Transcript Mike Cooke - Rampton Secure Hospital

About provider engagement
Competition and Collaboration
“TO COMPETE, COLLABORATE
AND RESPOND”
Angela Potter
Director of Business Development and
Marketing
Competition and Collaboration –
Can they operate together ?
DH clear that competition is a key pillar in policy
moving forward
Growing examples of provider collaboration to
deliver pathways
Aspects such as AQP will happen independently
of Health Bill
But, DH also clear that a one size approach to
competition will not fit all
The Policy Context
The Health and Social Care Bill
The Operating Framework
Changing Commissioner Landscape
Regulators
○ Co-operation and Competition Panel
○ Role of Monitor as Economic Regulator
○ Care Quality Commission
COMMISSIONING AND PROVISION
Summary of NHS and Social Care Bill [2012]
7
AQP – INITIAL THOUGHTS
 This is a key policy on how competition and collaboration manifest
 Commissioners have three core mechanisms
- tendering [high bidding cost, beauty parade]
- “sole” lead providers
- AQP [lower bid costs,  transaction, choice]
 Providers must qualify and register – aim to keep registration
process simple
 At least 3 services operational from Sept 2012
 2012/13 – CCG’s can select local priorities for roll out
 Compete on Quality, not Price
5
Current AQP Services
PCT Cluster
Service 1
Service 2
Service 3
Derbyshire
Adult Hearing
Psychological
therapies
Podiatry
Leicestershire
MSK
Diagnostic tests
Continence
Services
Lincolnshire
MSK
Diagnostic tests
Podiatry
Northants & MK
MSK
Diagnostic tests
Podiatry
Nottinghamshire
Diagnostic tests
Psychological
therapies
Podiatry
6 THOUGHTS – Opportunities and
Benefits of Current Policy
1. Competition based on quality
2. Registration should be proportionate/respect trading history, not
too complicated
3. Honest and fair specifications are required – realistic outcomes
4. Look at current “market” examples – Transforming Community
Services, Mental Health
5. Integrated Care Organisations can provide a fresh offer
6. This is not just about activity - outcomes, recovery, prevention,
quality and risk
13
What next for Notts Healthcare
Three types of people involved in parades
We need to respond
○ Understand local pathways/referrals
○ Focus on Quality – competition will not always be on
price
○ Welcome competition to improve
○ Offer Innovative solutions
○ Take Initiative
TO COMPETE, COLLBORATE……AND
RESPOND
 We Need to be in the “Parade”
 Brands are key
- Service user experience
- Staff experience/engagement
 Ethos of service offer is key;
Partnership
 GPs in CHP/CNS/SNICS/NottsHC
 Early Dementia Barchester Healthcare/NottsHC
Compete
 Forensic Services – 66% in Independent Sector
 IAPT - 25% in Independent Sector
 Quality, Innovation, Productivity, Prevention
19
QUESTIONS & ANSWERS
[email protected]
www.nottinghamshirehealthcare.nhs.uk
21