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NHS Commissioning. With thanks to Graham Atkinson NW Commissioning Development Team. Overview. National commissioning developments NW commissioning developments Maintaining leadership and control during the transition
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NHS Commissioning With thanks to Graham AtkinsonNW Commissioning Development Team
Overview • National commissioning developments • NW commissioning developments • Maintaining leadership and control during the transition • Opportunities to engage clinical commissioners in the children and maternal agenda Better Care Better Health Better Life
Current Commissioning Landscape Department of Health SHA SHA SHA SHA SHA SHA SHA SHA SHA SHA PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT Better Care Better Health Better Life
Current Commissioning Landscape Department of Health SHA SHA SHA SHA SHA SHA SHA SHA SHA SHA PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT PCT Better Care Better Health Better Life
Current Commissioning Landscape Department of Health SHA Mostly coterminous Local Authority PCT Board Clinical commissioning PEC PbC Better Care Better Health Better Life
Response to ‘The Pause’ • Clinical Commissioning Groups in place of GP Consortia • Hospital doctor • Nurse • 2 x lay members • Should be coterminous with local authority • Duty to involve the public and consult on plans • Named using NHS brand with geographical link • Authorised or in shadow by Apr 2013 Better Care Better Health Better Life
Response to ‘The Pause’ • Other changes • National Commissioning Board to be set up by October 2012, taking on full responsibility by April 2013 • Local Arms of National Commissining Board will “recognise” PCT Clusters • SHAs now staying until Apr 2013 but will be clusted later this year • Clinical Senates and Clinical Networks hosted by the National Commissioning Board • Cooperation and some competition between providers Better Care Better Health Better Life
Future Commissioning Landscape National Commissioning Board NCB local arm NCB local arm NCB local arm NCB local arm NCB local arm NCB local arm CCG CCG CCG CCG CCG CCG CCG CCG CCG CCG CCG CCG Better Care Better Health Better Life
Future Commissioning Landscape National Commissioning Board NCB local arm NCB local arm NCB local arm NCB local arm NCB local arm NCB local arm CCG CCG CCG CCG CCG CCG CCG CCG CCG CCG CCG CCG Better Care Better Health Better Life
Future Commissioning Landscape National Commissioning Board Clinical senate NCB local arm Clinical commissioning Local Authority Mostly coterminous CCG PH HWB Better Care Better Health Better Life
Maintaining Leadership and Control • PCTs formed into Clusters • PCT Clusters to be recognised in local NHS commissioning board footprints • Single national operating standards for Clusters • Authorisation criteria for CCGs with managed pre-authorisation phase • SHAs forming into Clusters Better Care Better Health Better Life
Transition June 11 April 12 April 13 SHA SHA SHA SHA National Commissioning Board Clinical senate CCG CCG HWB NCB local arm CSU CCG Authorisation CCG HWB CCG PCT PCT CSU PCT PCT Better Care Better Health Better Life
2012/13 Commissioning Cycle ‘Dry Run’ • Put CCGs in the front seat now • Test the commissioning role of CCGs Help develop the commissioning support offers • Need CCGs and Clusters to test the system can run within likely running cost limits • Ensure Clusters create the space & freedoms for CCGs & HWBs to develop their new roles • Ensure CCGs are meeting the QIPP challenge and is embedded within the ‘day job’ • This starts now – opportunity to engage CCGs in the priority commissioning issues Better Care Better Health Better Life