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Enhancing Patient Choice of Providers for National Wheelchair Services

Learn how to extend patient choice of any qualified provider for national wheelchair services. Join us at the engagement event with Sohaib Khalid, Associate Director of Commissioning at Birmingham & Solihull PCT Cluster, to understand the commissioner perspective. This policy supports care closer to home, improves patient outcomes and experience, and encourages service innovation. Don't miss this opportunity to engage with providers and have a meaningful dialogue.

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Enhancing Patient Choice of Providers for National Wheelchair Services

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  1. Extending Patient Choice of Any Qualified ProviderNational Wheelchair Services Provider Engagement Event Sohaib Khalid Associate Director of Commissioning Birmingham & Solihull PCT Cluster The Commissioner Perspective

  2. Context • ‘Extending patient Choice of Provider’ policy published in July 2011 • Published at a time of significant period of change and reform: • Move to PCT Clusters • Formation of Clinical Commissioning Groups • Commissioning Support Services concept emerging • Much confusion?????

  3. Context (2) • Yet… show must go on! • The policy: • Has good alignment to commissioning strategies • Supports the ‘Care Closer to Home’ approach • Responding to feedback (patients / public/ stakeholders) • Enabling scrutiny in key service areas • A ‘tool’ for procurement • Supporting Market Development

  4. The policy… • The key rationale underpinning this policy centres on: • Empowering patients and carers • Improving patient outcomes and experience • Enabling service innovation • Free-up clinicians to drive change and improve practice • No income guarantees …

  5. The policy…(2) Governing principles • Key principles to govern AQP approach to contracting for services include: • Providers qualify and register to provide services via an assurance process that tests providers fitness to offer NHS-funded services • Commissioners set local pathways and referral protocolswhich providers must accept • Referring clinicians offer patients a choice of qualified providers for the service being referred to. • Competition is based on quality, not price. Providers are paid a fixed price determined by a national or local tariff.

  6. The policy… (3) • National ‘pick list’ for 2012/13: • Musculo-skeletal services for back and neck pain • Adult hearing aid services in the community • Continence services (for adults and children) • Diagnostic tests closer to home such as some types of imaging, cardiac and respiratory investigations to support primary assessment of presenting symptoms • Wheelchair services • Podiatry Services • Venous leg ulcer and wound healing • Primary care psychological (adults)

  7. Early Actions • Each PCT / Cluster has chosen 3 services for progression. In doing so they: • Engaged with patients, CCGs and Stakeholders (where possible) • Established (and progressed) a criteria for selection • Confirmed their selections to the SHA by Oct 11 • National Implementation packs published from November 2011 • Commencement of service (spec) reviews

  8. Some Selection Criteria • ‘Pragmatic’ … (not an exhaustive list!) • Clinical & Patient Safety • Clinical (dis)-agreement on definition • Commissioning priority (health need / patient feedback / experience) • Perceived degree of complexity (in isolating a service for progression) • Minimal disruption (system, service continuity) • Best use of the ‘public purse’ • Existing strategic work underway

  9. The West Midlands Approach • In West Midlands – pursuit of collaborative working • Collective selection of 2 service priorities, with a majority pursuing the same third • Sharing of capacity & capability recognising the short timeframes • Establishment of the WM AQP Steering Group, supported by ‘Task & Finish’ groups

  10. The West Midlands Approach (2) Summary of NHS Cluster selections:

  11. The West Midlands Approach (4) • ‘Task & Finish’ groups have: • Reviewed the published National Service Specification ensuring it was fit for purpose for the local health systems. • Reviewed, analysed and are establishing supporting price currencies for the delivery of the specified service. • Where appropriate and possible to do so, engage widely with clinicians and current providers to obtain a wider service understanding.

  12. Wheelchairs - Coverage • All PCTs from the former West Midlands SHA Area (Excluding Herefordshire and Staffordshire in Phase 1) • Population size = c.4.5m

  13. Local review • Three specifications • Spec 1 (Assessment) • Spec 2 (Provision – Delivery & Maintenance) • Spec 3 (Specialist) • Phased roll-out • Strong likelihood for a focus on Children • Reviewing data to determine • Eligibility / Exclusion Criteria to be reviewed • Seeking a LEAN service that is patient focused

  14. Local review (2) • Market Overview • (Currently) Ten Providers • Overall Value = circa £13m per annum • c.£900k per PCT area • Pricing • Assessment based upon staff time • Equipment = Cost of equipment plus maintenance • Currently undertaking exercise across area

  15. Next Steps • Advert date: • Window 1 - 27th April 2012 • Window 2 - July 2012 (TBC) • Contract Award: August /September 2012 • Mobilisation: September, no later than December 2012 • Contact Details: www.supply2health.nhs.uk • Today is an important stage for us (all)! • Key opportunity to engage with Providers, for meaningful ‘two way’ dialogue

  16. Thank you.And we hope you enjoy the day.

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