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Future of Clinical Networks

Future of Clinical Networks. Barbara Gill Network Director, Mount Vernon Cancer Network. Topics. New Structures Nationally Locally Strategic Clinical Networks and Senates Issues/Concerns. National Structure. The Health & Social Care Bill (27 th March 2012) Two New Organisations.

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Future of Clinical Networks

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  1. Future of Clinical Networks Barbara Gill Network Director, Mount Vernon Cancer Network

  2. Topics • New Structures • Nationally • Locally • Strategic Clinical Networks and Senates • Issues/Concerns

  3. National Structure

  4. The Health & Social Care Bill (27th March 2012)Two New Organisations NHS Commissioning Board (NHS CB) “The purpose of the Board will be to use the £80bn commissioning budget to secure the best possible outcomes for patients.” To ensure the whole commissioning architecture is in place and also will commission some services Public Health England (PHE) Information & Intelligence to support local PH and public making healthier choices National Leadership to PH, supporting national policy Development of PH workforce

  5. NHS Commissioning Board (NHS CB) Established in shadow form on 1st October 2011, limited functions to establish and authorise CCGs One national office in Leeds and four regions 27 Local Area Teams will directly commission GP services, dental services, pharmacy and some optical services 10 of the local area teams will be specialised commissioning hubs 12 clinical senates – clinical advice/leadership at strategic level to CCGs and HWBs 12 strategic Clinical Networks 212 Clinical Commissioning Groups (CCGs) 23 Commissioning Support Units – support to CCGs commissioning local services

  6. NHS Outcomes Framework The work of the NHS CB is organised around the five domains of the NHS Outcomes Framework: • Domain one - *Preventing people from dying prematurely • Domain two - Enhancing quality of life for people with long term conditions • Domain three -Helping people to recover from episodes of ill health or following injury • Domain four - Ensuring that people have a positive experience of care • Domain five - Treating and caring for people in a safe environment.

  7. Input • Public Health England • 4 regional “hubs” (in line with CB regions), and local units to fit with NHSCB local area DH Jeremy Hunt, Secretary of State Input National Health Watch NHS Commissioning BoardChief Exec, Sir David Nicholson 50 PCT clusters (2012): becoming 27 NHS CB local area teams 4 SHA clusters (2012):becoming 4 NHS CB regions Monitoring Clinical Senates (Herts in EoE senate) Hertfordshire County CouncilResponsible for Public Health LocalHealth Watchto evolve from LINk • Clinical Commissioning Groups (CCGs) Commissioning services from and contracts with… E&N Herts CCG Herts Valleys CCG Health and Wellbeing Board Commissioning services from… • Hertfordshire Integrated • Commissioning Support • Providing services for HVCCG • and ENHCCG NHS Trusts All to be FTs Specialised services GPs, Dentists, Optoms, Pharmacists Monitor Independentsector CQC Regulation Produced by The Communications Team, NHS Hertfordshire

  8. How it looks locally

  9. Local Perspective • Our Region - Midlands and East of England • Our LAT - Hertfordshire and South Midlands • The Herts & SM LAT also includes: • The rest of Bedfordshire • Milton Keynes • Northampton

  10. London - one Region • 3 Local Area Teams • But the 3 LATs have a single management structure

  11. Commissioning Support Units • There will be 23 nationally • Locally, the Herts CCGs will get their support from Herts Integrated Commissioning Support (HICS) • Luton and Beds CCGs will use GEMs Greater East Midlands Support Unit

  12. Public Health England (PHE) 3 main geographic footprints Four sub-national regions Eight knowledge and intelligence teams (KITs) to provide intelligence services to NHSCB organisations and Health and Wellbeing boards (HWBs) - cancer registration and cancer information will be delivered through the KITs 15 PHE Centres – local presence and leadership to local authorities for health protection, public health and specialised commissioning

  13. New Improvement Body • NCAT – including NAEDI? • NHS Improvement • But probably not Peer Review • 350 staff down to 150 • Peer Review to continue • But in what shape? • Where will it sit?

  14. Health & Wellbeing Boards • Will develop Joint Strategic Needs Assessments and local health and wellbeing strategies • Forum for local commissioners, public health, social care, elected representatives and Healthwatch (stakeholders and the public) • These will set the local framework for commissioning health care, social care and public health services

  15. Senates/Networks There will be 12 Clinical Senate areas across England Our Senate will be ‘East of England’ There are 3 LATs in East of England senate area: • Herts and South Midlands (us) • East Anglia** • Essex ** Will host Specialised Commissioning and Strategic Clinical Networks

  16. Border issues • But, only part of our LAT will be in EoE • Milton Keynes and Northampton will be part of East Midlands Senate • Herts and Beds will be in EoE Senate Our LAT is one of 3 where borders overlap

  17. Strategic Clinical Networks We will introduce a new type of network called strategic clinical networks. They will be established in areas of major healthcare challenge where a whole system, integrated approach is needed to achieve a real change in quality and outcomes of care for patients. Strategic clinical networks will help commissioners reduce unwarranted variation in services and will encourage innovation. They will use the NHS single change model as the framework for their improvement activities.

  18. Strategic Clinical Networks • Cancer • Cardiovascular disease (incorporating cardiac, stroke, diabetes and renal disease) • Maternity and children; • Mental health, dementia and neurological conditions

  19. NHS Outcomes Framework The work of the NHS CB is organised around the five domains of the NHS Outcomes Framework: • Domain one - *Preventing people from dying prematurely • Domain two - Enhancing quality of life for people with long term conditions • Domain three -Helping people to recover from episodes of ill health or following injury • Domain four - Ensuring that people have a positive experience of care • Domain five - Treating and caring for people in a safe environment.

  20. Cancer Networks linked to Domain 1 • Mike Richards is Lead for Domain 1

  21. Specialised Commissioning • Commission specialised cancer services • Will now commission Radiotherapy • Will commission Chemotherapy from… • Currently managing contract for MVCC

  22. Issues and Concerns • Who will provide local cancer commissioning advice to CCGs in the future? • National Peer Review – • What form will it take locally? • Who will provide local support for the process?

  23. Issues/Concerns • How will national cancer guidance be implemented locally without local networks? • How will NSSGs be supported in the future? • How should we prioritise our workload for the next 6 months? What activities can we embed in other organisations/processes before March 2013?

  24. Implementation Timetable

  25. Timetable for changes • LAT Directors in post by October 2012 but some may be double running old posts too • All staff should know about their future options by 31st December 2012. • Herts PCT ceases 31st March 2013

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