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World Class Commissioning

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,

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World Class Commissioning

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  1. World Class Commissioning Dr Caroline Gamlin Director of Public Health NHS Somerset

  2. 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

  3. 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

  4. 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

  5. Competitive Procurements Equitable Access to Primary Care 5

  6. 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.

  7. Somerset COPD • Designed by Patients • Selected by Patients • Patient feedback informs performance

  8. Learning Points PCT internal ‘firewall’ Capacity to support the process Strength of joint PCT/PbC process Value of patient engagement throughout

  9. 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 Strengthening Leadership ... Building Capacity … Organisational Restructuring Increasing Funding … 9

  10. 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

  11. WORLD CLASS COMMISSIONING OUTCOMES: BEST PRACTICE TEMPLATE

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