Transcript Adding life to years and years to life - GWH Home

The vision for
World Class Commissioning
The programme
Vision and competencies
Assurance framework
Support and development
framework
Vision
Why now?
We have the foundations in place to dramatically
Improve health outcomes
• Universal coverage
• Efficiency
• Equity/ Fairness
• Financial balance
WCC will be the main
vehicle for delivering world
class services which meet
locally determined health
needs, and deliver wider
policy objectives – for
example Lord Darzi
Review
Why world class?
World-class commissioning is a statement of intent
aimed at raising ambitions and
dramatically transforming the
way we work
What will it deliver?
• Better health and
well-being for all
• Better care for all
• Better value for all
Adding life to years
And years to life
How is it different?
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Strategic
Long-term
Outcome-driven
Evidence-based
Partnership-focused
Clinically led
Highly professional
How will it support the NHS vision?
• It will deliver:
•More focus on prevention and well-being
•More personalised care
•Greater choice
•Greater safety
•Better quality
•Better value
How has it been developed?
World class commissioning is
a shared programme
• Input from over 100 leading NHS thinkers
• Questionnaires to seek
broader views
• Open working style
• Close engagement
with partners
How will it be delivered?
• Delivered locally
• PCTs will lead the program
• Clinical engagement and innovation
will drive improved outcomes
• Partnership is key to success
What is the role of PBC?
• Clinical engagement essential
• Key role for PBC
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Assessing local needs
Helping decide priorities
Helping shape outcomes
Designing care
Developing future services
Giving feedback on provider performance
Competencies
What are competencies?
Competencies are the skills,
knowledge, behaviour and characteristics
that underpin effective commissioning
What are the competencies for
world class commissioners?
World Class
Commissioners:
• Locally lead the NHS
What are the WCC competencies?
World Class
Commissioners:
• Work closely with community
partners
• Engage with public and patients
• Collaborate with clinicians
What are the WCC competencies?
World Class
Commissioners:
• Manage knowledge and
assess needs
• Prioritise investment
What are the WCC competencies?
World Class
Commissioners:
• Stimulate the market
• Promote innovation
and improvement
What are the WCC competencies?
World Class
Commissioners:
• Secure procurement skills
• Manage the local health system
• Make sound financial investments
What will the competencies
look like?
Each competency will
be broken down into
• Skills
• Processes and knowledge
• Outputs
World class commissioning is NOT
an end in itself.
In order to be successful,
commissioners will need to
demonstrate better health
outcomes; adding life to
years and years to life
Commissioning
assurance
What is commissioning
assurance?
• A system to drive and
support performance
• Key principles:
• One national system
• Developmental
• SHA led
What will it look like?
Health outcomes
and quality
Competencies
Governance
Example
Vital signs
10-15
Indicators
Determined by:
PCT, PBC,
Local Population
e.g. Chronic Heart Disease
Stretch target
NHS
Population
Upper Quartile
‘x’
Best
NHS
World
Leading
PBC’s drive innovation to deliver
Support and
development
framework
What is the Support and
Development Framework?
A framework to provide
commissioners with the tools
they need to progress towards
world class
Support and development
SHARE
LEARN
BUY
SHARE
Early adopters
learning spread
Development
assessment
Creation of a
commissioning
community
Development/
training
FESC
Tools to
support
contracting
How is it measured
Strategic Plan,
Five Year Financial Plan,
OD Plan
Annual Operating Plan
Local Area Agreement
Joint Strategic Needs Assessment
Communications Strategy
PBC Governance
Provider Contracts
How is it measured
Pathway Redesign
Provider performance report
Board Self Certification
Competency Self Assessment
PANEL REVIEW DAY