Transcript Slide 1

Cancer provider
network workshop
2nd March 2011
Agenda
Time
Session
2.00pm
Welcome and objectives
2.05pm
The model of care
2.15pm
Provider network development
2.25pm
Workshop session 1
Provider network scope and governance
2.55pm
Feedback and discussion
3.10pm
Coffee
3.30pm
Workshop session 2
Provider network incentives and culture
4.00pm
Feedback and discussion
4.15pm
Closing remarks and next steps
4.30pm
End of session
Objectives
• To inform providers of the implementation programme
• To engage providers in the development of the
provider network model and specification
• To outline to providers the timeframe for specification
development and provider network bids
• To prompt providers to begin provider network
discussions and bid development
The model
of care
Chris Harrison
Developing the proposals
• 45 clinicians working over 12 months
• Three work areas: early diagnosis; common cancers
and general care; rarer cancers and specialist care
• Case for change: December 2009
• Model of care: August 2010
• Extensive 3-month engagement on proposals – over
85 per cent of survey respondents supportive
The case for change
• Later diagnosis has been a major factor in causing
poorer relative survival rates
• There are areas of excellence in London but
inequalities in access and outcomes exist
• Treatment and care should be standardised
• Specialist surgery should be centralised: common
treatments should be localised where possible
• Comprehensive pathways should be commissioned;
organisational boundaries should not be a barrier
The model of care
• Improve early diagnosis by addressing public
awareness, GP access to diagnostics, screening
uptake rates and health inequalities
• Extended local provision of common cancer services,
such as chemotherapy and non-complex surgery
• Further consolidation of surgical services for rarer
cancers into specialist centres
• A small number of networks of providers delivering
standardised pathways
Implementation workstreams
Workstream
Workstream
1. Public health
and primary care
1. Public health
2. Best practice
and primary care
2. Best practice
3. Radiotherapy
commissioning
3. Radiotherapy
4. Provider network
commissioning
designation
4. Provider network
5. Provider network
designation
development
5. Provider network
development
Phase one
Dec 10–Mar 11
Phase one
Dec 10–Mar 11
Phase two
Phase three
Apr 11–Mar 12 Apr 12–Mar 13
Phase two
Phase three
Apr 11–Mar 12 Apr 12–Mar 13
Provider network
development
Rachel Tyndall
Provider network designation
• Providers will be asked to respond collaboratively to a
provider network specification
• Which network they are in will be the provider’s choice
• The model of care states that there will be fewer than
five in London
• Only providers in a network will provide cancer services
• Legal status required for contracting
Services
• Provider networks will be required to demonstrate how
they will contribute to the delivery of the model of care:
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Early diagnosis
General care
Common cancer
Rarer cancers and specialist care
Specification
• In addition to services, the provider network specification
will cover 5 areas:
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Scope
Governance
Information
Incentives
Culture
Standards
• Commissioners will set measures and thresholds to
assure quality and drive excellence
Patient
experience
Structure
Process
Outcome
Patient safety
Effectiveness
Timeline
Event/task
By
London Delivery Group
31st January 2011
Announcement of specification development process
8th February 2011
Individual meetings with providers
Feb/Mar 2011
Specification development events
Early March 2011
Publication of specifications
April 2011
Support for bid development
Apr/May/Jun 2011
Individual or group meetings with providers
Apr/May/Jun 2011
Deadline for bid submission
30th June 2011
Workshop 1
Scope and governance
Rachel Tyndall
The givens
• Only those part of a provider network will provide
cancer services
• Will contain as a minimum all secondary and tertiary
care providers
• Will demonstrate commitment to implementing model
of care for common and rarer cancer services
• An overarching governance board will manage
network as single entity
• Clinical leadership and management support
Some questions
• Should all providers in the pathway be part of the
provider network?
• Should the network governance board include
representation from all organisations?
• Where will ultimate clinical and contracting
accountabilities will sit?
Group session (30 minutes on tables)
• How tight or loose should the overall specification be?
• Do certain areas require a tighter spec than others?
Workshop 2
Culture and incentives
Chris Harrison
The givens
• Provider networks will be clear about how they will
incentivise constituent parts of the network
• Incentives should be linked with achieving the best
patient outcomes and experience
• Competition and co-operation rules should be
adhered to and patient choice should be maintained
• Research, education and innovation should be
fostered
Some questions
• What can be done to incentivise providers to work
differently?
• How will the network share information across
organisations to manage patients along the pathway?
• Where might competition be used to incentivise improved
patient outcomes and experience?
Group session (30 minutes on tables)
• What commissioning incentives would drive the model?
• What incentives could be used within networks?
Next steps
• Three further workshops with your teams
• Ongoing work in March on commissioning a provider
network
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Outline specification published in April
Ongoing development of the model beyond April
Bidding stage from April to June
Tailored support available during bid development
• For further information on the case for change and
model of care visit www.csl.nhs.uk/publications