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NHS Commissioning guidance for Wales

NHS Commissioning guidance for Wales. Wellard's Academy August 2007. Introduction. March 2007 guidance Department of Health and Social Services Strengthen commissioning Speed up improvement. Pathways. Rules. Better skills. Joint working. Formal mechanisms. What is in the guidance?.

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NHS Commissioning guidance for Wales

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  1. NHS Commissioning guidance for Wales Wellard's Academy August 2007

  2. Introduction • March 2007 guidance • Department of Health and Social Services • Strengthen commissioning • Speed up improvement

  3. Pathways Rules Better skills Joint working Formal mechanisms What is in the guidance?

  4. The strategies

  5. Designed for Life • Promote health • Citizen-centred model • Cost-effective care to published standards • Move care out of hospital • Local hospital care supported by centres of excellence

  6. Fulfilled lives, supportive communities • Self-referral • OOH • People's say • Person-centred care • Information • Joint working • Joint commissioning • Nutrition • Outcome-based care • Risk decisions • Complaint and redress

  7. Delivering beyond boundaries • Local services need to be better aligned

  8. Develop new commissioning processes Align cross-boundary services Issues to consider Instructions for commissioners

  9. Commissioning: the basics Commissioning v: Specifying, securing and monitoring services that are evidence-based, cost effective, of high quality and meet individuals’ needs.

  10. What commissioners need to know • Needs? • Types of service for need and quality standards • Capacity and volume • Where? • Efficient and effective providers • Remedying gaps • Improve inefficient services • Value for money

  11. Aims of the guidance • Use existing capacity and resources to reduce replication • Improve commissioning skills • Better information • Contribution of senior managers, clinicians and public • Minimum quality standards • Use all providers

  12. What do LHBs need to do? • Commission for resident populations • Establish three regional commissioning units (RCUs) for each of the three regions to commission: • secondary care • rehabilitation and intermediate care (where needed) • Open and honest collaboration

  13. Advise & inform Engage with HCW Clinical advice and access to evidence Agree allocation of resources Negotiate with providers Regional commissioning units In place during 2007/08

  14. Benefits To NHS trusts • Makes life simpler • Speeds decision process To LHBs • Reduce replication • Drive change • Correct focus • Integrate commissioning with HCW • Measure improvement

  15. Local planning cycle Three year-cycle Strategic framework statement Commissioning strategy Health, social care and well-being strategy; children and young people's plans

  16. National planning cycle HCW's service response Annual operating framework from government LHBs' service responses

  17. Standardised patient pathways • Consistent, citizen centred care • Attention to planning journey • Clinical and social care engagement • Removal of outmoded stages • Better costing • Effectiveness in decisions • Outcomes

  18. Shifting care closer to home LHBs must create commissioning agreements: • Community partnership agreement to: • Improve health • Integrate community services • Care for 'hard to reach' citizens • Align NHS and public sector • Secondary and specialist care agreement • Hospital care • RCUs act for their regional LHBs

  19. Training and guidance NLIAH to provide: • Training and skills development for commissioners, providers, managers, clinicians • Examples of good practice WAG • Ethical framework for commissioning

  20. Visit www.wellards.co.uk for more information about the NHS in Wales

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