Influencing clinical commissioning through networks

1. Clinical Commissioning Community Influencing clinical commissioning through networks CSP English Regional Networks (ERN) – Development Event September 2012 Dawn Smith AHP Advisor NHS Clinical Commissioning Community

2. Key messages • A good foundation • Reaffirming what physiotherapists have to offer • Making the case for informal networking • Some challenges for effective networking (influencing) • What the Clinical Commissioning Community has to offer • What the Clinical Commissioning community asks of physiotherapists

3. Your good foundations • A professional network that has potential to reach out to engage with other networks across regions, professions, sectors and levels • ‘Physiotherapy works’ – evidence based briefings • AHP QIPP commissioning toolkit • CSP influencing toolkit

4. Reaffirming what physiotherapists have to offer • You do not need the title of ‘commissioner’, ‘leader’ or ‘manager’ to engage with clinical commissioning • If you make a decision about how to use an NHS clinical resource, you are part of the clinical commissioning community

5. You do need • A passion for better quality care and outcomes for patients • A commitment to a more efficient and effective NHS • To be driven by reducing costs of services through innovative service redesign • To believe that multi-disciplinary commissioning is essential to delivering better outcomes

6. Why should Physiotherapists participate in clinical commissioning? “AHPs can really contribute to saving money long term by minimising physical and psychological care needs and helping to keep people out of hospital, or minimising the time they are there. They are essential to the achievement of sustainable, affordable healthcare and can drive up quality whilst reducing both immediate and long term care costs” North East Allied Health Professions Collaborative

7. What commissioners say • “Where are you AHPs when we need you?” • “The AHPs there were so frightened the meeting was washout” • “Death by detail; so much jargon the commissioner passed out!” • “Keeping up with the Jones’s; it took so long to try to get a meeting with every profession that we didn’t end up inviting anyone in the end.....” North East Allied Health Professions Collaborative

8. The case for informal networking • Clinicians working deep within organisations are central to the achievement of effective commissioning and QIPP, but may be on the margins of formal influencing structures • Formal structures may be limited in membership and often populated by the same roles

9. The challenges for effective networking (influencing) • Getting noticed (in a good way!) • Do educate commissioners on the your contribution • Population needs • Your contribution to pathways • Workforce, education and training • Do provide robust evidence of quality, innovation prevention and productivity

10. Do be accessible • Do form relationships through clinical networks (formal and informal) • Do collaborate - commissioners will be looking to commission pathways across disciplines, organisations and sectors to deliver against outcomes • Do offer solutions for service redesign as a means of finding savings, improving quality, addressing gaps, duplication and missed opportunities for prevention

11. Don’tlobby for specific organisations/services • Don’t lobby for one disciplinary ‘widget’ out of context of the whole pathway • Don’tinvolve commissioners in fights between providers of other parts of the pathway – form alliances and sort it out

12. What the Clinical Commissioning Community has to offer • Sponsored by the Department of Health (DH) • CCC supports the implementation and development of clinical commissioning by connecting Primary Care Contractors, Nurses, AHPs and GP leaders • Two offers • Networks • ‘Soft intelligence’ process

13. Networks • Informal networks allow free discussion and participation that may not happen through committee-type, formal structures • Informal networks are effective in connecting you to those who occupy positions in formal networks

14. NHS Clinical Commissioning Community NCCN - recognised by the Department of Health and the NHS Commissioning Board as a vital support network for the development of clinical commissioning DH Policy Teams and NHS CB HCPCN connecting with and across disciplines Dialogue Local, regional and national communities of service providers, users, partner agencies and commissioners Soft intelligence Dialogue Soft intelligence AHPs network & professional networks connecting with AHP community Dialogue Soft intelligence 4 SHA regional networks

15. The AHP national commissioning network • http://www.networks.nhs.uk/nhs-networks/ahp-national-commissioning-network • AHPs in any grade or role are participating in this network to see and be part of discussions between AHPs about clinical commissioning. • It is an ideal forum in which to ask questions of other AHPs about their experiences of improving services and about how they are being influential in effective commissioning

16. The healthcare professions commissioning network (HCPCN) • http://www.networks.nhs.uk/nhs-networks/healthcare-professionals-commissioning-network • In this network, healthcare professionals are coming together in order to inform commissioning and collaborate to convey the message that successful healthcare commissioning needs to be multi-disciplinary.  • AHPs participating in this network have the opportunity to raise the profile of the specific AHP contribution to clinical pathways and to Quality, Innovation, Prevention and Productivity (QIPP). • This network is also a useful means of receiving timely alerts about events, development opportunities and to input to consultations about clinical commissioning.

17. The national clinical commissioning network • http://www.networks.nhs.uk/nhs-networks/national-pbc-clinical-leaders-network • Members of this network have adopted the role of clinical champions. • They will be in roles that enable them to connect quickly and effectively with colleagues across professions, services and geographical areas to draw-in and coordinate information across the clinical commissioning community. • Their aim is to give a consistent message and to act as a resource for the clinical commissioning community. • Participation in this network is through an application form available on the website

18. We will broker relationships to build collaboration and knowledge sharing between established formal networks and informal communities of practice

19. As a consequence, lower profile, but equally important agenda are highlighted, enabling the spread of innovation for service areas where there are less formalised structures • Offering clinicians support, a national profile and a voice • A place to get noticed … if you want

20. Soft intelligence process • What do we mean by soft intelligence? Data in the form of opinions, feedback, ideas and thoughts collected from the whole clinical system engaged in developing effective commissioning practices • Where do we collect it? From anyone making decisions about how to use clinical resources, via individuals, networks, organisations, events, workshops and one-to-ones • What do we use it for? The data feeds an iterative process of dissemination and feedback to ensure a flow of information and learning between the policy, management and clinical commissioning communities

21. CCC asks… • How will you activate your networks to flow information and participation into others to extend your voice and influence? • Raise the profile of the CCC networks across your regions and get the physio voice heard • Named connectors by region • A named professional link with the NCCN • Get your evidence into the soft intelligence