The Commissioning Cycle and local plans

1. The Commissioning Cycle and local plans Carol McKenna, Chief Officer, GHCCG and Paul Midgley, Director of NHS Insight, NHiS Ltd

2. Commissioning cycle and local plans Purpose • To understand the commissioning cycle and how JSNA/JHWBS inform the GHCCG operating plan priorities Resources In your pack are websites/summary articles to look at post-event Content • Commissioning cycle elements • Joint Strategic Needs Assessment JSNA – what it is and what it is for • Joint Health & Wellbeing Strategy JHWBS – a new steer for CCGs • How the JHWBS will inform the GHCCG strategic plan priorities • How HWB and the CCG will work together on joint projects

3. Commissioning Cycle http://www.qualitymk.nhs.uk/default.asp?ContentID=3141

4. Kirklees HWBS commissioning cycle

5. Joint Strategic Needs Assessment JSNA http://www.kirklees.gov.uk/community/statistics/jsna/jsna.shtml

6. What’s in the JSNA?

8. Kirklees Health & Wellbeing board • How HWB and the CCG will work together on joint projects http://www.kirkleespartnership.org/healthwellbeing/index.asp#anchor2

9. Joint Health & Wellbeing Strategy JHWBS – a new steer for GHCCG http://www.kirkleespartnership.org/publications/fileview.asp?fileRef=f51b936fa19dfe691bb61c8f63059e39

10. JSNA priorities informing JHWBS

11. What does success look like?

12. What does success look like?

13. Partnership working for success • Coordination required across LA and Health:

14. How your role links to clinical commissioning Paul Midgley, Director of NHS Insight, NHiS Ltd

15. Your role in clinical commissioning Purpose • How day to day practice activities support GHCCG commissioning • The power of sharing feedback on local services with members of GHCCG Resources Websites/summary articles/exercises to look at post-event are in your delegate packs Outline • Focus on assessing needs and Review current service provision • Focus on ‘Manage demand’ and ‘Clinical decision making’ • Focus on ‘Manage and Evaluate Performance’ • Relate the commissioning cycle to GP/practice activities • Dermatology example

16. Re-visit the commissioning cycle http://www.qualitymk.nhs.uk/default.asp?ContentID=3141

17. Assess Needs & Review Provision • Importance of understanding data • Using patient feedback on services

18. Manage demand & Clinical decision making • Importance of using the Practice Performance Pack to review your performance vs peers e.g. Referrals, A+E attenders, Diagnostics, Prescribing

19. Clinical & Practice involvement Integration of patient voice in unmet needs – through involving your PPG; PPG opinion surveys on access, quality, overall satisfaction of staff and patients; PPG Support/engagement with LINks/HWB; Public Health Practice Profile/CCG profile Monitoring Performance/Quality indicators for your own practice – e.g. QOF deep dive beyond points achieved - % of all patients to target Information Management support – know your SARs, Prescribing, A+E Feedback to support CCG’s Provider Performance Management – patient and GP views on contracted services What does your Practice Quality Report say about current gaps in Outcomes? Rigorous service evaluation; Involvement in Pathway re-design and improvement groups Practice feedback; Guidance from GPSIs and other expert clinicians Clinician members on Governing Body and HWB Agreeing Practice Risk protocols and management pathways; Clinician specialisation Referral Management Practice Auditing demand vs budget Incentives for commissioning behaviour change (GHCCG governing body clinicians) Assuring Patient Choice Clinician expert support Comparing provider quality – feedback from clinicians and patients on proposed provider service specifications through CCG subcommittees Clinician expert support on service redesign multidisciplinary groups

20. Commissioning cycle in action – dermatology services in GHCCG • How was this done and how do the steps taken relate to the commissioning cycle? • Who was involved in making this a success? • How do you know it has been a success?

21. Commissioning and me Group exercise at tables - All Desired Outcome • Practices will be able to feed back from their groups where their day to day activities link to and support the business of GHCCG Resources • One large ‘Commissioning Cycle’ diagram per table • One A4-sized copy of Commissioning cycle per person for your reference pack Activity • 30 minutes for the group exercise • 20 minutes for feedback – approx 5 minutes per table group

22. Commissioning and me - exercise • 20 minutes for the group exercise – to discuss and making notes Discuss in your group: • What existing activities within the practice supports the GHCCG commissioning effort? • Are there new activities we need to start doing as practices to play a fuller role in supporting each other as members of GHCCG? • Annotate the commissioning cycle diagram accordingly for each section • Clearly differentiate 1) comments on existing activity and 2) new things required Feedback: Nominate one GP and one Practice Manager to report: • What our GPs need to do to support GHCCG commissioning efforts • What me as PM needs to do to support the practice to play a fuller role as a member of GHCCG