world class commissioning for improved healthcare
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World Class Commissioningfor
Improved Healthcare
Gary BelfieldDirector of Commissioning
Department of Health
Commonwealth Fund – Mirror, mirror on the wall
AUSTRALIA CANADA GERMANYNEW
ZEALANDUNITED
KINGDOMUNITEDSTATES
OVERALL RANKING (2007) 3.5 5 2 3.5 1 6
Quality Care 4 6 2.5 2.5 1 5
Right Care 5 6 3 4 2 1
Safe Care 4 5 1 3 2 6
Coordinated Care 3 6 4 2 1 5
Patient-Centered Care 3 6 2 1 4 5
Access 3 5 1 2 4 6
Efficiency 4 5 3 2 1 6
Equity 2 5 4 3 1 6
Long, Healthy, and Productive Lives 1 3 2 4.5 4.5 6
Health Expenditures per Capita, 2004 $2,876* $3,165 $3,005* $2,083 $2,546 $6,102
1.0-2.662.67-4.334.34-6.0
Country Rankings
* 2003 data - Source: Calculated by Commonwealth Fund based on the Commonwealth Fund 2004 International Health Policy Survey, the Commonwealth Fund 2005 International Health Policy Survey of Sicker Adults, the 2006 Commonwealth Fund International Health Policy Survey of Primary Care Physicians, and the Commonwealth Fund Commission on a High Performance Health System National Scorecard.
Infant mortality England, EU countries and selected averages, latest data (2004*), ranked
3.0
3.7
3.8
4.3
5.96.4
6.66.86.8
7.99.0
9.411.7
16.8
3.23.33.5
3.93.9
4.04.14.1
4.44.54.6
4.64.95.0
5.65.3
Cyprus Sweden
Finland Luxembourg
Slovenia Czech Republic
France Portugal Spain
Greece GermanyEU-15 average Netherlands
AustriaDenmark*
Italy* Ireland
EnglandEU average
Belgium* Malta
Estonia Hungary Slovakia Poland Lithuania
EU-12new average Latvia
Bulgaria Romania
EU weighted averages
EU-12 new (member countries from 2004)
EU-15 (member countries before 2004)
England
Rate per 1,000 Live births
* Denmark, Italy – 2001; Belgium - 1997
Health Profile of England 2007
What is commissioning?
“Commissioning is using the available resources to achieve the best outcomes by securing the best possible health and care services for local people”
Vision Better health and well being for all
People stay healthier for longer – “adding life to years.” People live longer and health inequalities are dramatically reduced
– ”…and years to life” Better care for all
Services are of the best clinical quality and evidence based People exercise choice and control over the services that they
access so they become more personalised. Better value for all
Informed investment decisions PCTs work across organisational boundaries to maximise effective
care.
Assess needs
Review current service provision
Decide priorities
Strategic planningDesign service
Shape structure of supply
Specify outcomes &procure services
Manage demand and ensure appropriate access to care
Clinical decision making
Managing performance (quality, performance, outcomes)
Managing demand and performance
VISION AND COMPETENCIES
ASSURANCE SYSTEM
SUPPORT ANDDEVELOPMENT MODEL
Learning from others
10-15Indicators
e.g. Chronic Heart Disease
Vital Signs
Popn ‘x’NHSUpper Quartile
BestNHS
WorldLeading
Determined by:PCTPBCsLocal population
Stretch target
Clinical staff, IS and Vol Sector drive innovation to deliver
11 Competencies
1. Locally lead the NHS
2. Work with community partners
3. Engage with public and patients
4. Collaborate with clinicians
5. Manage knowledge and assess needs
6. Prioritise investment
7. Stimulate the market
8. Promote improvement and innovation
9. Secure procurement skills
10. Manage the local health system
11. Make sound financial investments
NHS Input
NHS Input
Review of board controls and processes , strategy, and long term financial controls
Measures quality in health care and ability to deliver key health outcomes and services
A commissioner assurance systemAssessment against three domains:
Measures whether the organisation possess the competencies associated with world class commissioning
Competencies
Health outcomes andquality
Governance
What will success look like?• Vibrant, effective partnerships• Population actively engaged• Clear local priorities and long term strategy, to tackle local
health issues• Innovative practice based commissioners working to an agreed
PCT wide strategy . . . But leaving room for very local initiatives• People are staying healthier for longer • People are living longer• The inequalities gap is narrowing
NHS Next Stage review – areas under consideration
Strengthening the focus on staying healthy
Supporting people to manage their long term condition
Integrated health and social care services
Tackling health inequalities
Quality of care
What next?Provider armPersonalisationHealth & Social care
Learn, share & buyGreater IS input
ConstitutionNext stage reviewPrimary & Community focus
Events
The Goldilocks Circle
Envisioning in a Box- What is it?
Peter AskewBusiness Development Manager
Envisioning in a Box- Demonstration
Nick Umney and Tim Gee
Strategy for Customer and Partner success
Presented byTim Gee Healthcare Business ManagerNick Umney Lead Account Technology Strategist
A clear simple message
That is easy to find and
That resonates with NHS
managers and Clinicians
In a “language” that they
understand
That adds value to what they need to
do
Linked to MS Partners that understand the issues
That they can profitably
carry out the work
That enables further
incremental development
Relationships
Revenue
Readiness
Segmentation for Success
Strategic
Growth
Breadth
Relationships
Revenue
Readiness
Strategy
Deployment
Services (Resource)
Procurement
InfrastructureExtend
Protect & Secure
Deploy & Manage
Windows Server Virtualization
Connected and Extended
Knowledge Driven Health
NHS Needs?DOH Local Information Management &Technology PlansThe objectives for 2008/2009
“Individual organisations will work collaboratively within country wide governance arrangements to produce a inclusive IM&T
plan that effectively supports the delivery of high quality service for patients and provide frontline staff with the tools
and information they need to provide these services;”“Progress towards the achievement of the mature IM&T
Environment required to support integrated care across health settings;” – Longer term plans 2010/11
“It is vital that to meet the NHS commitment to maintain appropriate confidentiality of patient data, Information
Governance (IG) policy and practice reflects the increases in the potential to share information afforded by the programme. “
“NHS providers will need to include in their plans the substantial business transformation and infrastructure readiness required
to exploit these technologies”“....drive improvements in data quality”
Knowledge Driven Health•Quick and easy access to data and information via enhanced analytical tools, dashboards and business intelligence•Share citizen records as appropriate to speed services and avoid duplication, using security-enhanced technologies•Improved access to information and services including Search•View data from multiple agencies in a single repository•Improve Patient outcomes with more informed decision-making.
•Improved decision-making through increased real-time collaboration, using data from across multi- disciplinary or distributed teams•Improved content and data management reducing the time spent searching for info•Maximize Enterprise Search capabilities that help people find and share information•Integrated collaboration capabilities such as automated workflow•Enable care givers to collaborate seamlessly virtually anywhere on any device.
•Create electronic client records, providing a single unified view of the client•Pull records from multiple agencies into one client record via common client ID•Create interoperability within IT infrastructure, to tie into older systems, and to move data between old and new systems•Share and integrate data appropriately with security-enhanced technologies•Connect via a Healthcare service-oriented architecture.
ENTERPRISEAGREEMENT
Envisioning Session
License & Partner ServicesRevenue
Specific to the
Customer
Programmatic &
Repeatable
Manageable
Measurable
Outcomes
QUESTIONS
TIMGEE@MICROSOFT.COMNICKU@MICROSOFT.COM
Marketing in the NHS for Partners
Mark TreleavenNHS Marketing Manager
Microsoft NHS Resource Centre
Arif GovaniOnline Business Manager
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