Transcript The NHSCB approach to Contracting
Susan Davies Acting Director South of England Specialised Commissioning Group (South West)
The role and approach of the NHS Commissioning Board (NHSCB) in the new commissioning system
The key structures of the organisation
Approach to 2013/14
Responsible for ensuring the improvement of outcomes for all patients by: • • • • • Preventing people from dying prematurely Enhancing the quality of life for people with long term conditions Helping people recover from episodes of ill health or injury Ensuring people have a positive experience of care and treating; and Caring for people in a safe environment and protecting them from avoidable harm Allocate £60bn to CCGs and support them in the effective use of that money to improve those outcomes for all patients Directly commission health services worth £25bn including primary care, some public health services such as immunisation and screening, and specialised health services in England Plan for civil emergencies and make sure the NHS is resilient
The design of the NHS CB has been informed by the values and culture which the Board will foster. These include: • • • • • • • • • A clear sense of purpose focused on improving quality and outcomes Putting patients, clinicians and carers at the heart of decision-making An energised, proactive organisation, offering leadership and direction A focused and professional organisation, easy to do business with An objective culture, using evidence to inform its activities A flexible organisation, promoting integration, working across boundaries and performing tasks at the right level Committed to working in partnership to achieve its goals, in particular by developing an effective, mutually supportive relationship with CCGs An open and transparent approach, sharing information freely; and An organisation with clear accountability arrangements and a grip on those things for which it will be held to account
A series of National Domain Directors: • • • • Professor Sir Mike Richards – Director, Domain 1- preventing people from dying prematurely Dr Martin McShane - Director, Domain 2 – enhancing the quality of life for people with long term conditions Professor Keith Willetts - Director, Domain 3 - recovering from episodes of ill health or injury Richard Gleave - Director, Domain 4 - positive experience of care • Dr Mike Durkin - a safe environment and protecting people from harm For specialised services, a series of programmes of care, based around the Clinical Reference Groups: • • Blood and Cancer Internal Medicine • • • Women and Children Mental Health Trauma
National level – set consistent national policy and strategy - based in Leeds with presence in London 9 corporate directorates 4 regional offices – assist in development of strategy and support/oversee local implementation 27 Local Area Teams - implement policies/ contract and relationship management
North • • • Cheshire, Warrington and Wirral South Yorkshire and Bassetlaw Cumbria, Northumberland, Tyne and Wear Midlands and East • • • Birmingham and the Black Country Leicestershire and Lincolnshire East Anglia London South • Surrey and Sussex • • Wessex Bristol, North Somerset, Somerset and South Gloucestershire
Outlined in the Recommendations of the Clinical Advisory Group for Prescribed Services (GATEWAY 17981) http://www.dh.gov.uk/health/2012/09/cagreport/ , published on 11 th September. Subject to consultation with NHSCB currently Reviewed the services in versions 3 and 4 of SSNDS and includes previously nationally commissioned ‘highly specialised services’ Services need to meet four factors, outlined in the ‘Health and Social Care Act’: a) b) c) d) the number of individuals who require the provision of the service or facility the cost of providing the service or facility the number of persons able to provide the service or facility the financial implications for clinical commissioning groups if they were required to arrange for the provision of the service or facility
A national approach, applied consistently Only prescribed services will be commissioned by NHSCB. Other secondary care/community services via CCGs A suite of contracting products will be used with the standard national contract There will be a single contract per provider (including highly specialised services) regardless of where the patient originates from LATs will lead on contracts for their geographic area A nominated LAT will be identified for those providers with multiple national sites NHSCB/Specialised Commissioners will be responsible for quality issues affecting their services Individual Providers will be expected to have the same price for the same service for all activity commissioned by the NHSCB from 1 st April National estimates of full cost of specialised services built into CCG/NHSCB allocations exercise