who’s who in the new commissioning landscape tim barton, nhs north of england 28 february 2013
TRANSCRIPT
Who’s who in the new commissioning landscape
Tim Barton, NHS North of England
28 February 2013
The 2013 health and care system
Area Organisations Nos. North
Commissioning • NHS Commissioning Board (NHSCB) with national, regional and area teams (ATs) operating within a single operating model. NHSCB will be a non departmental public body and also host a range of bodies including clinical networks and senates, NHS Leadership Academy and
CSUs. It will have responsibility for some direct commissioning• Clinical commissioning groups (CCGs)
• Commissioning Support Units (CSUs)
NHS CB 1 region9 ATs
68CCGs (23 YH)8 CSUs
Provision • NHS Trusts and NHS Trust Development Authority (NTDA)• Foundation Trusts (FTs)
Public Health • Public Health England• Public health teams to Local Authorities
LAs • Health & Wellbeing Boards to produce needs assessment and health and wellbeing strategy and promote integration
50
Information and Involvement
• Healthwatch (hosted by LAs)• Ten-year framework for transforming information for the NHS, public health and social care. Health and Social Care Information Centre
Workforce • Health Education England• Local Education and Training Boards
The 2013 health landscape
NHS Commissioning Board
• Executive Non-Departmental Public Body with a mandate from Department of Health to improve outcomes through the total £80bn commissioning budget
• 1 National Support Centre, 4 Regional Teams and 27 Local Area Teams
Responsible for• Oversight and development of the commissioning system• Direct commissioning responsibility for primary care commissioning,
offender health, military health, specialised commissioning and some screening programmes
• Sets key frameworks – outcomes, accountability, choice and emergency preparedness
• One national single operating model• Hosts some key bodies e.g. Clinical Senates
Commissioning (NHSCB)
The following area teams in the north will be responsible for:
specialised commissioning• Cumbria, Northumberland, Tyne and Wear• South Yorkshire and Bassetlaw• Cheshire, Warrington and Wirral
military health •North Yorkshire & Humber
offender health•West Yorkshire•Lancashire•Durham, Darlington and Tees
NHS CB Area Teams - 9 in the North, 27 nationally
• All ATs will have the same core functions around:– CCG development and assurance– emergency planning, resilience and response– quality and safety– partnerships– configuration– system oversight– commissioning primary care
• There will be variations around the scope of direct commissioning responsibilities:
– 10 local area teams leading on specialised commissioning across England;– smaller number of local areas teams carrying out the direct commissioning of other
services such as military and prison health;– hosting clinical senates and networks.
LAT roles and functions
Clinical Senates will work with clinical networks to provide clinical advice at the strategic level
Clinical Senates and networks
4 national strategic clinical networks:• cancer • children and maternity• mental health• CVDPlus other operational networks
• Each upper-tier authority in England is required to form a health and wellbeing board as a local authority committee (15 in Y&H, 50 in north)
• The HWB aim is to improve integrated working between local health care, social care, public health and other public services so that patients and service users experience more joined-up care, particularly in the transition between health and social care.
• Determine local priorities (JSNA and joint health and wellbeing strategy) and have oversight of their delivery.
• Joint strategy will then inform the commissioning plans of Local Authorities and CCGs. This shared strategic view should ensure coordination of commissioning for local people.
Health and well being boards (HWB)
9
Medical Director’s
Team
(8 WTE staff)
Chief Nurse’s Team
(8 WTE staff)
Finance Director’s Team
(11 WTE staff)
Director of Operations &
Delivery Team
(9 WTE staff)
Commissioning Director’s Team
(13 WTE staff)
Regional Team structure (x1 in north)
RegionalDirector
Director of HR and OD
(2 WTE staff)
Director for Patients and Information
(8 WTE staff)
Embedded national support centre HR, P&I and analytics staff will support both local area and regional teams.
10
Medical Director’s
Team
(11-26 WTE staff*)
Nurse Director’s
Team
(9 WTE staff)
Finance Director’s Team
(13-19 WTE staff*)
Director of Operations
and Delivery Team
(9 WTE staff)
Commissioning Director’s Team
(25-56 WTE staff*)
Area Team structure (x9 in north)
Area Director
• Team sizes are dependent on the direct commissioning responsibilities of the Local Area Team and whether they host clinical senates/networks.
CCGs
• Power and responsibility for commissioning the majority of services for local people £60bn nationally
• 68 in the North (23 in Y&H) and 212 nationally• Clinically led• Membership organisations made up of constituent GP practices• £25 per head of population running cost allowance• Buy in support from CSUs (provided by NHS or non-NHS)• CCGs will be assessed against their progress on nationally set
clinical outcomes plus delivering constitution within budget
Commissioning (CCGs)
Commissioning Support Units (CSUs)
• Provide range of support services to CCGs • 7 CSUs in the North, 23 nationally• Customer supplier relationship for services such as:-
• Health needs assessment• Service redesign• Business intelligence• Comms and Patient & Public Engagement• Contracting and procurement• Back office services such as payroll• Some services at scale – comms, Business Intelligence, clinical
procurement and back office (meaning that some CSUs will provide to others)
• Initial hosting by NHSCB until 2016 at the latest• Commercially minded and customer focussed organisations required to cover
costs through income from customers (CCGs and NHSCB and potentially others)
Commissioning (CSUs)
Cheshire, Wirral, Warrington & Merseyside12 CCGsPopulation 2.9m
Lancashire8 CCGsPopulation 1.1m
Greater Manchester12 CCGsPopulation 2.6m
North East & Cumbria13 CCGsPopulation 3.1m
North Yorkshire & the Humber8 CCGsPopulation 1.75m
West Yorkshire10 CCGsPopulation 2.4m
South Yorkshire & Bassetlaw5 CCGsPopulation 1.5m
CSU and CCG configuration
Clinical Commissioning Groups
68 CCGs in the North(212 in the whole country)
13 in North East23 in Yorks and Humber32 in North West
Clinical Commissioning Groups – Yorkshire and the Humber
Who’s who in the regional and area teams
Team DirectorMedical Director
Director of Nursing
Finance Director
Dir of Commissioning
Dir of Ops and Delivery
Director of HR and OD
Dir Patients and Info.
North Regional TeamRichard Barker
Dr Mike Bewick
Gill Harris Tim Savage Dr Julie Higgins Jon DevelingSally Baines To be
appointed
West Yorkshire Mike Potts (interim)
Dr Damian Riley
Sue Cannon Ian Currell Alison Knowles Elaine Wyllie
South Yorkshire & Bassetlaw Andy Buck
Dr David Black
Margaret Kitching
Steve Hackett
Eleri de Gilbert Brian Hughes
North Yorkshire & Humber
Chris Long
Dr Paul Twomey
Jo Coombs Jon Swift Julie Warren Matt Neligan
Area Team CCG Name Website Chair Accountable Officer
Cumbria, Northumberland, Tyne & Wear
Cumbria CCG http://www.cumbria.nhs.uk/ccg/ Dr Hugh Reeve Nigel MaguireNewcastle North & East CCG http://www.newcastlenorthandeastccg.nhs.uk/ Dr Relton Cummings Mark AdamsNewcastle West CCG http://www.newcastlewestccg.nhs.uk/ Dr Guy Pilkington David ThorneGateshead CCG http://gatesheadccg.nhs.uk/ Dr Mark Dornan Mark AdamsNorth Tyneside CCG http://www.northtynesideccg.nhs.uk/ Dr Jane Weatherstone Maurya CushlowNorthumberland CCG http://www.northumberlandccg.nhs.uk/ Dr Alistair Blair Julie RossSouth Tyneside CCG http://www.southtynesideccg.nhs.uk/ Dr Matthew Walmsley David HambletonSunderland CCG http://sunderlandccg.nhs.uk/ Dr Ian Pattison David Gallagher
Durham, Darlington & Tees
Darlington CCG http://www.darlingtonccg.nhs.uk/ Dr Andrea Jones Martin Phillips
Durham Dales, Easington & Sedgefield CCG http://www.durhamdaleseasingtonsedgefieldccg.nhs.uk/
_ Dr Stewart Findlay
Hartlepool & Stockton-on-Tees CCG http://www.hartlepoolandstocktonccg.nhs.uk/ Dr Boleslaw Posmyk Alison WilsonNorth Durham CCG http://www.northdurhamccg.nhs.uk/ Dr Neil O'Brien Nicola BaileySouth Tees CCG http://www.southteesccg.nhs.uk/ Dr Henry Waters Amanda Hume
West Yorkshire
Leeds South and East CCG www.leedssouthandeastccg.nhs.uk/ Dr Andrew Harris Matt WardLeeds West CCG www.leedswestccg.nhs.uk Dr Gordon Sinclair Philomena CorriganLeeds North CCG www.leedsnorthccg.nhs.uk/ Dr Jason Broch Nigel GrayBradford City CCG www.bradfordcityccg.nhs.uk Dr Akram Khan Helen Hirst
Bradford Districts CCG http://www.bradford.nhs.uk/about-us/nhs-bradford-districts-clinical-commissioning-group/
Dr Andrew Withers Helen Hirst
Airedale, Wharfedale & Craven CCG www.airedalewharfedalecravenccg.nhs.uk/ Dr Colin Renwick Dr Philip PueCalderdale CCG www.calderdale.nhs.uk/nhscalderdaleccg/home/ Dr Alan Brook Dr Matt WalshGreater Huddersfield CCG www.kirklees.nhs.uk/greaterhuddersfield/home/ Dr Steve Ollerton Carol McKennaNorth Kirklees CCG www.kirklees.nhs.uk/nhs-north-kirklees-ccg/home/ Dr David Kelly Chris DowseWakefield CCG www.wakefielddistrict.nhs.uk/nhswakefieldccg/ Dr Phillip Earnshaw Jo Webster
North Yorkshire & Humber
Hull CCG http://www.hullpct.nhs.uk/pages/nhs-hull-board--2 Dr Tony Banerjee Emma LatimerEast Riding of Yorkshire CCG http://www.eastridingofyorkshire.nhs.uk/ Dr Gina Palumbo Jane Hawkard (Designate)North East Lincs CCG www.nelctp.nhs.uk/ Mark Webb _North Lincolnshire CCG www.northlincolnshire.nhs.uk/ccg/ Dr Margaret Sanderson Allison Cooke (Designate)Harrogate & Rural District CCG www.harrogateandruraldistrictccg.nhs.uk Dr Alistair Ingram Amanda BloorScarborough and Ryedale CCG http://www.scarboroughryedaleccg.nhs.uk/ Dr Phil Garnett Simon Cox
Hambleton, Richmondshire & Whitby CCG www.hambletonrichmondshireandwhitbyccg.nhs.uk/
_ Dr Vicky Pleydell
Vale of York CCG www.valeofyorkccg.nhs.uk _ Dr Mark Hayes
Who’s who in clinical commissioning groups (CCGs) #1
South Yorkshire & Bassetlaw
Barnsley CCG http://www.barnsleyccg.nhs.uk/ Dr Nick Balac Mark WilkinsonBassetlaw CCG http://www.bassetlawccg.nhs.uk/ Dr Steve Kell Phil MettamDoncaster CCG http://www.doncaster.nhs.uk/about-us/doncaster-clinical-c
ommissioning-group-dccg/Dr Nick Tupper Chris Stainforth
Rotherham CCG http://www.rotherham.nhs.uk/about/board/rotherham-clinical-commissioning-group.htm
Dr David Tooth Chris Edwards
Sheffield CCG www.sheffield.nhs.uk/about/sheffieldccg.php Dr Tim Moorhead Ian Atkinson
CWW
NHS Eastern Cheshire CCG www.ec3health.co.uk Dr Paul Bowen Jerry Hawker NHS Vale Royal CCG [email protected] Dr Jonathan Griffiths Simon WhitehouseNHS South Cheshire CCG [email protected] Dr Andrew Wilson Simon WhitehouseNHS Warrington CCG www.warringtonccg.nhs.uk Dr Andrew Davies Dr Sarah BakerNHS West Cheshire CCG www.westcheshireccg.nhs.uk Dr Huw Charles-Jones Alison LeeNHS Wirral CCG wwww.wirral.nhs.uk Dr Phil Jennings Dr Abhiganda Mantgani
Gtr Mcr
NHS Wigan Borough CCG www.wiganboroughccg.nhs.uk Dr Tim Dalton Trish AndersonNHS Bolton CCG http://www.bolton.nhs.uk/ Dr Wirin Bhatiani Susan LongNHS Bury CCG [email protected] Dr Kiran Patel Stuart NorthNHS Heywood, Middleton & Rochdale CCG www.hmr.nhs.uk Dr Chris Duffy (Designate) Lesley MortNHS North Manchester CCG www.northmanchesterclinicalcommissioning.co.uk Martin Whiting Simon WoottonNHS Central Manchester CCG www.manchester.nhs.uk/centralmnahcesterccg Dr Mike Eeckelears (Designate) Ian WilliamsonNHS South Manchester CCG http://www.manchester.nhs.uk/clinicalcommissioninggroup
s/southmanchesterccg/ Dr Bill Tamkin Caroline Kurzeja
NHS Oldham CCG http://www.oldham.nhs.uk/ccg/Home/Home/tabid/484/language/en-US/Default.aspx
Dr Ian Wilkinson Denis GizziNHS Salford CCG http://www.salford.nhs.uk/CCG/Index.aspx Dr Hamish Stedman Alan Campbell
NHS Stockport CCG www.stockportccg.org Jane Crombleholme Dr Ranjit Gill CO Gaynor Mullins
NHS Tameside and Glossop CCG http://www.tamesideandglossopccg.org/ Dr Raj Patel (Interim) Steve AllinsonNHS Trafford CCG http://www.traffordpct.nhs.uk/CCG/ Dr Kath Sutton Dr Nigel Guest (Interim)
Lancs
NHS Blackburn with Darwen CCG www.bwdgpnet.org.uk Joe Slater (Lay Chair)Dr Chris Clayton COO Debbie
Nixon
NHS Blackpool CCG www.blackpoolccg.nhs.uk Roy FisherDr Amanda Doyle
COO David Bonson
NHS Greater Preston CCG www.centrallancashire.nhs.uk Dr Ann Bowman Jan LedwardNHS Chorley and South Ribble CCG www.centrallancashire.nhs.uk Dr Gora Bangi Jan LedwardNHS West Lancashire CCG www.westlancashireccg.nhs.uk Dr John Caine Mike Maguire
NHS East Lancashire CCG www.eastlancsccg.nhs.uk Diane Van Ruitenbeek Dr Mike Ions COO Tim Mansfield
NHS Lancashire North CCG http://www.lancashirenorthccg.nhs.uk/ Dr Alex Gaw Andrew Bennett
NHS Fylde and Wyre CCG Mike Niland Dr Tony Naughton COO Peter Tinson
Mersey
NHS St Helens CCG www.sthelensccg.nhs.uk William Guest Dr Steve Cox Clinical AONHS Halton CCG www.haltonccg.nhs.uk Dr Cliff Richards Simon BanksNHS Knowsley CCG www.knowsleyccg.nhs.uk Dr Andy Pryce Dianne JohnsonNHS Liverpool CCG Dr Nadim Fazlani Katherine SheerinNHS South Sefton CCG Dr Clive Shaw Fiona ClarkNHS Southport and Formby CCG Dr Niall Leonard Fiona Clark
Who’s who in clinical commissioning groups (CCGs) #2
