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Commissioner Development Update

Commissioner Development Update. Lawrence Tyler Commissioner Development Team – Central 22 March 2012. Commissioner Development goals.

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Commissioner Development Update

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  1. Commissioner Development Update Lawrence Tyler Commissioner Development Team – Central 22 March 2012

  2. Commissioner Development goals • Establish viable and effective Clinical Commissioning Groups (CCGs) that are ready for authorisation by the NHS Commissioning Board (NHSCB) from October 2012 wherever possible; • Ensure CCGs focus on sustaining financial and operational performance and deliver QIPP; • Ensure effective commissioning support arrangements are established with CCGs as intelligent customers; and • Working with the Chief Operating Officer’s team, ensure the safe transfer of appropriate functions to the NHSCB (primary care, offender health, military health, specialised commissioning), and continue to ensure these functions are well managed during the transition.

  3. The new NHS landscape Department of Health NHS Commissioning Board Approx. 24 Commissioning Support Organisations 200 – 250 Clinical Commissioning Groups Planned and emergency hospital care, rehabilitation, most community services and mental health and learning disability services Primary care, military healthcare, offender healthcare, specialised treatments

  4. Clinical Commissioning GroupsThe emerging picture • Configurations will be finalised by the end of March 2012 • We expect there to be 49 Clinical Commissioning Groups across NHS South of England Map not to scale and boundaries are subject to change

  5. Clinical Commissioning GroupsAuthorisation process No formal assessment but covering most aspects of governance, organisational form and commissioning support arrangements. Enabling the CCG to set out factual details relevant to its application, and to demonstrate compliance against a number of authorisation criteria. Covering all aspects of authorisation including desktop review, 360 review and site visit.

  6. Clinical Commissioning GroupsAuthorisation process The six domains: A strong clinical and multi-professional focus which brings real added value; Meaningful engagement with patients, carers and their communities; Clear and credible plans to deliver QIPP within financial resources, in line with national requirements and local joint health and wellbeing strategies; Proper constitutional and governance arrangements, to deliver all duties and responsibilities, and commission effectively; Collaborative arrangements for commissioning and appropriate commissioning support; and Great leaders who individually and collectively can make a real difference.

  7. Clinical Commissioning GroupsAuthorisation process • The authorisation process will take three months

  8. Clinical Commissioning GroupsBuilding a track record of delivery • Active involvement in the 2012/13 planning and contracting round; • Full shadow year of commissioning responsibility; • Subcommittees and accountability agreements in place; and • 100% of relevant commissioning budgets delegated from 1 April 2012.

  9. Clinical Commissioning GroupsDevelopment and establishment • OD plans and development, for example informed customer; • Governance structures + constitution; • Collaboration and federated agreements; • Dedicated staffing resource; and • Assessment process for leadership positions.

  10. Clinical Commissioning GroupsAssessment of candidates for leadership roles 1/2 • National assessment process for: • Accountable officer • Chief finance officer • Chair of the governing body • Assessment process is not a section process; • Assessment process will give individuals an indication of their capability and potential for the role they’re interested in; • Each CCG is being asked to nominate an individual who is interested in the role of the Chair of the governing body to go through the assessment process;

  11. Clinical Commissioning GroupsAssessment of candidates for leadership roles 2/2 • CCGs and SHA clusters are also being asked to nominate individuals interested in the roles of Accountable officers and Chief finance officers to go through the assessment process; • The assessment process will begin on 23 April 2012; and • Nominated individuals for the Chief finance officer roles will be subjected to a separate sifting process before going through the assessment process.

  12. Commissioning support arrangementsNational assurance process

  13. Commissioning support arrangementsEmerging offers Map not to scale and boundaries are subject to change Six offers are proceeding to checkpoint two across NHS South of England: Devon and Cornwall; Bristol, North Somerset, South Gloucestershire and Somerset; Gloucestershire and Swindon, Buckinghamshire and Oxfordshire and Berkshire; Southampton, Hampshire, the Isle of Wight and Portsmouth; Surrey and Sussex; and Kent and Medway.

  14. Commissioning support arrangementsDevelopment • Leadership and governance arrangements; • Business plan development; • Service level agreements with Clinical Commissioning Groups for 2012/13; and • National service offers.

  15. Questions? You can e-mail me – Lawrence.Tyler@southcentral.nhs.uk

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