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Understanding the new Commissioning Landscape Thoughts for future planning Dr Nick Harding BSc MFMLM FRCGP DRCOG DOccMedPGDip(Cardiology) February 2012 Botanical Gardens. An introduction. We are passionate about improving healthcare for the people of Sandwell and West Birmingham.

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Understanding the new commissioning landscape thoughts for future planning dr nick harding

Understanding the new

Commissioning Landscape

Thoughts for future planning

Dr Nick Harding

BSc MFMLM FRCGP DRCOG DOccMedPGDip(Cardiology)

February 2012

Botanical Gardens


An introduction

An introduction

We are passionate about improving healthcare for the people of Sandwell and West Birmingham.

Our vision is for transforming services to ensure excellence for everyone and in everything we do.

We will not be a PCT in new clothing – this is a different kind of organisation that is firmly ground in its membership, relationships and local knowledge.

We will be using local and clinical knowledge for change and improvement in health for our patients.

Clinical Engagement Event - February 2012


Numbers of the day

Numbers of the day…

350

257

97

152

50

10

4

539 000 000

Clinical Engagement Event - February 2012

3


Our health needs

Our health needs

  • SWBH commissioning area is 530,560 patients

  • Heart of Birmingham ranked 10th most deprived Local Authority in England with 68% BME population

  • Sandwell ranked 12th most deprived Local Authority in England with approx 20% BME population

  • Health challenges against rising costs and demands for healthcare

  • Absolute commitment to improving quality of care

Health without boundaries - November 2011

4


Understanding the new commissioning landscape thoughts for future planning dr nick harding

The journey

Clinical Engagement Event - February 2012


Our ccg

Our CCG

Clinical Engagement Event - February 2012


Ccg area covered

CCG Area covered

Clinical Engagement Event - February 2012


Understanding the new commissioning landscape thoughts for future planning dr nick harding

Deputy Chair

(TBA)

Interim Chair

(Currently Chair of HealthWorks)

Board Secretary

Chair and Vice Chair of Black Country

Chair and Vice Chair of HealthWorks

Lay Advisors

Secondary care consultant

Finance Lead

Consortia Development: Non-voting members

Nurse Representative

Finance Lead Birmingham

Lay Advisor Birmingham

Director of Commissioning Birmingham

Chair and Vice Chair of ICOF

Chair and Vice Chair of Pioneers 4 Health

Public Health Representative

Finance Lead Black Country

Lay Advisor Black Country

Director of Commissioning Black Country

Chair and Vice Chair of Sandwell Health Alliance

Our Interim Structure

Clinical Engagement Event - February 2012


Our structure

Main SWBCCG Board

Finance & Performance Sub-Committee

Quality & Safety Sub-Committee

Strategic Commissioning & Redesign Sub-Committee

Remit: To have on-going responsibility for the affordability of the local healthcare system, and to receive monthly monitoring reports. This group will highlight concerns to the Board.

Remit: To regularly review providers to ensure that services are safe, and that outcomes are monitored.

Remit: To consider service provision and ensure that services are commissioned for shorter pathways, better value for money, and that provision is appropriate and adequate.

Our structure

Clinical Engagement Event - February 2012


Understanding the new commissioning landscape thoughts for future planning dr nick harding

  • Local Commissioning Groups

  • Develop Clinical Pathways (local or on behalf of SWBCCG)

    • Primary Care Quality inc. Medicines Management

  • Membership

  • QIPP delivery Engagement Primary Care demand management

  • Commission local services

  • Patient Participation Groups / Local Patient Networks

  • Engage with Local Authority structures at local level

  • Develop Commissioning Priorities & feedback problems with Providers.

Delivery through membership

  • Clinical Commissioning Group

  • CCG Authorisation

  • Patient & Public Consultation on major service changes

  • Large-scale patient & public engagement events

  • Commission, Contract & Performance

  • Primary care strategy inc. Medicines Management

  • Manage: SWBH, Dudley Group*, BCHC, BCH*, BWH*, BSMHT, ROH**may be led by one CCG on behalf of others

  • QIPP Plan / Strategy & Performance monitoring

  • Commissioning Business Plan

  • Organisational Development

  • Health & Wellbeing Board

  • Emergency Planning (inc. Winter Planning)

  • Interface with PCT Clusters / NHS Commissioning Board

  • Secure information required for intelligent commissioning.

Chair and Vice Chair of Black Country

Chair and Vice Chair of HealthWorks

Chair and Vice Chair of ICOF

Chair and Vice Chair of Pioneers 4 Health

Chair and Vice Chair of Sandwell Health Alliance

Sandwell and West Birmingham Clinical Commissioning Group

Clinical Engagement Event - February 2012


Our role

Our Role

  • By April 2012 - shadow form as a CCG in readiness for 2013.

  • We want to:

    • Be clear on the health needs of our population and how we are going to improve their health

    • Get the balance right between local and strategic decisions

    • Show real clinical leadership and development across the health economy

    • Do this new role in the most effective way we can

    • Create a clinical commissioning group that leads by example

    • Be effective in communications within our organisations and the people we serve

    • Be ready to lead and manage the NHS as a system by April 2013.

Clinical Engagement Event - February 2012


New nhs

New NHS

Parliament

Department of Health

Key:

Accountability

Monitor

CQC

NHS Commissioning Board

Funding

Licensing

Partnership

SWBCCG

2° and 3° Providers

Contracts

Birmingham HealthWatch

Sandwell HealthWatch

Patients & Public

Clinical Engagement Event - February 2012


Estimating the size of the challenge commissioners a conceptual model

Estimating the Size of the Challenge - CommissionersA Conceptual Model

  • The scale of the financial challenge has been estimated by applying demand pressure forecasts by service line and price pressure forecasts to current levels of spend. Cost pressures associated with the planned transfer of funds from NHS allocations to social care are also included.

  • By 20014/15, there will be a recurrent cost pressure of £2.4bn (£1.3bn demand pressure, £1.0bn price pressure and £100m social care transfer). 44% of this will be offset through increases in commissioner allocations, leaving a residual recurrent cost pressure of £1.35bn in 2014/15.

Clinical Engagement Event - February 2012


Understanding the new commissioning landscape thoughts for future planning dr nick harding

Clinical Engagement Event - February 2012


Understanding the new commissioning landscape thoughts for future planning dr nick harding

Beds Days by Admission Method and Age Group

Birmingham Providers 2009/10


Areas we can target

Secondary care

delivering

specialist services

Better primary care

delivering more services

Improved patient experience

And releasing savings

Areas we can target

Doing exactly what we should be doing

Clinical Engagement Event - February 2012


Understanding the new commissioning landscape thoughts for future planning dr nick harding

Doing the right things right

Improving quality

Different place

Increase efficiency

Stop doing things

Decrease dependency

Different provision

Keeping local and clinical engagement at the centre of how we deliver –

a grass roots approach

Clinical Engagement Event - February 2012


Our ambition as a ccg

Our ambition as a CCG

  • Improve patient experience and quality of care

  • Improve health for our population

  • Working towards delegation/authorisation in 2012-13

  • Continue to build on good work done so far (RCRH)

  • Remain committed to the build of the new hospital and working in partnership

  • Through continuous improvement, create rewarding experience for clinicians wherever they are

Clinical Engagement Event - February 2012


Understanding the new commissioning landscape thoughts for future planning dr nick harding

Getting the best out of services - diabetes

Patients

- regular follow up

- easy physical access

- close to home

CCG

- Patients managed safely

- Upstream interventions

- Value for money

  • SWBH

  • Managed care

  • - Professional opinion

  • - Costs covered

Clinical Engagement Event - February 2012

19


Understanding the new commissioning landscape thoughts for future planning dr nick harding

Over to you

Clinical Engagement Event - February 2012


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