Post on 14-Jan-2016
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Commissioning rare and specialised services in the new NHS
Kate Caston
Specialised Commissioning Project Director
What we’ll cover
• What are specialised services?
• What is the new direction for specialised commissioning?
• E=CM2
• Quality, outcomes - a focus on services and patients
What are specialised services?
• National Specialised Services Definition Set
• 1m plus population catchment areas – critical mass
• ‘High cost / low volume’
• Types of services
• Carter review and improving equity & excellence
A true story…• Young man who went to the gym 3 times a week
• Became ill, went to GP, referred to local hospital
• Diagnosed with cardiomyopathy virus – referred to Wythenshawe Hospital
• “I could see him dying in front of my eyes”
• Eventually had a successful heart transplant
• Now recovering close to home –plans to run the marathon!
Why this is important…
• Can happen to any of us
• Shows the importance of linking the whole patient journey
• Cutting edge treatment, patient centred
• Successful outcome
What is happening to specialised commissioning?
• NHS Commissioning Board rather than PCTs / CCGs.
• Moving from 10 SCGs and NSCT to single function
• National consistency – single policies, standards, contracts
• Equity & Excellence
Apologies for all the acronyms!
When?
• Now – the change is underway - National Commissioning Development Transition Team, led by Dame Barbara Hakin
• Shared Operating Model for PCTs (July 2011) - 10 SCGs to be clustered alongside new 4 SHA Clusters
• Measured transition and national workstreams
• 17+ service areas will be commissioned nationally by April 2012; more by April 2013.
But how do we avoid…
…by putting patients & public at the centre of everything
You & me
Five programmes of care• Definition set into 5 programmes of care
• Will provide single point of contact for service / care organisations like yours
• Focus on patients, care, outcomes, quality, your voice
• Because: contract knowledge + national strategy + your engagement =
a better service for all
E=CM2?
“Everything should be made as simple as possible, but not simpler” Albert Einstein
Can we crack the code – can we make patient centred services reality?
• E = Excellence• C = Commissioning & Contracts• M 2 = Meaningful engagement x meaningful engagement
So…• Blank sheet of paper – a unique opportunity.
• We can be bold and innovative….with your help
But…• We have the opportunity – but not unlimited funds or unlimited
authority
• It will not happen all at once everywhere but many places will see many improvements quickly
• We need Critical friends
Thank you
Questions & Answers