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Commissioning and cardiac Rehab
Val BillinghamCommissioning AdviserBritish Heart Foundation
COMMISSIONING IN THE NHS
• It’s all about the population
• Big culture shifts• World class
commissioning
Outcomes-based commissioning
• Pcts have a duty to improve the health of the local population
• Outcomes:– Individual– population
Prevention
• Funding needs to shift upstream
• Commitment to principle but little idea of how to do it in pcts
• Need clinical engagement on service specification
• Need it on industrial scale
• Local authority angle
Personalisation
SOCIAL CARE:• Direct payments• Individual budgets
HEALTH CARE:PERSONAL HEALTH BUDGETS
Common assessment framework for adult services
Commissioning cycle
World Class CommissioningCore competencies:
• locally lead the NHS • work with community partners • engage with public and patients • collaborate with clinicians • manage knowledge and assess needs • prioritise investment • stimulate the market • promote improvement and innovation • secure procurement skills • manage the local health system • make sound financial investments
• New in 2009:• efficiency, based on financial management, looking at ensuring value for money and return on
investment;• Support for Practice-Based Commissioning
WCC assessment timetable
• September – December 2009 PCT preparation January – March 2010 Analytical phase April – May 2010 Panel days June/July 2010 Calibration and publication of results
Local Government
• Health Overview and Scrutiny Committees (HOSCs)
• Local Involvement Networks (LINks)
• Local Strategic Partnerships (LSPs)
The future
Map of Medicine
• visualisation of ideal pathway
• Customisable locally• Dh will use it to
operationalise reductions in programme budgets
• Ambition to abolish traditional terminology
• http://www.mapofmedicine.com
Quality
• Quality Accounts• PROMS• CQINS• Quality
observatories
Information technology
• Power of Information Task Force– Social networking
for public servants as a matter of course
– “Backstage” model of data for co-production
Contact details
Greater london House180 hampstead road
LondonNw1 7aw
020 7554 0345