David Soodeen Inner City GP Bristol Clinical Lead Inner City and East Locality. GP CONSORTIA. All GP practices will have to join a consortiium There is no minimum or maximum size Each GP practice will nominate a clinician to represent it on the consortium board PCTs and SHAs will be abolished
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David SoodeenInner City GP BristolClinical Lead Inner City and East Locality
All GP practices will have to join a consortiium
There is no minimum or maximum size
Each GP practice will nominate a clinician to represent it on the consortium board
PCTs and SHAs will be abolished
National commissioning board will replace the SHA
PCTs must involve consortia in NHS contracting from now
Consortia will be responsible for debts from 2011 onwards
The NHS commissioning board will hold consortia to account via a commissioning outcomes framework
GP consortia must be represented on local health and wellbeing boards
Consortia will be scrutinized by local health watch boards
Consortia will manage 80% of NHS budget
Consortia will be given an initial management budget of 2 pounds per patient
STATUTORY HEALTH AND WELL BEING BOARD
Public Health, Local Authority, GP consortia, Local Health Watch, Director of Adult social Services, Children Services
Overview totality of resources for health and wellbeing
Increased Joint Commissioning and pooled budgets
White paper on public health published in November 2010
Currently sits with PCTs, will now sit in local authorities
How will GP consortia and public health engage re issues such as equalities and drive changes forward?
March 2011, consortia duties confirmed
11/12 Shadow NHS commissioning and shadow consortia form
June 11 PCTs form clusters
April 12 NHS commissioning board goes live, Councils hold indicative budgets for public health
April 13 GP consortia and Health and wellbeing boards go live, Councils will hold budgets for public health
3 Localities: Inner City and East, South and North
Each has 150,000 patients
Also 2 adjacent localities in North Somerset and South Gloucester each about 200,000 patients
The bigger the consortium, the more you can absorb financial risk
The smaller the consortium, the easier it is to respond to local need
Can you confederate consortia to address both of these issues?
QUESTIONS I HAVE
How do public health currently work re equalities and how is that about to change?
There have been discussions about outsourcing work that the consortia have to do such as equalities, is this a good idea?
What are other cities doing? (the core cities)
How do I make sure the needs of the ethnic minority population in Bristol are met in a big organization? There is a danger of our needs being marginalized
How is the health and wellbeing board going to work?