The New Landscape - Transforming Commissioning

Agenda

• The likely impact of the White Paper on the commissioning landscape

• The NHS London Commissioning Development programme

You may have seen...

NHS 'reorganisation' is outlined

NHS shake-up 'hands funding powers to GPs’

“radical programme for a radical government

”

NHS revamp to ‘push up standards’

“Biggest reorganisation in the NHS since 1974”

Andrew Lansley has a clear vision...

Andrew Lansley: 'A shared ambition to improve outcomes'

• patients must be at the heart of everything we do

• the NHS must be focused on achieving continuously improving outcomes for patients

• we must empower clinicians

• we must prioritise prevention and create a public health service

• we must reform social care alongside healthcare

This includes some concrete changes

The end state will look very differentFundingAccountability

Parliament

DH

NHS Commissioning

Board

GP Commissioning

Consortia

Monitor (economic regulator)

CQC

Providers

Patients and Public

Local Authorities

Local HealthWatch

Local

strategic

partnership

licensing

contract

Accountability for results

The NHS Commissioning Board will provide national leadership

Responsible for:

• establishing consortia (assigning them if necessary)

• calculating practice-level budgets (based on weighted capitation) and allocating to consortia

• ensuring the NHS in England is resilient and is mobilised in times of national emergency

It will promote:

• primary care & ‘family health services’ – dental, optometry and pharmacy

• national and regional specialised services

• maternity care

• health services for those in prison or custody

• equality in health outcomes

• choice & personalisation, including personal health budgets

• research and use of evidence

• productivity & competition

GP Consortia will commission the majority of services for their local populations

Will need to:

• commissioning the majority of healthcare services

• managing combined practices’ commissioning budgets

• deciding commissioning priorities to reflect local needs, supported by an outcomes framework

Responsible for:

• commission services using the Any Willing Provider model

• use a lead commissioner arrangement

• procure support for commissioning activities

Will be empowered to:

• agree local priorities each year – carrying out patient and public involvement exercises

• take part in risk-pooling arrangements & appoint staff for statutory governance role

• ensure continuity of services and promote health equalityWill need to:

“Nothing about me,

without me”

Plus many players in the current structure will be given increased powers to support the new world

“Greater autonomy will

be matched by increased

accountability”

Plus many players in the current structure will be given increased powers to support the new world

“Improvement in quality and

healthcare outcomes is

the new governing principle”

Plus many players in the current structure will be given increased powers to support the new world

The scope of NHS London’s contribution to supporting the transition to GP-led commissioning is currently being defined

Thank You

Rachel Bartlett

Assistant Director, Commissioning Development

E: rachel.bartlett@london.nhs.uk