Transcript Somerset PCT Presentation

World Class Commissioning
Dr Caroline Gamlin
Director of Public Health
NHS Somerset
The Somerset Health Community

Population 524,600

Significant issues- rurality,
ageing population

2009/10 budget £800
million

4 major local NHS
providers, including ISTC

75 general practices,

13 community hospitals

Strong Local Authority and
Third Sector partnerships
How does PH engage with
commissioning in Somerset?

Identified PH leads for programme areas

Strong link with practice based commissioning

Commissioners linked in with JSNA

PH leads on selection of outcomes, needs
assessments, evidenced based practice and
supports benchmarking and care pathway
design

Increasing involvement in procurement
Competencies: Skills and Behaviours
1. Locally lead the NHS
7. Stimulate the market
2. Work with community partners
8. Promote improvement and
innovation
3. Engage with public and
patients
9. Secure procurement skills
4. Collaborate with clinicians
10. Manage the local health system
5. Manage knowledge and
assess needs
11. Make sound financial investments
6. Prioritise investment
Competitive Procurements
Equitable Access to
Primary Care
COPD & O2
Assessment
Integrated
Paediatric
Therapies
Drugs and
Alcohol
Dialysis
2007
2008
2009
Emotional
Health and
Wellbeing
Chronic Obstructive Pulmonary
Disease (COPD)

Commissioned in partnership with Practice
Based Commissioning Consortium

Addressed service inequity and major gaps

5 expressions of interest, 3 bids submitted

Contract awarded to an independent
partnership – two local GPs and BUPA Home
Healthcare Ltd.
Somerset COPD
• Designed by Patients
• Selected by Patients
• Patient feedback
informs performance
Learning Points

PCT internal ‘firewall’

Capacity to support the process

Strength of joint PCT/PbC process

Value of patient engagement throughout
Competition is just one of a range of levers
that PCTs can use to improve healthcare services ...
Performance
Management
Market Forces
Contract
Management
Engaging with
Customers …
Process
Redesign …
Improving
patient care
Clinical
Improvement
Building
Capacity …
Strengthening
Leadership ...
Organisational
Restructuring
Increasing
Funding …
9
Challenges

What does world class look like? – getting
comparative data on outcomes

Ensure rigour applied to acute health services
can be replicated to wider health improvement
agenda

Address inequalities and get PH messages to
target populations
WORLD CLASS COMMISSIONING OUTCOMES: BEST PRACTICE TEMPLATE
IMPROVING HEALTH/ELIMINATING WAITING/
IMPROVING HEALTH SERVICES
PRIORITY WORK PROGRAMME
BEST IN NHS
Summary of model
Clinical outcomes
References
BEST IN WORLD
Summary of model
Clinical outcomes
References
NHS SOMERSET POSITION
Summary of Model
Clinical Outcomes
References
Links to Clinical Strategies
High Level Comparison : Best in UK
and World / NHS Somerset position
Next steps