enclosure: e 121/12 bexley clinical commissioning group ... clinical cabinet/formal... ·...

Click here to load reader

Post on 07-Mar-2018

216 views

Category:

Documents

2 download

Embed Size (px)

TRANSCRIPT

  • BEXLEY CLINICAL COMMISSIONING GROUP FORMAL MEETING 6th September 2012

    AQP Update

    Action Required - For information BCCC is asked to

    1) NOTE the contents of the attached CCG Briefing provided by the AQP Steering Group, specifically Paragraph 1.1.1 sub-section 1 and 2.

    2) NOTE progress being made for three services areas which are to be subjected to the AQP process in Bexley, namely Adult Hearing, Anti-coagulation and Termination of Pregnancies .

    Executive Summary Commissioners from Bexley BSU in response to the Department of Health mandate for each BSU to deliver 3 service commissioned under the Any Qualified Provider programme are working alongside colleagues from 1. NHS SE London on the procurement of the Adult Hearing services 2. BBG on the procurement of the Tier 1 and Tier 2 Anti-coagulation services, and 3. London-wide on the procurement of Abortion services

    The attached papers from the AQP Steering Group on which Bexley BSU is represented is intended to provide CCGs with an update of progress towards the delivery of AQP services across SE London. Following the submission of the Chairs Action paper in June 2012, Bexley BSU alongside Greenwich BSU, took a decision not to proceed with the commissioning of the Continence service via AQP, as NHS SE London were unable to provide a robust financial modeling of the impact of the service and tariff on which CCG approval was contingent. NHS SE London therefore suggested that Bexley BSU should participate in the London-wide Abortion Services AQP.

    Consideration by Other Committees/Groups

    Organisational implications

    Financial Yes

    Equality and Diversity

    Risk (governance and/or clinical)

    Yes - Governance

    Patient impact

    NHS constitution

    Which objective does this paper support? Improve the health of children and young people

    Insert Tick )

    Improve choice and access to integrated health services for Bexley patients

    Reduce the level of health inequalities across Bexley

    Improve care for patients with long term conditions & increase the range of services offered within the community

    Improving the health & wellbeing for people in Bexley

    Maximizing the opportunities of joint working (A Picture of Health, Joint Strategy Needs Assessment, Wellness agenda etc)

    Using our resources in the most efficient & effective manner (organisational & financial)

    Author : Alan Luke Contact Details 0208-298-6138

    Executive Sponsor Pam Creaven

    Date 27th July 2012

    ENCLOSURE: E Agenda Item: 121/12

  • Formal Bexley Clinical Commissioning Group (060912)/E(ii)

    1

    Any Qualified Provider (AQP) Steering Group Brief: 26 July 2012

    1. General

    1.1 CCG Briefing

    1.1.1 Following the last AQP Steering Group the following recommendations were made within the CCG Briefing:

    1. The steering group recommends that each CCG flags up AQP within the proposed Commissioning Support Service (CSS) and BSU structures to ensure that the current implementation of AQP is successfully delivered, awarded contracts are managed effectively and that future appropriate use of AQP as a procurement framework can be utilised by CCGs.

    2. The steering group recommends that CCGs nominate a clinician that can represent a local clinical view with no conflict of interest in the provision of adult hearing services on the Local Assessment Team.

    3. The Steering Group recommends that CCGs confirm agreement to the Continence Specification and Tariff.

    4. The steering group recommend that South East London adopts the nationally delayed timeframe for the Wheelchair AQP project. This will enable further local work to better understand activity and pricing in wheelchair services.

    1.1.2 Action: Feedback is sought on the CCG Briefing from CCGs via their BSU

    representative

    1.2 Risk Register

    1.2.1 Action: The Steering Group is asked to discuss and agree the mitigating actions to the risk register (attached)

    1.3 Communication and Engagement Strategy/Plan

    1.3.1 Action: The Steering Group is asked to review the AQP Communication and

    Engagement Strategy/Plan (attached)

    2. Adult Hearing Update

    2.1 Evidence of CCG sign off/agreement

    2.1.1 Evidence of CCG sign off received from Bexley, Lambeth, Lewisham and Southwark. Evidence still to come from Bromley and Greenwich.

    2.1.2 Action: Bromley and Greenwich steering group representatives are asked to provide evidence of CCG sign off for the Hearing AQP.

    2.2 Local Assessment Team

    2.2.1 The Local Assessment Team for SE London has been confirmed:

  • Any Qualified Provider: Steering Group Brief

    2

    Lead Assessor Marco Inzani

    Lambeth, Southwark and Lewisham Lead Debbie Andrews

    Bexley, Bromley and Greenwich Lead Jill Prescott

    Acute Commissioning Neil Stevenson

    Clinician Dr Chrisanthan Ferdinand

    Finance Kim Mazzanti

    Contract/Estates Sonia Ennals

    2.2.2 There have been 18 applications to provide the Hearing AQP service. Applications

    will be assessed between 23 July to 3 August 2012 via the Supply 2 Health website.

    3. Adult Continence Update

    3.1 Specification/Tariff 3.1.1 The cluster variations to the national specification were agreed across London.

    3.1.2 London clusters agreed to use the national tariff for the continence AQP. SE

    London agreed a different tariff based on an average SE London Market Forces Factor:

    Adults Level 2 Face to Face: 158.48 (compared to national tariff 129.42)

    3.1.3 Action: Lambeth, Southwark and Lewisham Steering Group representatives are asked to provide evidence that their CCGs have agreed the Continence Specification and Tariff.

    3.2 Local Assessment Team

    3.2.1 The Local Assessment Team for Continence across SE London needs to be

    agreed:

    Lead Assessor Marco Inzani

    Lambeth, Southwark and Lewisham Lead

    Clinician

    Finance

    Contract/Estates

    3.2.2 The dates of Assessment are 20 August to 31 August 2012.

    3.2.3 Action: The Steering Group is asked to consider nominations for the Continence

    Local Assessment Team

    4. Childrens Wheelchairs Update

    4.1 Change to Timeframe

  • Any Qualified Provider: Steering Group Brief

    3

    4.1.1 The DH have verbally confirmed that the Wheelchairs AQP will not be completed in this financial year but will be deferred to next financial year. There will not be a request to pick another AQP service line for this financial year. PCTs are being asked to feed into the national scheme of work in order to develop a more robust commissioning package. A letter to Chief Executives should follow shortly.

    5. Anti-Coagulation Update

    5.1 Project Plan

    5.1.1 A draft project plan with assigned leads has been identified for Anti-coagulation. An updated briefing was circulated to the Project Board. Bromley have taken the business case to the CCG Board who have agreed to the Tier 1 and 2 procurement of Anti-coagulation. The next stage is to consider some clinical and mobilisation issues before the service advert is loaded to Supply 2 Health.

    6. Termination of Pregnancies

    6.1 6.1 Working Group

    6.1.1 Bexley have now joined the London Termination of Pregnancies (ToPs) AQP working group. The working group are currently consulting on the specification, modelling the tariff and are working on a market analysis.

  • Formal Bexley Clinical Commissioning Group (060912) / ENC E(iii)

    Page 1 of 7

    Project ANY QUALIFIED PROVIDER STAKEHOLDER COMMUNICATION AND ENGAGEMENT STRATEGY

    AQP Project Sponsor Tony Read

    AQP Programme Lead Marco Inzani

    Version: 0.2 Date: 16/07/2012

    Communication and Engagement Lead

    Marco Inzani

    Version Date Reviewed by Comment

    0.1 27/06/12 Created

    0.2 16/07/12 Comms, Eng and BSU leads

    Remove 4.3.8; add to 5.1 Stakeholder map; change 7.0; amend 8.1.3; add to 9.0; add new Section 10 Stakeholder Communication and Engagement Plan; amend 11.1

    Contents

    1. Introduction ................................................................................................................. 2

    2. AQP Aims and Objectives ........................................................................................... 2

    3. AQP Communication and Engagement Aims and Objectives ..................................... 2

    4. Local context ............................................................................................................... 3

    5. Stakeholder Mapping .................................................................................................. 3

    6. Communication and Engagement Strategy Implementation ....................................... 5

    7. Communication and Engagement Messages .............................................................. 5

    8. Communication and Engagement Medium ................................................................. 6

    9. Communication and Engagement Noise ..................................................................... 6

    10. Stakeholder Communication and Engagement Plan ................................................ 6

    11. Resources ................................................................................................................ 7

    12. Governance ............................................................................................................. 7

    13. Risk .............................................................

View more