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The vision for World Class Commissioning

The vision for World Class Commissioning. The programme. Vision and competencies. Assurance framework. Support and development framework. Vision.

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The vision for World Class Commissioning

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  1. The vision for World Class Commissioning

  2. The programme Vision and competencies Assurance framework Support and development framework

  3. Vision

  4. WCC will be the main vehicle for delivering world class services which meet locally determined health needs, and deliver wider policy objectives – for example Lord Darzi Review • Universal coverage • Efficiency • Equity/ Fairness • Financial balance Why now? • We have the foundations in place to dramatically • Improve health outcomes

  5. Why world class? World-class commissioning is a statement of intent aimed at raising ambitions and dramatically transforming the way we work

  6. What will it deliver? • Better health and well-being for all • Better care for all • Better value for all • Adding life to years • And years to life

  7. How is it different? • Strategic • Long-term • Outcome-driven • Evidence-based • Partnership-focused • Clinically led • Highly professional

  8. How will it support the NHS vision? • It will deliver: • More focus on prevention and well-being • More personalised care • Greater choice • Greater safety • Better quality • Better value

  9. How has it been developed? • World class commissioning is a shared programme • Input from over 100 leading NHS thinkers • Questionnaires to seek broader views • Open working style • Close engagement with partners

  10. How will it be delivered? • Delivered locally • PCTs will lead the program • Clinical engagement and innovation will drive improved outcomes • Partnership is key to success

  11. What is the role of PBC? • Clinical engagement essential • Key role for PBC • Assessing local needs • Helping decide priorities • Helping shape outcomes • Designing care • Developing future services • Giving feedback on provider performance

  12. Competencies

  13. What are competencies? • Competencies are the skills, • knowledge, behaviour and characteristics • that underpin effective commissioning

  14. What are the competencies for world class commissioners? • World Class Commissioners: • Locally lead the NHS

  15. What are the WCC competencies? • World Class Commissioners: • Work closely with community partners • Engage with public and patients • Collaborate with clinicians

  16. What are the WCC competencies? • World Class Commissioners: • Manage knowledge and assess needs • Prioritise investment

  17. What are the WCC competencies? • World Class Commissioners: • Stimulate the market • Promote innovation and improvement

  18. What are the WCC competencies? • World Class Commissioners: • Secure procurement skills • Manage the local health system • Make sound financial investments

  19. What will the competencies look like? • Each competency will be broken down into • Skills • Processes and knowledge • Outputs

  20. World class commissioning is NOT an end in itself. • In order to be successful, commissioners will need to demonstrate better health outcomes; adding life to years and years to life

  21. Commissioning assurance

  22. What is commissioning assurance? • A system to drive and support performance • Key principles: • One national system • Developmental • SHA led

  23. Health outcomes and quality Competencies Governance What will it look like?

  24. e.g. Chronic Heart Disease Stretch target NHS Upper Quartile Best NHS World Leading 10-15 Indicators Determined by: PCT, PBC, Local Population Example Vital signs Population ‘x’ PBC’s drive innovation to deliver

  25. Support and developmentframework

  26. What is the Support and Development Framework? • A framework to provide commissioners with the tools they need to progress towards world class

  27. SHARE LEARN BUY SHARE Development assessment Early adopters learning spread FESC Tools to support contracting Creation of a commissioning community Development/ training Support and development

  28. How is it measured • Strategic Plan, • Five Year Financial Plan, • OD Plan • Annual Operating Plan • Local Area Agreement • Joint Strategic Needs Assessment • Communications Strategy • PBC Governance • Provider Contracts

  29. How is it measured • Pathway Redesign • Provider performance report • Board Self Certification • Competency Self Assessment • PANEL REVIEW DAY

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