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Delivering World Class Commissioning:

Delivering World Class Commissioning:. Dr Chris Packham, DPH , NHS Nottingham City. How does PH engage with commissioning?. Fully integrated Strong clinical PH teams Deputy DPH leads WCC agenda ‘Programme teams’ children, vulnerable adults, DPH leads commissioning prioritisation process.

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Delivering World Class Commissioning:

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  1. Delivering World Class Commissioning: Dr Chris Packham, DPH , NHS Nottingham City

  2. How does PH engage with commissioning? • Fully integrated • Strong clinical PH teams • Deputy DPH leads WCC agenda • ‘Programme teams’ • children, vulnerable adults, • DPH leads commissioning prioritisation process

  3. WCC Major PH support CE understands what PH can do Deliver Targets (I and V, chlamydia etc) Lead Front LSP, media, acute, clinical issues Capacity Technical skills Energy ‘Whats round the corner’ Funding Drivers and barriers

  4. Successes

  5. Targeting our services to make a differenceNottingham: where do the smokers live?

  6. Where do smoking cessation service users live?

  7. Is there a gap?

  8. Evidence of improvement maintained over 3 years: (April 2004 – March 2009)

  9. ‘Predictive Modelling’ • Predictive modelling (trend) • health needs modelling eg. Modelling a rise in obesity and model how a rise in diabetes will follow. • Predictive modelling (individuals at high risk) • ie of high risk individuals eg PARR tool and NHS Health Checks; while the focus in on risk stratification by groups, it does then link to individual-level (patient-level) data. • Predictive modelling (activity) • patient pathway activity and design / demand management. • Predictive modelling (impact) • ie predicting the impact of our interventions – eg modelling with Logframes; DH HI tool, this is also where some of the effectiveness work would sit (eg QALYs, etc.).

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