commissioning development programme nhs cb establishment programme – primary care commissioning...

COMMISSIONING DEVELOPMENT PROGRAMME

NHS CB Establishment Programme– Primary Care Commissioning

Sam Illingworth – Dental, Pharmacy and Optometry Lead

NHSCB Establishment Team

BDA 7th September 2011

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Context of the Primary Care Commissioning Design

The primary care commissioning work stream has been working to:

Design a new system of commissioning primary care as part of the development of the single operating model of the NHS Commissioning Board

Have a process of convergence to the new system that ensures a safe and proper transfer of responsibilities in 2013

Ensure that the new system has the capability to transform the provision of primary care through better commissioning


•To describe how the NHS Commissioning Board could discharge its direct commissioning responsibilities for primary care through:

• A central team.• A network of field force teams that includes local

professional networks working with commissioning teams• 4 Commissioning Sectors and a number of Local Field Force

Teams• Clinical Commissioning Groups.

•To describe the team configurations and staffing resources needed to deliver those functions

Purpose of the PCC work

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Designing the NHS Commissioning BoardMatrix working

Chief Executive

Medical Director Nursing Director

Finance, Performance & Operations

Commissioning Development

Patient engagement, insight & informatics

Improvement & transformation

Policy, corporate development &

partnership

Chief of staff

Reducing mortality

Long-term conditions

Acute episodes

Patient safety Patient experience


Designing the NHS Commissioning BoardPrimary care in the new system

Chief Executive

Finance, Performance & Operations

Commissioning Development

This portfolio would cover broad operation and performance monitoring of the Board in its role as direct commissioner of services as well as clinical commissioning groups

The responsibility of the overall commissioning architecture within this portfolio would also cover the design of national primary care contracts and the development of commissioning tools and commissioning guidance.

The nature of this portfolio is likely to change once the new commissioning arrangements mature but is particularly important during the initial stages of development.


Core Commissioning

Team (commissioning

managers, clinical quality and network

leaders, public health)

Local Professional Networks (clinical expertise for ‘task and

finish’ projects, quality improvement, pathway re-design,

strategic development and planning)

All primary care providers – influence, communications, roll out)

Dental Commissioning Local Team Operating Model


Next 6 months to April 2012 PCT Clusters charged with commencing convergence to the single operating

model

Stock take of current to transfer to future

• Contract transition control programme

• Expenditure baseline return

Review of data, information and intelligence requirements (e.g. BSA, NHSIC etc)

Testing and refining single operating model

Developing standard and consistent operating procedures for the NHSCB

• Contractual

• Performance improvement processes and frameworks

Ideally from April 2012 onwards clusters focussed on convergence

commissioning development programme nhs cb establishment programme – primary care commissioning...

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