AQP Procurement Specialist Community Dermatology Services

1. AQP ProcurementSpecialist Community Dermatology Services Dr Su Stone Planned Care Portfolio – Clinical Lead

2. A bit about the CCG • Our CCG covers nearly 65% of West Sussex • We are made up of 6 constituent Localities • With 56 GP Practices • An annual budget of more than £595m • And serve a population of 482,000

5. Our Vision We will transform local services so that every person in Coastal West Sussex has access to the highest quality healthcare, through their whole life and death, which offers great health outcomes and enables them to live healthy and happy lives In achieving our vision we will: • Put our patients and their carers at the centre of everything we do, where decisions about their care and their local NHS will be taken with them in partnership • Make sure that patients have access to the right care, in the right place at the right time • Create and shape a local NHS which makes the right thing the easiest thing to do for both patients and professionals and offers an excellent experience every single time • Ensure mental health is as important as physical health • Ensure that no community is left behind or disadvantaged Our Focus • Improving the effectiveness of clinical services • Reducing variation in practice and the inappropriate use of services • Delivering safe and effective alternatives to hospital based care • Integrating services at the point of delivery • Empowering patients and carers to self-care • Empowering health and social care professionals, and the managers that support them, to do the very best they can do • Reducing bureaucracy and speeding up decision making.

6. Planned Care Team - Dermatology Dr Rebecca Poet (GP Clinical Adviser) Wendy Mahoney (Head of Planned Care) David Grant (Project Manager) A matrix team has been working to develop the documents, incl. patient representatives, CCG GP representatives, Procurement, Quality, Finance, Business Intelligence, Contracting, Governance, Medicines Management and IM&T.

7. Designing a new service Taken advice from numerous clinical forums, e.g., Strategic Cancer Network, British Association of Dermatologists, National commissioning specifications, benchmarking data, local, regional and national trend data There has been a balance between clinical decision making and a cost based analysis that have informed our decision making

8. Why are we proposing change? A desire to bring more care closer to home A national shift from secondary to community based provision Current community services are not equitably provided Current acute pathway has more steps than is necessary for good quality care

9. What are our aims from the service? To provide the majority of dermatological care in the community for patients of all ages To enable high quality and advice, education and training to GPs to manage skin conditions in primary care To increase the range of procedures carried out in the community, e.g., PUVA, PDT, patch testing

10. What are the expected benefits of change? Improved patient access and experience - “right care, right place at the right time” High quality care in a sustainable ‘best value’ system Better clinical outcomes where possible within a ‘one stop’ pathway Greater consistency of care and equality of provision across the CCG

11. What are the benefits of AQP? Allows the market to be as open as possible Allows both existing and new providers to enter the market Allows all qualified providers to compete for services on the basis of ‘quality’ rather than ‘price’

12. The Community Tariff: Represents dermatology elective care services Front-loaded tariff that incentivises a ‘one stop shop’ Recognises that the majority of procedures can now be safely delivered in an outpatient setting Includes all prescribing costs Promotes innovation, e.g., teledermatology

13. Procurement Timetable

14. Any questions?