commissioning for people with challenging behaviour ben dyson director of primary care department of...
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Commissioning for people with challenging behaviour
Ben Dyson
Director of Primary Care
Department of Health
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Health and people with learning disabilities
Closing the Gap (Disability Rights Commission)
Death by Indifference (Mencap)
Healthcare for All (Sir Jonathan Michael)
Six Lives (Parliamentary and Health Service Ombudsman + Local Government Ombudsman)
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Valuing People Now
Learning Disability Programme Board
Valuing People Now Healthcare Steering Group
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Health and people with learning disabilities
• Some progress made:– Annual health checks– Confidential Inquiry and Public Health
Observatory– Better leadership at a local, regional and
national level– Better engagement of people and families
through processes like the health self assessment framework
• But much work is still needed
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Commissioning
• Understanding people’s health needs
• Deciding what services best meet needs
• Creating a specification for services
• Establishing and holding contracts
• Monitoring quality of services provided
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Commissioning
• Weaknesses identified in White Paper:– Too remote from people, patients and
communities– Divorced from clinical decision-
making– Too driven by top down targets– Creates unnecessary layers of
bureaucracy
• Currently, healthcare commissioning is carried out by PCTs
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NHS White Paper• Putting patients first: more information and greater
choice and control over their care – ‘no decision about me without me’
• Improving healthcare outcomes: giving professionals freedom to focus on improving outcomes so that these are amongst the best in the world
• Autonomy and accountability: involving giving power back to NHS professionals and healthcare providers, giving them more autonomy and, in return, making them more accountable to patients and the public
• Cutting bureaucracy and improving efficiency by continuing to reinvest savings of up to £20bn
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NHS White Paper
• GP commissioning consortia
• NHS Commissioning Board
• Abolition of PCTs and SHAs
• Stronger role for local government
• HealthWatch
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Proposals for GP commissioning
• All GP practices to become part of ‘Commissioning Consortia’
• Responsibility for commissioning the majority of NHS services
• Would decide what functions to carry out themselves, what to do collaboratively, and what to do through external support
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Proposed duties on consortia
• Improving outcomes
• Managing resources
• Promoting equality
• Public and patient involvement
• Partnership with local government
• Multi-professional involvement
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Issues to consider
• Leadership
• Building on what works, changing what doesn’t
• Partnerships and behaviours
• Relationship with local government
• Information for good commissioning
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Next steps…
• Consultation on NHS is open until October 11th
• Need your views on how to make sure the proposals will work for people with challenging behaviour
www.dh.gov.uk/liberatingthenhs