David soodeen inner city gp bristol clinical lead inner city and east locality
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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 soodeen inner city gp bristol clinical lead inner city and east locality

David SoodeenInner City GP BristolClinical Lead Inner City and East Locality


Gp consortia
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

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

STATUTORY HEALTH AND WELL BEING BOARD via a commissioning outcomes framework

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


Public health

PUBLIC HEALTH via a commissioning outcomes framework

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?


Timescale

TIMESCALE via a commissioning outcomes framework

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


Bristol

BRISTOL via a commissioning outcomes framework

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

QUESTIONS I HAVE via a commissioning outcomes framework

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?


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