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PCT COMMISSIONING

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PCT COMMISSIONING

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  1. PCT COMMISSIONING Alex Wilson & Sharon Dodson

  2. COMMISSIONING • Establish healthcare needs of local population • Quantify the demand for these services • Purchase of appropriate services in order to meet those needs

  3. Providers of Healthcare • NHS Trusts • Foundation Trusts • Independent Sector • Voluntary Sector • PCT Provider arm • Primary Care

  4. Government Policy • Payment By Results (PBR) • Choice • 18 Weeks

  5. Payment By Results (PBR) • The aim of PBR: • Provide a transparent, rules based system for paying trusts • Reward efficiency • Support patient choice • Encourage activity for sustainable waitng time reductions • Payment linked to activity and adjusted for casemix.

  6. Translation • The cost of activity is the same wherever the patient is treated • We only pay providers for activity received • The patient can choose where and when they are treated • Allows primary care services to be developed • Aims to provide more and better services in more convenient locations for the population

  7. Specialist Services • Mental Health & Learning Disabilities • Continuing Care • L6 Compassionate Care • L5 Continuing Care • L4 Rehab/Social Care (OATS) • L3 Funded Nursing Care • L1 & 2 Social Care

  8. The Commissioning Day Job • Agree Service Level Agreements at start of year • Monitor on a monthly basis the activity and expenditure • Compare to the planned SLA • Identify activity & expenditure variances • Forecast financial outturn • Use all of above to inform following years capacity planning round

  9. The Wider Picture • Risks • Impact of service changes on local acute providers • Move to Practice Based Commissioning (PBC)