Download - Julian given 17.11.11 npcc ireland
English Healthcare CommissioningWhat is Primary Care expected to do?
Julian Given17th November 2011
Introduction
Julian Given- Head of Informatics
- Director
- Senior Performance Manager- Cancer Services Commissioner
- Strategic Management- Business Modelling
The English Transition• Why should Primary Care Commission Services?
• How to balance the books
• How to demonstrate responsibility for billions £s
• Authorisation
1. Identify our population’s health needs
2. Note national priorities from the DH
3. Commission service provision to meet 1 and 2
4. Manage provision via contracts
5. Performance manage to ensure “bangs per buck”
6. Keep within budget
7. Maintain public confidence in the NHS
Commissioning simplified
PCT
CCG
April 2013April 2011Dec 2010 April 2012
Authorisationpoint
What is the mean per capita income of a PCT in 2011/12?
£1,693
How much isours?
How much are the various specialtyadmission costs?
PCT Total allocations per head £
Islington PCT 2,350 Newham PCT 2,320 City and Hackney Teaching PCT 2,275 Knowsley PCT 2,246 Liverpool PCT 2,200
Buckinghamshire PCT 1,407 Leicestershire County and Rutland PCT 1,403 Mid Essex PCT 1,399 South Gloucestershire PCT 1,370 Berkshire West PCT 1,367
England 1,693
North East SHA 1,901
North West SHA 1,868
South Central SHA 1,467
South West SHA 1,599
Apr
May Jun Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May Jun Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May Jun Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
2008/09 2009/10 2010/11 2011/12
1200
1250
1300
1350
1400
1450
1500
1550
1600
1650
Bridges Non Elective admissions 2008/09 to May 2011
Year/Month
Adm
issio
ns
PCT with 500,000 population
Hospital over spendincreasing
Despite £88m (10%) budget increase
Prescribing no longer under spent (budget cut by £2m)
PCT management cost £55m (£11m increase)
Where were they 2 years later?
1856 1784 33
£750,000
Transition Authorisation
Transition:the process through
which the NHS needs to move to new
structures
Authorisation:the process throughwhich the ability to
have statutory status is confirmed
DH
Commissioning Board
Commissioning BoardSector Offices x4
(SHA clusters)
Clinical Commissioning Groups
x200
NHSFTs Other
providers
Primary Care
contractors
Specialised Commissioning
CommissioningSupport
Organisations x50(PCO clusters)
Health and Wellbeing
Boards x 150 Scrutinise CCGs
Clinical Senates Clinical
Networks
Transition
• All CCGs to be authorised by 1st April 2013:
– levels of status – consequences of not making it– statutory body– statutory responsibilities– NHS Employer– PCT assets nb estates
• CSOs and timescales
• Management budget per head - £25?
Monday1st April 2013
Authorisation
• Financial balance:— urgent and emergency care— medicines management
• Lead on 2012/13 contracts
• Patient safety – nb Mid Staffs
• Sustain Bridges way of working:— education and training— service redesign— deliver current projects — outreach and relationships
• Track Record
Authorisation
Authorisation
Clinical and professional focus
that adds value
Patient, carer andCommunity engagement
Clear and credible plan
Constitution, governance and
capacity to deliver
Collaborationfor commissioning
Leadership
What we are doing……
• Self assessment and peer assessment
• Authorisation visits and meetings
• Track record:
— current projects— financial stability— 2012/13 contracts
• True transition plan - future structures, CSO, deeper and broader activity
.. and what we need to do
Thank you for listening
[email protected]@clarityhealthcareconsulting.com