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Wendy Saviour Director of Commissioning Development

Improved health. Safer, high quality care. Value for money. Real influence. More accessible services. Better patient experience. Wendy Saviour Director of Commissioning Development. Liberating for Excellence. Aims To:

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Wendy Saviour Director of Commissioning Development

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  1. Improved health Safer, high quality care Value for money Real influence More accessible services Better patient experience Wendy Saviour Director of Commissioning Development

  2. 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.

  3. Commissioning for patients • How: • GP Commissioners • PCTs • NHS Commissioning Board • Local Authority

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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)

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