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GP commissioning consortia. Dr Richard Holmes GP Consortia Transition Lead NHS Bournemouth and Poole. GP consortia. By April 2013 GP commissioning consortia supported by and accountable to a new independent NHS Commissioning Board
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GP commissioning consortia Dr Richard Holmes GP Consortia Transition Lead NHS Bournemouth and Poole
GP consortia • By April 2013 GP commissioning consortia supported by and accountable to a new independent NHS Commissioning Board • Statutory bodies to have separate identity from member practices • Each practice will be a member of the consortia • Majority of GPs will continue focusing on providing primary care • Membership of consortia will be flexible, with consortia able to expand, contract, dissolve or merge.
Governance • Accountable Officer who need not be a GP or clinician • Responsible for continuous improvements in the quality of services it commissions • Complies with financial duties • Provides good value for money. • Strong clinical leadership is critical • Have a published constitution • Consortia will be required to make remuneration arrangements and commissioning plans public • Will need to hold an open annual general meeting and to publish an annual report showing the results of patient and public consultations.
Patient involvement • Commitment to greater patient and public involvement within emerging GP consortia • A duty on GP consortia and the NHS Commissioning Board to ensure that people who may receive a service are involved in its planning and development • Role of Healthwatch will strengthen patient voice
Accountability • Strong focus on improving the quality and outcomes of care for patients • Statutory obligation to seek to reduce inequalities in access to healthcare • Commissioning Outcomes Framework to hold consortia to account for promoting improvements in quality • Manage within allocated budgets
Pathfinders • Test out design concepts for GP commissioning and explore how emerging consortia will best be able to undertake their future functions • Locally considering COPD, diabetes and musculoskeletal services
Issues for consideration • Current model of healthcare unsustainable • People living with conditions for longer • Need to consider a different approach • Prevention is important – behaviour change • Financial pressures continue • Management of local expectations as we think differently about services
Changes • Any willing provider • Outcomes rather than outputs • Payment by results • Localism and Big society • Duty to engage patients • Reduce health inequalities
Priorities • Ensuring patients at the heart of the service • Considering new models of care • Facilitating behaviour change • Patient pathways/clinical groupings • Thinking differently for better outcomes • Wider engagement in the community