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NHS Clinical Commissioning Groups
Alan Campbell – NHS Salford
Introduction
NHS Commissioning Development
Clinical Commissioning Groups
Authorisation process
Commissioning Support Services
PCT workforce risks
NHS – Commissioning Development
Health Bill through Commons Stage > Lords Oct /Nov
GM level management by ‘Cluster’ since May
Establishment of Commissioning Support Services
Establishment of Clinical Commissioning Board at GM level
Collaboration across GM but not formal governance changes
Title here
Development of Clinical Commissioning Groups
Shadow form until April 2013
Appointed leadership in interim period
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Dr Hamish Stedman - Chairman
Inter Practice Agreement Annual ‘contract’
Operational Management through QIPP/ Clinical services
GP Partnership Board Representatives
Extending Involvement and Engagement with partners
Page 4
Authorisation Process
GPs encouraged by their profession to get through this 90% are in
‘pathfinders’ now
NHS Commissioning Board Authorises
6 domains
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Clinical Focus/added value analysis
Public Engagement
Clear plan to deliver clinical quality
Financial control/ capability - QIPP
Collaborative arrangements with strategic partners
Effective Leadership
Over 70% of budgets delegated to CCG (over £300m in Salford)
Consortia complete a self assessment readiness diagnostic test
Commissioning Support Services
Development of Commissioning Business support ‘at scale’
Build at GM level exploring bigger footprints
Initial shared work
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HR, IM&T, Continuing Care, Effective Use of Resources
Governed by management cost constraint – ‘Ready Reckoner’
Target c£20 per patient. Current system costs £50 per patient
Risk of Clinician ‘buy in / ownership
Outsourcing in future ?
Title here
PCT Workforce Risks
Lack of clarity about the future
Local GP support for Salford workforce
Good relationship/track record with Council
Different destinations
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Clinical Commissioning Groups
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Commissioning Support Services
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LA Public Health related
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NHS Commissioning Board
Market Test outsourcing possibility
Keeping eyes on the current tasks
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Interim Governance - > April 2013
Sub Committee of GM Cluster Board
Shadow Clinical Commissioning Group for 2013
Extended Stakeholder membership
4 Clinical Commissioners
Elected Member & Director
NHS Non Executive Co-Chairs
Reduced NHS Executive Membership
Meeting in Public
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Summary & Questions
Page 9