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Future of Clinical Networks as of 19 November 2012

Future of Clinical Networks as of 19 November 2012. Barbara Gill Network Director, Mount Vernon Cancer Network. NHS Commissioning Board (NHS CB). One national office in Leeds Four regions 27 Local Area Teams (LATs). Local Perspective. Our Region - Midlands and East of England

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Future of Clinical Networks as of 19 November 2012

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  1. Future of Clinical Networksas of 19 November 2012 Barbara Gill Network Director, Mount Vernon Cancer Network

  2. NHS Commissioning Board (NHS CB) One national office in Leeds Four regions 27 Local Area Teams (LATs)

  3. Local Perspective • Our Region - Midlands and East of England • Our LAT - Hertfordshire and South Midlands • The Herts & SM LAT also includes: • The rest of Bedfordshire • Milton Keynes • Northampton

  4. London • One Region • 3 Local Area Teams • But the 3 LATs have a single management structure • Also 2 Integrated Cancer Systems • London Cancer Alliance • London Cancer

  5. Other key organisations 211 Clinical Commissioning Groups (CCGs) 23 Commissioning Support Units

  6. Local CCGs • Herts Valley CCG (West Herts area) • East & North Herts CCG • Luton CCG • Bedfordshire CCG

  7. Commissioning Support Units • There will be 23 nationally • Locally, the Herts CCGs will get their support from Herts Integrated Commissioning Support (HICS) • Luton and Beds CCGs initially chose GEMs, now likely to join with HICS

  8. Commissioning Arrangements • Local Area Teams (LATs) • Will commission GP, dental, pharmacy services • Clinical Commissioning Groups (CCGs) • Will commission most secondary health services • With help from their CSUs • Specialised Commissioning • Will commission specialised health services • Specialised cancer services • Radiotherapy • Chemotherapy…. • Contract with MVCC

  9. Input • Public Health England • 4 regional “hubs” (in line with CB regions), and local units to fit with NHSCB local area DH Jeremy Hunt, Secretary of State Input National Health Watch NHS Commissioning BoardChief Exec, Sir David Nicholson 50 PCT clusters (2012): becoming 27 NHS CB local area teams 4 SHA clusters (2012):becoming 4 NHS CB regions Monitoring Clinical Senates (Herts in EoE senate) Hertfordshire County CouncilResponsible for Public Health LocalHealth Watchto evolve from LINk • Clinical Commissioning Groups (CCGs) Commissioning services from and contracts with… E&N Herts CCG Herts Valleys CCG Health and Wellbeing Board Commissioning services from… • Hertfordshire Integrated • Commissioning Support • Providing services for HVCCG • and ENHCCG NHS Trusts All to be FTs Specialised services GPs, Dentists, Optoms, Pharmacists Monitor Independentsector CQC Regulation Produced by The Communications Team, NHS Hertfordshire

  10. ‘new Improvement Body’ • NCAT (National Cancer Action Team) • NHS Improvement • End of Life Care programme • Institute for Innovation and Improvement • (350 staff down to 150) • Peer Review to continue • But in what shape? • PHE, CB Medical Directorate or regulator?

  11. Strategic Clinical Networksand Clinical Senates

  12. Senates/Networks There will be 12 Clinical Senate areas across England Our Senate will be ‘East of England’ There are 3 LATs in East of England senate area: • Herts and South Midlands (us) • East Anglia** • Essex ** Will host Specialised Commissioning and Strategic Clinical Networks

  13. Border issues • But, only part of our LAT will be in EoE • Milton Keynes and Northampton will be part of East Midlands Senate • Herts and Beds will be in EoE Senate Our LAT is one of 3 where borders overlap

  14. Strategic Clinical Networks • Cancer • Cardiac • Mental Health/Neuro • Maternity/Children • “The number of SCNs for the agreed conditions will be for local determination” (SOF)

  15. Operational Delivery Networks Provider based Focussed on coordinating patient pathways between providers. The Way Forward: Operational Delivery Networks – to be published by end Nov. e.g. • Critical Care • Trauma • Burns

  16. Single Operating Framework (2)

  17. East of England SCN Hub Now will include 28 staff but covers all 4 SCN services and all of EOE Medical Director of East Anglia LAT – interviews were held 16/11/12…. Band 9 (Associate Director) interviews will be 3/12/12…. Interviews for all other staff during Dec.2012

  18. Configuration • Cancer and Cardiac Network Directors have requested that some staff are based locally – could be 6 or 7 in local offices • But covering all 4 SCNs in the patch • MD and Associate Director (band 9) to decide on configuration

  19. Resources • Significant funds also available at hub for ‘Pay to Commission’ work • Also some funding available for events, audit and other forms of clinical engagement. • Functions and work programmes to be confirmed by relevant domain leads

  20. NHS Outcomes Framework The work of the NHS CB is organised around the five domains of the NHS Outcomes Framework: • Domain one - *Preventing people from dying prematurely • Domain two - Enhancing quality of life for people with long term conditions • Domain three -Helping people to recover from episodes of ill health or following injury • Domain four - Ensuring that people have a positive experience of care • Domain five - Treating and caring for people in a safe environment.

  21. Domain Link • Cancer Networks linked to Domain 1 • Mike Richards is Lead for Domain 1 • New National Director for Cancer …to be appointed.

  22. Strategic Clinical Networks Single Operating Framework • Published November 2012 (and on MVCN website) • “Clinical Networks are an NHS success story… • “SCNs will work across boundaries of commissioning and provision as engines for change”

  23. Academic Health Science Networks “AHSNs will provide a systematic delivery system… working with industry to transform the identification and spread of innovation and best practice” “Whilst roles differ in many ways, they have complementary agendas & close alignment & collaboration are expected.. “It will be for local health communities to determine how these structures are best developed to meet local needs…”

  24. AHSNs - Local links

  25. Local Issues • 3 different AHSNs across MVCN • Part of EoE but also close to London • CCGs want local services for patients, where possible • London Market Forces Factor is a concern • Configuration of research networks?

  26. Transition • “The status quo for existing network boundaries remains. Any future change will be for local network determination.” (M.Berry, East Anglia LAT) • NSSGs to continue work programmes • Patient pathways to remain in place • Must not slip backwards during transition

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