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How knowledge services can support the new commissioners?

Learn how knowledge services can support new commissioners in practice-based commissioning, including the benefits, roles, and methods involved in healthcare service provision.

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How knowledge services can support the new commissioners?

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  1. How knowledge services can support the new commissioners? Tim Jones NHS Commissioning specialist

  2. Content • Why practice based commissioning? • Who are the practice based commissioners? • What is commissioning and who will do it? • What support is needed? • A final thought

  3. Why practice based commissioning? • Choice is at the heart of all Govt. policy • Choice requires… • Funding mechanism • A range of providers • Information • Strengthened commissioning • To make it happen needs ‘system reform’

  4. System reform • Funding mechanism – Payment by Results (PbR), National Tariff • A range of providers – NHS trusts, foundation trusts, ISTCs, APMS, SPMS • Information – GPs, Dr Foster, ratings system • Strengthened commissioning – practice based commissioning, specialised commissioning

  5. Who are the practice based commissioners? • Practice • Consortium/collaborative • Cluster/locality • PCT

  6. What is commissioning? A general definition … a set of activities related to describing, paying for and monitoring health care services A service re-design definition … a discrete, time-bounded process used to effect service change

  7. A methodology for commissioning (service redesign) • Planning • Purchasing • Contracting

  8. Analyse activity data Validate activity data Map existing patient pathway Quantify health need Analyse capacity Model impact of new technology Map to performance targets Identify constraints PCT, PBC Practice ? PCT (PH), PBC PCT PCT (Rx advisors) PCT, PBC PCT 1 Planning

  9. Draw up a service specification Cost the service change Submit a business case Agree procurement method Run procurement PBC, PCT PBC,PCT PBC PCT PCT 2 Purchasing

  10. Negotiate the price Draw up a contract Agree a quality programme Agree performance monitoring arrangements PCT, PBC PCT PCT,PBC PCT 3 Contracting

  11. What support is needed? • Thinking and learning • The skills deficit • Developing organisations

  12. 1 Thinking and learning • Case studies – best practice and skills • Opportunities for safe learning – action learning sets, workshops • Rapid access to source material – guidance, best practice • Critical appraisal of sources

  13. 2a The skills deficit • Patient pathway mapping • Engaging patients in pathway mapping and development • Data skills • Validation – how to do it, tools • Understanding data – variance, significance, critical analysis

  14. 2b The skills deficit • Finance skills – costing and budget monitoring • Marketing skills – marketing services from practice to practice or PCT • Writing skills - business cases, service specifications, persuasive text • Presentation skills – ideas, pathways, etc

  15. 3 Developing organisations • Organisational development tools • Training needs assessment • Skills audit – management and clinical

  16. A final thought! Why is practice based commissioning so difficult?

  17. Thank you Tim Jones m. 07811 255171 e. tim.jones@nhs.net

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