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Reforms to the NHS What does it all mean Sue Butt Pooled Budgets Manager Buckinghamshire County Council NHS Buckingh

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Reforms to the NHS What does it all mean Sue Butt Pooled Budgets Manager Buckinghamshire County Council NHS Buckingh

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    1. Reforms to the NHS What does it all mean? Sue Butt Pooled Budgets Manager (Buckinghamshire County Council & NHS Buckinghamshire & Oxfordshire Cluster)

    2. Structural Changes Equity & Excellence in the NHS - June 2010 > Clinically led commissioning > Health and Wellbeing Boards and integration of services across health and social care (new Public Health England) > Patient involvement and public accountability (new Healthwatch England – linked to CQC) > Competition ‘Listening Exercise’ March – May 2011 – pause in Health and Social Care Bill and NHS Future Forum established. Amended Health and Social Care Bill – debated last week (6-7th Sept)

    3. Reforms Revised in June 2011 GP Consortia – now ‘Clinical Commissioning Groups’ (CCGs) NHS Commissioning Board – host existing clinical networks and new ‘clinical senates’ – both to have a stronger role in commissioning and must include ‘child social care experts’. April 2013 deadline replaced with ‘when CCGs are ready’ Boundaries for CCGs to be coterminous with LAs Health & Wellbeing Boards – LAs to work in partnership with CCGs > Joint commissioning and integrated provision between health, public health and social care > Health and Wellbeing Strategy > Public engagement – linked to Health Watch Competition – ‘any qualified provider’ introduced in a phased way – focus on services where patients say they want more choice. NHS Trusts to all achieve Foundation Trust status by 2014

    4. What’s been happening in Bucks PCT? Bucks and Oxon PCT legally merged 1st June 2011 - significant restructuring eg. 2 CEO’s now 1, 2 Exec Teams now 1 etc. Bucks: 60 GP practices and 3 legally formed consortia (constituted before NHS White Paper) – Pathfinder for Clinical Commissioning Oxon: 1 GP consortia recently formed Key priorities: 1. QIPP (financial savings and improved quality) 2. FT status for Buckinghamshire Healthcare Trust and Oxford Radcliffe Hospitals Trust 3. Support move to Clinical Commissioning Groups

    5. Reforms in Buckinghamshire ‘Transformation’ project commenced Sept 2010: > review of each NHS Bucks function > commissioning of all services scrutinised > CYP commissioning presented separately > support from GPs for LA to lead on all joint care/community commissioning for adults and CYP NHS Bucks & Oxon – investigating becoming a ‘Commissioning Support Organisation’ to CCGs/ National Commissioning Board etc. ....lights out at the PCT in 2013!?

    7. ...the future of clinical commissioning?! http://www.youtube.com/watch?v=CTzMmkyk8V0

    8. Questions ?

    9. In groups:- What are the opportunities for you and your role with these reforms? What are the challenges for you and your role with these reforms?

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