new nhs & challenges in engaging commissioners and gps
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New NHS & Challenges in engaging commissioners and GPs. Dr Sachin Gupta GP, Welwyn Garden City RCGP GP Champion for Carers , East of England Macmillan GP. The new NHS. White Paper 2010 - PowerPoint PPT PresentationTRANSCRIPT
New NHS & Challenges in engaging commissioners and GPs
Dr Sachin Gupta GP, Welwyn Garden City
RCGP GP Champion for Carers, East of England Macmillan GP
The new NHS
• White Paper 2010 - Puts patient and public first - Improve patient care - Allow GP’s to commission care - Involves local authority - Improves patient choice - Integrate health and social care
Health and Social Bill Aims-• Give patients more choice• Give clinicians more control• Give organizations greater freedom from
central control and political interference• Promote competition to improve patient care• Scrutiny by local authority through ‘Health
and Well Being Board’
Clinical Commissioning Groups CCGs
• Composition – GPs, other health care professionals, Finance Officer, CEO/Accountable officer etc.
• PCTs abolished• CCGs began work on 1st April 2013
Health & Well Being Board
• Includes Local authority, representative from local authorities, councilors, public health consultant, CCG GPs, health watch etc.
• Work in partnership with clinical commissioning groups
• Take public health responsibilities
What will changes mean for the NHS• Giving responsibility for commissioning healthcare to
GPs and their team• Creation of independent NHS Commissioning Board to
allocate resources and oversee CCGs• Abolition of PCTs• Transfer of public health responsibilities to local
authorities• Greater freedom for providers of healthcare• Promote competition and patient choice• Makes NHS more accountable to patient & public
Who directs funding
DH
NHS Trusts All to be FTs
Independentsector
Commissioning services from…
Public Health England• 4 regional “hubs” (in line with CB regions),
and local units to fit with NHSCB local area
Input
Input
LocalHealth Watch
to evolve from LINk
National Health Watch
GPs, Dentists,Optoms,
Pharmacists
Monitoring
Com
mis
sioni
ng se
rvic
es fr
om a
nd
cont
ract
s with
…
Clinical Commissioning Groups (CCGs)
Hertfordshire County Council
Responsible for Public Health
NHS Commissioning Board
Chief Exec, Sir David Nicholson
CQC
Regulation
Specialised services
Clinical Senates (Herts in EoE senate)
Monitor
Herts ValleysCCG
E&N Herts CCG
Jeremy Hunt, Secretary of State
Hertfordshire IntegratedCommissioning
Support • Providing services for HVCCG
and ENHCCG
Health and Wellbeing Board
4 SHA clusters (2012):becoming 4 NHS CB regions
50 PCT clusters (2012): becoming 27 NHS CB local area teams
Produced by The Communications Team, NHS Hertfordshire
Challenging in engaging CCGs
• CCGs are new, finding their feet• Adapting to the ‘new NHS’• Developing local and regional priorities• Financial constrains• Lack of awareness• Lack of business cases
Challenges in engaging GPs
• Increase in workload- secondary care to primary care shift, QoF, CQC, increase in patient demands & expectations, low morale
• Performance management & financial constrains• Lack of awareness - Who are carers - Issues faced by carers - Benefits of supporting carers - What can they do
Suggestions to engage CCGs & GPs
• Multi level engagement - Individual GP Practices - Locality level engagement
- CCG - Health & Wellbeing Board - Other primary health care professionals – matrons, DNs
Pharmacists etc - Other stake holders- public health councilors, local authority etc.
Continued…
Arrange presentation slots in - Practice meetings- Locality meetings- Practice managers meetings- CCG meetings- most CCG have one open
meeting a month when anyone can attend and raise issues.
- Identity enthusiasts and build relationships- Work in partnership with other stakeholders
Highlight win win situation
Benefits of identifying carers - Keep carers health & prevents illness - Reduces referral to secondary care - Reduces placement in nursing and residential home -If not supported then ‘two patients in place of one’ - May reduce GP consultations and workloadOpportunity to make a difference
Continued
- Share examples of good practice and outcomes
- Use business cases to support you (eg Hertfordshire Business case for carer friendly projects)
- Do not give up