment • Buy the services to meet the need • Ensure expenditure does not exceed resources available
GP Consortia Role – emerging themes • Consortia to monitor performance of practices • Consortia to allocate the ‘Quality premium’ to its constituent practices • Consortia to have an Accountable Officer and Chief Financial Officer • Inform engage and involve the public • Manage contracts with providers
GP Consortia Authorisation – emerging themes • Consortium constitution • Financial controls • Geography – appropriate to address local issues • Population size – viability • Patient and public views • Capability – internal and bought
Key issues • Funding and incentives unknown at this stage • GP contract • Legacy financial positions • Flexibilities to provide ? • Clinical ownership to bring about behavioural change • Relationships and stakeholder engagement • FT universality • Integration v competition & choice
Early thoughts on regional work programme • What are the emerging issues for you? • What do you need to support the development of shadow consortia? • Roles and responsibilities - Doing the right things at the right level. Consortia, PCT and SHA. (principle of subsidiarity)
