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NHS Clinical Commissioning Groups
Alan Campbell – NHS Salford
Introduction
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NHS Commissioning Development
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Clinical Commissioning Groups
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Authorisation process
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Commissioning Support Services
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PCT workforce risks
NHS – Commissioning Development
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Health Bill through Commons Stage > Lords Oct /Nov
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GM level management by ‘Cluster’ since May
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Establishment of Commissioning Support Services
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Establishment of Clinical Commissioning Board at GM level
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Collaboration across GM but not formal governance changes
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Development of Clinical Commissioning Groups
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Shadow form until April 2013
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Appointed leadership in interim period
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Dr Hamish Stedman - Chairman
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Inter Practice Agreement Annual ‘contract’
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Operational Management through QIPP/ Clinical services
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GP Partnership Board Representatives
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Extending Involvement and Engagement with partners
Page 4
Authorisation Process
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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
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Development of Commissioning Business support ‘at scale’
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Build at GM level exploring bigger footprints
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Initial shared work
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HR, IM&T, Continuing Care, Effective Use of Resources
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Governed by management cost constraint – ‘Ready Reckoner’
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Target c£20 per patient. Current system costs £50 per patient
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Risk of Clinician ‘buy in / ownership
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Outsourcing in future ?
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PCT Workforce Risks
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Lack of clarity about the future
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Local GP support for Salford workforce
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Good relationship/track record with Council
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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
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Market Test outsourcing possibility
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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