www.commissioningshow.co.uk Issue 4 Overcoming the challenges to implementing the reforms Five of the most influential leaders in healthcare gathered in the Leaders Symposia at the end of the first day of the Commissioning Show to discuss the challenges and solutions of the new reforms. Capita sponsored the Leaders Symposia, with Managing Director of Capita Health Beverley Bryant chairing the discussion. Dr Michael Dixon, Chair of the NHS Alliance, said: ‘One priority will be for commissioners and providers to have a dialogue in a way they have not had before in terms of creating mutual ways of improving health and care, cost and efficiency. Ditto for clinicians and managers who need to break down those barriers so that managers are no longer seen as part of the dark side and commissioners are no longer seen as going native. They will need to be able to form a really functional relationship.’ Dr Dixon added that CCGs should be allowed to experiment and innovate and find totally new ways of doing things, and that GPs should develop a new mindset that would enable them to make a real impact on patient care. Professor Steve Field, Chair of the NHS Future Forum, said: ‘I would like to see more integrated care, we need to stand up and do something about the most vulnerable in society, particularly the gypsies, the travellers and the homeless, and do something about it from the clinical leadership point of view. Also I would like all CCGs and clinicians to rally behind those values of the NHS of equality with the NHS treating everyone as equal.’ For Dr Charles Alessi, Chair of the National Association of Primary Care, the most immediate issue was engagement. He explained: ‘The world isn’t about CCGs and performance managing and coercing practices to do what CCGs want them to do, it’s about CCGs being a reflection of the will of practices. They are membership organisations and that really needs to be understood. The responsibility of CCGs will be to ensure they get the best commissioning support, deliver the best services and prioritise in the best way depending on the population they are serving.’ Dr Steve Mowle, Vice Chair of the Royal College of General Practitioners, said a big challenge for CCGs would be collaboration. He said: ‘We need to think about who are the main ‘go to’ people such as the third sector, charities and local area teams because we all need to work together to make this a sustainable NHS. The College believes more care needs to be shifted from secondary care, we need GPs to spend longer with their patients and think differently about their patients with long term conditions and we need to improve the quality of training in general practice.’ Dr Peter Swinyard, Chair of the Family Doctor Association cautioned: ‘The whole concept of GP-led commissioning reminds me of a warning that we should be careful what we wish for – because you may get it. Lansley: The NHS can and will change ‘Commissioning is happening and we will see it through’ Health Secretary Andrew Lansley told a packed auditorium. The NHS can and will change because there are dangers in not doing anything. The transition will be tough, he admitted and it will take a while to work out a new way of doing things. Commissioners need to look for every opportunity to make care better in the NHS. He promised to back commissioners if they had to take politically tough local decisions about poorly performing hospitals or other care settings. ‘Rarely will care settings close down but some may see their role changed. Hospitals with long standing problems can no longer kick the can down the road. We can’t endlessly prop up organisations that can no longer stand on their own two feet,’ he said. Lansley also told commissioners that they would have no legacy debts when they became fully operational in April 2013. He also promised that there would be no top slicing of CCG budgets by the National Commissioning Board and that CCGs would not have to be constantly applying for re-authorisation. That was an urban myth, he said. Commissioners were leaders for change and Lansley said he was optimistic they would deliver improvements in NHS care by commissioning services such as innovative telehealth or by allocating money to a Year of Care budget. SEE PAGE 5 SEE PAGE 6 SEE PAGE 8 SEE PAGE 2 Watch speaker sessions from The Commissioning Show Can you spot yourself in the crowd? Cynthia Bower on improving quality of care Check out next year’s floorplan Five senior GPs debate the direct effects of commissioning at the Leaders Symposia, sponsored by Capita. Media partners: Event sponsors: In association with: Dr Charles Alessi, Chair of the National Association of Primary Care: ‘It’s quite extraordinary to compare where we are now to where we were a year ago – then we were talking about ‘if’, now we are not talking about ‘how’ but ‘how best’. That is significant and I think the buzz at this conference and the appetite to manage commissioning in the best way possible is palpable. It’s pretty clear there is a lot of enthusiasm for change and that we have real opportunities here. So the more we work around this and the more we actually encourage this process the quicker we are going to get to where we need to be.’ LONDON OLYMPIA CONFERENCE ROUND-UP Thank you to our partners and sponsors: Continues on page 3 Clockwise – Beverley Bryant, Dr Peter Swinyard, Dr Charles Alessi, Dr Steve Mowle, Professor Steve Field and Dr Michael Dixon. Show news brought to you by:
Transcript
www.commissioningshow.co.uk Issue 4
Overcoming the challenges to implementing the reforms
Five of the most influential leaders in healthcare gathered in the Leaders Symposia at the end of the first day of the Commissioning Show to discuss the challenges and solutions of the new reforms. Capita sponsored the Leaders Symposia, with Managing Director of Capita Health Beverley Bryant chairing the discussion.
Dr Michael Dixon, Chair of the NHS Alliance, said: ‘One priority will be for commissioners and providers to have a dialogue in a way they have not had before in terms of creating mutual ways of improving health and care, cost and efficiency. Ditto for clinicians and managers who need to break down those barriers so that managers are no longer seen as part of the dark side and commissioners are no longer seen as going native. They will need to be able to form a really functional relationship.’
Dr Dixon added that CCGs should be allowed to experiment and innovate and find totally new ways of doing things, and that GPs should develop a new mindset that would enable them to make a real impact on patient care.
Professor Steve Field, Chair of the NHS Future Forum, said: ‘I would like to see more integrated care, we need to stand up and do something about the most vulnerable in society, particularly the gypsies, the travellers and the homeless, and do something about it from the clinical leadership point of view. Also I would like all CCGs and clinicians to rally behind those values of the NHS of equality with the NHS treating everyone as equal.’
For Dr Charles Alessi, Chair of the National Association of Primary Care, the most immediate issue was engagement. He explained: ‘The world isn’t about CCGs and performance managing and coercing practices to do what CCGs want them to do, it’s about CCGs being a reflection of the will of practices. They are membership organisations and that really needs to be understood. The responsibility of CCGs will be to ensure they get the best commissioning support, deliver the best services and prioritise in the best way depending on the population they are serving.’
Dr Steve Mowle, Vice Chair of the Royal College of General Practitioners, said a big challenge for CCGs would be collaboration. He said: ‘We need to think about who are the main ‘go to’ people such as the third sector, charities and local area teams because we all need to work together to make this a sustainable NHS. The College believes more care needs to be shifted from secondary care, we need GPs to spend longer with their patients and think differently about their patients with long term conditions and we need to improve the quality of training in general practice.’
Dr Peter Swinyard, Chair of the Family Doctor Association cautioned: ‘The whole concept of GP-led commissioning reminds me of a warning that we should be careful what we wish for – because you may get it.
Lansley: The NHS can and will change‘Commissioning is happening and we will see it through’ Health Secretary Andrew Lansley told a packed auditorium.
The NHS can and will change because there are dangers in not doing anything. The transition will be tough, he admitted and it will take a while to work out a new way of doing things. Commissioners need to look for every opportunity to make care better in the NHS.
He promised to back commissioners if they had to take politically tough local decisions about poorly performing hospitals or other care settings. ‘Rarely will care settings close down but some may see their role changed. Hospitals with long standing problems can no longer kick the can down the road. We can’t endlessly prop up organisations that can no longer stand on their own two feet,’ he said.
Lansley also told commissioners that they would have no legacy debts when they became fully operational in April 2013. He also promised that there would be no top slicing of CCG budgets by the National Commissioning Board and that CCGs would not have to be constantly applying for re-authorisation. That was an urban myth, he said.
Commissioners were leaders for change and Lansley said he was optimistic they would deliver improvements in NHS care by commissioning services such as innovative telehealth or by allocating money to a Year of Care budget.
SEE PAGE 5 SEE PAGE 6 SEE PAGE 8SEE PAGE 2
Watch speaker sessions from The Commissioning Show
Can you spot yourself in the crowd?
Cynthia Bower on improving quality of care
Check out next year’s floorplan
Five senior GPs debate the direct effects of commissioning at the Leaders Symposia, sponsored by Capita.
Media partners:
Event sponsors:
In association with:
Dr Charles Alessi, Chair of the National Association of Primary Care:‘It’s quite extraordinary to compare where we are now to where we were a year ago – then we were talking about ‘if’, now we are not talking about ‘how’ but ‘how best’. That is significant and I think the buzz at this conference and the appetite to manage commissioning in the best way possible is palpable.
It’s pretty clear there is a lot of enthusiasm for change and that we have real opportunities here. So the more we work around this and the more we actually encourage this process the quicker we are going to get to where we need to be.’
LONDON OLYMPIA CONFERENCE ROUND-UP
Thank you to our partners and sponsors:
Continues on page 3
Clockwise – Beverley Bryant, Dr Peter Swinyard, Dr Charles Alessi, Dr Steve Mowle, Professor Steve Field and Dr Michael Dixon.
Show news brought to you by:
www.commissioningshow.co.uk2
One lucky delegate of this year’s Commissioning Show has won a brand new car. The winner, Dr Rekha Raja from Kenton Bridge Medical Centre has won the all new Toyota AYGO.
The competition was available for all Commissioning Show delegates to enter and required them to visit 13 exhibition stands featured on the exhibitor roadmap leaflet, then asking the necessary question to receive their stamp.
Speaking to Dr Raja, she described how shocked she was when she found out the good news: ‘I couldn’t believe it; I thought it was a joke. I’ve entered similar competitions but have never won anything.’
In regards to the show: ‘The two days were very useful; the exhibition stands I visited were educational and in-line with all the changes. I found out a lot about the CQC, which will help me in general practice.’
PCTI Solutions Ltd was one of the exhibitors involved with the competition. Jonathon Wilson, Marketing Manager from PCTI Solutions said: ‘The Commissioning Show was an exceptionally well placed conference. Part of our success was from our participation in the competition to win a car; this provided a large number of delegates visiting our stand and importantly enquiring about our innovative solutions. The competition was certainly a factor in driving traffic to our stand.’
The Toyota AYGO was supplied by Hills Garages (Woodford) Ltd.
The unique opportunity to hear from key opinion leaders and learn about the future of Commissioning can be watched via a series of videos from the two-day event by visiting The Commissioning Show website.
Videos include the CCG leader’s big debate sponsored by HSJ and key speakers such as Cynthia Bower, Chief Executive of Care Quality C o m m i s s i o n , address delegates and their concerns for the future.
Delegates can watch conference content including the slide presentations by logging in to the Connect platform: www.commissioningshow.co.uk/connect. There is a link on the connect log in page to be sent a reminder of your log in details.
More sessions are being added to site as they are edited. Keep up-to-date by following us on twitter @CommShow.
Exhibitors can also access videos using their exhibitor zone log in details provided.
Commissioning is organised by:
Unit 17, Exhibition House, Addison Bridge Place, London W14 8XP www.commissioningshow.co.uk Tel: 0207 348 5250
Measuring meaningful improvement in long term conditionsThe growing prevalence of long term conditions and patients with multi-morbidities will be a key challenge for commissioners, warned Gillian Leng, Deputy Chief Executive of the National Institute for Health and Clinical Excellence (NICE).In her talk she outlined NICE’s plans to produce guidance to support the management of patients with multiple co-morbidities.
This includes developing more generic guidance, the development of decision aids to enable clinicians to more easily involve patients in deciding what the priorities are for treatment and mapping their guidance into pathways which link the various common conditions.
She said NICE was currently in the process of developing 180 quality standards for healthcare. Guidance represented a comprehensive set of recommendations while quality standards, were a set of precise, measurable statements designed to drive quality across a pathway of care.
The quality standards will feed in to the Quality and Outcome Framework, the Commissioning Outcomes Framework, to CQUIN (Commissioning for Quality and Innovation), local audits and local contracts.
‘If you are a provider meeting your quality standard is going to help you demonstrate that you have a high quality service that meets financial incentives. Commissioners will need to look at quality standards which are based on guidance when they are setting contracts. A lot of commissioners have told us that they are taking quality standards and writing them into contract specifications.’
Quality standards may have a financial premium attached to them in the future, she said.
WATCH HIGHLIGHTS FROM THE COMMISSIONING SHOW 2012 ONLINEMany of the speaker sessions from The Commissioning Show are now available to watch online. Delegates are able to recap on seminars and debates they attended or catch up on the sessions they missed.
Gillian Leng
Commissioning Show delegate drives off in a brand new car
First Databank (FDB) provides clinical drug knowledge that helps healthcare professionals make patient specific medication related decisions. The FDB drug knowledge base forms a critical part of primary care patient administration systems guiding prescribing behaviour to avoid allergic reaction and other adverse drug events. Also utilised in out of hours care systems, secondary care e-prescribing systems, pharmacy dispensing and stock management systems, FDB’s world renowned drug knowledge base is a trusted resource and comes with a strong track record of success.
In 2011 FDB launched the Multilex DOSE module which proposes doses in line with best practice and also validates manually entered doses, helping to prevent one of the most common areas of error (NPSA, 2007).
In January 2012 FDB became the first drug database provider to be awarded accreditation by NICE for the processes used to develop evidence in clinical decision support systems. This accreditation recognised the quality of the processes used to develop FDB’s drug knowledge base which is used in the core product Multilex, in the web based and mobile referential drug solution FIRSTLight and the latest solution suite Medicines Optimisation.
Medicines Optimisation is a revolutionary new concept which takes drug knowledge, FDB’s core drug safety experience and
maps it across two other key areas - Best Prescribing Practice and Best Drug Price. With the patient’s own unique profile at the core of every acute and repeat prescribing event Medicines Optimisation is geared to drive quality and cost efficiencies at patient, practice and population level. FDB’s system vendor partners are also developing solutions which will generate medicines management dashboards and workflow based patient interventions.
The NHS medicines budget is receiving increasing scrutiny to deliver the cost savings mandated by government. With FDB medicines optimisation solutions variation in prescribing practice can be identified real time, ‘postcode lottery’ prescribing can be tackled and patients with long term conditions can be captured with ease for improved condition management.
All indications are that FDB’s new solutions are coming to market at a critical time to support the emerging CCGs. By ensuring that patients get access to medicines which are not only safe for them, but also will give them the best outcome, the immediate benefits from the limited prescribing budget are maximised, while in medium term the costs across the wider healthcare economy are driven down through better quality outcomes.
Introducing FDB
www.commissioningshow.co.uk 3
Public health: a thousand flowers may bloom
‘I was here a year ago and it’s amazing just how much has been achieved since last year,’ Barbara Hakin managing director of commissioning development at the NHS Commissioning Board told the conference.
Alison Hill Managing Director of NHS Solutions for Public Health outlined to Commissioning Show delegates the building blocks that Health & Wellbeing Boards need to be putting in place.
‘Obviously Health & Wellbeing Boards are still under d e v e l o p m e n t , they are not yet statutory entities but there is a lot happening already. From what I have been hearing people are feeling very optimistic about the future because they feel they can make a difference,’ she
told Commissioning News.
‘It’s the first time that clinicians, councillors and local government officers are coming together round the table in such a formal way. There are huge challenges of course. For example if local government is working on an initiative that is anti-health then how is the Health & Wellbeing board going to challenge that?
‘Another real dilemma could occur where there are two tier
local government services. When public health is delivered by district councils how does that relate to the top tier where there are public health issues with social care, children’s services and transport, for example?
‘People are going to have to find new ways of working and ways of influencing others because Health & Wellbeing Boards aren’t going to be given any great powers.
‘It’s going to be an interesting and difficult relationship that people have got to finesse. They will have to learn how to work with each other, learn new language and learn to compromise. People will have to get used to partnership working
‘There might be call from local government at some stage to give Health & Wellbeing Boards greater powers although just at the moment the government is very hands off and is giving local government the freedom to test how things work.
‘I personally think a thousand flowers will bloom because I believe this reform will invigorate public health.’
NHS COMMISSIONING BOARD CHIEF CONGRATULATES CCGS ON THEIR PROGRESS
‘Think back to how much wasn’t formed and hadn’t been sorted 12 months ago - we had a bill not an act and how much more policy we had to still get through and how much you had to do on the ground to get CCGs up and ready to go.
Now we have CCGs coming into being ready to be authorised covering the whole country and
every practice.
We have the NHS Commissioning Board starting to form and all the rest of the architecture.
‘I congratulate you all because I know how much work you have been doing to get you to this point.’
In her talk Dame Hakin outlined a number of areas of relevance to CCG establishment and the authorisation process. She explained how the NHS Commissioning Board is going to operate and some of the new appointments currently being made to the board and how the board will be supporting CCGs through its development programme and the guidance and tools it produces.
She also talked about commissioning support organisations which she said would be vital to the success of CCGs and the
commissioning system in the future.
Dame Hakin mentioned the recent publication of the operating model of primary care commissioning and concluded by advising delegates to visit the NHS Commissioning Board website regularly to keep up to date with everything that is going on http://www.commissioningboard.nhs.uk.
Dame Barbara Hakin
Dr Alison Hill
“I congratulate you all because I know how much work you have been doing to get you to this point”Dame Barbara Hakin
FOLLOW US ON TWITTER @CommShow
FOLLOW US ON FACEBOOK Commissioning-Show
“I personally think a thousand flowers will bloom because I believe this reform will invigorate public health”Dr Alison Hill
Experian provides a service committed to tapping into the population to find out exactly what patients require. This facility creates
an ideal way for commissioners to plan for the future.
Deliver targeted patient engagement Patients expect to be consulted about the choice of NHS services available to them. This changing pattern of behaviour is putting increasing stress on the NHS, heightened at a time of acute budgetary and resource pressure.
To provide optimum choice and service to individuals and the local population, a sophisticated level of engagement is required. Experian provides accurate, up-to-date and deep understanding of people, place and community. We can help you to operationalise your strategy to:
•Create a single patient view •Understand individuals to change behaviour •Interpret online behaviour •Deliver multi-channel targeted messages
Evidenced based commissioning and provider management To commission the right services, organisations must understand their local population. This will enable services to be in the right location, at the right time, both now and in the future. To measure service delivery effectiveness, commissioners need to understand how well providers are delivering efficient services with the best possible outcomes for patients. Experian can support:
•Strategic Needs Assessments •Risk stratification and predictive modelling •Service planning
Safeguarding As CCGs take over the responsibility of PCTs, it is essential to have the necessary procedures to safe guard their patients and local population. We can help to:
•Recruit and monitor staff •Mitigate data loss risk •Mitigate the risk of commissioning an unsustainable provider
Drive efficiencies To deliver efficiency savings, commissioners need an automated evidence base to make timely and accurate financial decisions. We can help to:
For more information about Experian, visit www.publicsector.experian.co.uk.
Understanding patient needs to transform public services
How many of us in general practice for over a quarter of a century have said …. ‘Oh, those administrators, they don’t know anything about general practice, they don’t know about patient care they just count beans, we could do it much better…’ ‘Well, now the secretary of state has said here you are, go and do it, here are the tools.
‘This is a challenge to general practice. This is an opportunity to work with secondary care providers in a way we have never done before and to understand that patient care is not just what we do with the patient in the surgery. The job of general practice is only for the very best in medicine. We are the best and what we have to do now is go out and prove it.’
The Leaders Symposia was sponsored by Capita and chaired by Managing Director of Capita Health Beverley Bryant.
Overcoming the challenges to implementing the reformsContinued from page 1
www.commissioningshow.co.uk4
Take a look at the diverse visitor list in our delegate sample
Commissioning 2012 cements its place as the “definitive event for primary care”
Commissioning Show 2012 Key Facts
3096*
attendees at The
Commissioning Show 2012
Delegate attendance increased
by 16%from 2011 to 2012
45% of delegates haven’t attended
another healthcare show in the last
two years
70% of 2012 floor space has
been rebooked for Commissioning
2013
Show news brought to you by:
Service Improvement Manager, 3 Counties Cancer Network (NHS Gloucestershire)National Coordinator Urgent Care Clinical Dashboard, 5 Boroughs Partnership NHSGP, Ackers ChemistPractice Manager, Albion Street SurgeryHead of Informatics, Anglia Support PartnershipGeneral Practitioner, Ashcroft SurgeryBusiness Manager, Aylesbury Vale Clinical Commissioning GroupCEO, Aylesbury Vale Clinical Commissioning GroupGP Director, Barlby SurgeryCCG Lead, Barnet CCGHead of Commissioning Disability, Barnsley Metropolitan Borough CouncilDeputy Partnership Director, Barnsley NHS & CouncilCommissioning Manager, Birmingham and Solihull NHS ClusterCCG Exec Committee GP, Blackburn and Darwen Care Trust PlusCCG Chair, Blackburn With Darwin Care Trust PlusCCG Exec Committee GP, Blackburn With Darwin Care Trust PlusChair, Blackpool CCGGP Board Member, Blackpool CCGClinical Lead, Boc HealthcareGP, Bolton Health ConsortiumGP Member, Bolton Health ConsortiumGP/LCG Chair, Borderline Local Commissioning GroupPractice Manager, Brambles SurgeryGP, Brent Health CentreCCG Lead, Brentwood CCGCCG Member/Lead, Brentwood CCGGP, Brocklebank Group PracticeClinical Lead, Bromley CCGGP Senior Partner, City & Hackney PCTPublic Health Consultant, City of London CorperationChairman Community & Children’s Services Committee, City of London CorporationGP, Colne Health CentreAuthorisation Director, Commissioning Development - NHScbaCommissioning Project Manager, Community Services cicGP, Crayford SurgeryGP/Pathology Lead, Crayford Town SurgeryDeputy Chair W & P CCG, Dorset PCTGP, Downing Street Group PracticeGP, Dr Stuart Hanwell Health CentreCommissioning Manager, Dudley CCGVice Chair & GP, Ealing CCGHead of LTC Pathways, Ealing Hospital ICO NHS TrustPractice Manager, East Barnwell Health CentreGP Engagement Manager, East London Foundation TrustCommissioning Manager, East Staffordshire CCGMember Cabinet For Adults Health & Community Wellbeing, Essex County CouncilPractice Manager, Farnham Road PracticeGeneral Practitioner, Figges Marsh SurgeryGP/CCG Chair, Greater Huddersfield CCGSenior Policy Officer Alcohol and Drugs, Greater London AuthorityAssistant Director In Commissioning, Greater Manchester & Cheshire Cardiac & Stroke NetChair Hackney Link, Hackney LinkOperational Director, Halton CCGCCG Manager, Hertfordshire NHSGP Rep Herts Children And Young People Strategic C, Herts Valley CCGGP, Hillingdon CCGGP Partner, Hook SurgeryChair, Hounslow CCGCommissioning Support, Inner North West London PCTNetwork Coordinator, Inner North West London PCTGeneral Practitioner, Yeading Medical CentrePractice Manager, Windmill SurgeryOrthopaedic Registrar, Western Sussex NHS Trust
Attendance by day What other shows do our delegates attend?
Healthcare delegates by organisation Senior delegates by job title
43%57%
Day two
Day one
NHS Confed
Primary
Care Liv
e
Health
care
Expo
NAPC Confer
ence
Smart H
ealth
care
Live
Health
care
In4matics
Public
Secto
r
Efficie
ncy Ex
po
NHS Allia
nce Confer
ence
Managemen
t in Pr
actice
I have
not atte
nded any o
ther
even
ts in th
e last
2 years
Other
CCG
PBC G
roup
GP Pra
ctice PC
T
Strateg
ic Hea
lth A
uthority
Departm
ent o
f Hea
lth
Acute
Trust
or Hosp
ital
Loca
l Authority
Pharm
acy group
Charity/a
ssocia
tion
Other
Supplie
r to se
ctor
21%19%
1% 1%
16%
3%2%
8%7%
15%
5%3%
Associa
tions &
National b
odies GPs
Practi
ce M
anager
CCG Managers
CCG Board M
embers
and Exec
utives
Loca
l Authority
Senior M
anagemen
t
PCT S
enior M
anagemen
t
Seco
ndary Care
Leads
Pharm
acy Le
ads
6%
21%
8%
17%
20%
6%
13%
4%3%
13% 12%8%
12%
2% 3% 3%10% 11%
45%
14%
Total attendance: 3096* over two days
Plenary sessions from leading policy makers: Andrew Lansley, secretary of state for health and Dame Barbara Hakin, national managing director of commissioning development
Over 200 exhibitor stands
Hundreds of seminars, discussion groups and practical workshops
The only healthcare show to be supported by all the major primary care associations
Show previews in HSJ, Primary Care Today and Commissioning Success
*Includes 750 exhibitors
75% of delegates were from outside of London
www.commissioningshow.co.uk 5
Commissioning Show 2013 Floorplan2013 ExCel, London - Floorplan2012 prices are being held for a limited timeSpace: £399+VAT (per m2) / Shell: £409+VAT (per m2)
Take advantage of our sponsorship andawareness opportunitiesRoadmap competition - £1500 +vatDriving an increased number of prospective customers to your stand.Sponsor the roadmap competition and be one of only 12 exhibitors to increase the number of additional visitors engaging with your sales force. Delegates must collect stamps from all 12 sponsors to qualify for a prize draw competition. A brand new car will go to the lucky winner. For more information contact the sales team.
• Hanging Banner £1000 +vat
• Floor tile(s) £1000 +vat • E-Shot £1000 +vat
• Postal Mailer £1000 +vat
• Bag Insert £1000 +vat
• Web Banner £1000 or £750 +vat*
• Show Newspaper £350 to £1500 +vat**
*Cost dependant on style. ** Cost dependant on size of space taken in publication.
= Available stands
= Booked stands
3
4
5
4
G20
F22 G21
G26
48
30
20
30
18
21
12
9
25
10
8
8
8
6
8
12
18
156
30
24
42
21
6
6
6
6
6
6
6
3
4
5
2 2
6
6
6
6
5
4
3 3
4
5
4
9
6
6
6
6
3
3
6
2
4
2 2
5
2 4 4
4
4 4
4
6
5
2
5
2
3
3
3
5
7
5
6
3
3 3
3 3
3 3
3
3
8
5
2
2
4
2
4
4
2
6
6
33
4
33
3
3
4
3
4
3 33
4
4
6
2
4.5
4.5
2
12
6
6
6
6
3 3
6
6
5
4
3
3
2
3
3 3
3 3
2
2
2
6
5
2
2
7
5
6
5
4 2
5
4
4
55
4.5
4.5
6
9
6
6
6
4
4
6
5
6
9
6
6
3
6
3
3
5
3 3
4
4
3 3
5
3
2
2
2
2
2
5
4
3
4
3
7
7
6
2
5
2
3
2
7
33
F1236
36
F10 G10
G11
G13
G15
H10
H12
J10
J15
F20
F26
H20
6
H25
F30
F31 F38G30
H30 I30
I31 I28
F40 F42 G40 I40
I42
I41
F50
3F58
G50
F52 G51
H50
F81
G60
G61
J60
K60
K50
L40
3
K30 L30
L32
K20 L20
J2
J8
K10 L10
L22
L28
L32
L38
L42
L52
L56
L62
L68
L70K70J70I70G70
F74
F80
E69
E55
E51
E41
E21
E11THEATRE 1Clinical
CommissioningManagement
THEATRE 3Clinical
Commissioning(Patient Services
Long Term ConditionsIntegrated Care)
THEATRE 5Productivity Through
Technology
THEATRE 6Clinical Commissoning
Support
THEATRE 4Quality Provider
Services
THEATRE 2Clinical
Commissioning(Patient Services
Long Term ConditionsIntegrated Care)
DevelopmentLab
DevelopmentLab
CATERING
SEATINGAREA
CATERING
CATERING
CATERING
E F G H I J
K L
ENTRANCE
TPP
Chiesi
EMIS
Sanofi
MSD
MylifeDiabetes
Bayer
Browne Jacobson
HealthcareMonitors
Codegate
BritishRed
Cross
3
L72
NRSHealthcare
4
H72BBIHealthcare
PersonalDiagnostics
3
I78PRIMIS
PSUK
Williams MedicalAlliance
Phamaceuticals
RocheDiagnostics
H70GPTeamNet
1212
12 12
L60 L61
L62 L63
Map ofMedicine
BoehringerIngelhelm
L50 L51
L52
NHiSPainManagementSolutions
HenrySchein
Medical
Keeler
15
6
I10
I11 I18
Bosch
UnitedHealth
Homecareat Home
J20
J28
Astra Zeneca
Bristol-MyersSquibb
Lundbeck
WRVSCapita
StrokeAssociation
MGP
DaisySurgery
Line
X Genics
Experian
WeightWatchers MedeAnalytics
J30
J31 J38
J52
J51 J58
J42J40
TillottsPharma
MATCH
NHSSolutions
Pharmarama
J50
3 3 3 3
3
4
4
3
3I52I50
H51 H58
I60 I62
I61 I68
FinegreenAssociates
ElephankKiosks
MyTimeActive
TelehealthSolutions
T+RDerma Aerocrine
HavenHealthProperties
MembershipEngagement Services& Electoral Reform
3H51 I58
INRstar DABBeachcroft
H50
H60 H62
H61
HealthstatsTechnologies (UK)
3GlucoRx
Appello
Ipsen
Aviva
MDDUS
Teva UK Sollis
AttainCommissioningServices
BHRPharmaceuticals
HillDickinson
Wesleyan
SlimmingWorld
MenariniPharma
ClarityInformatics
F60
F64
F70
F76
F72Mount InternationalUltrasound Services
E71
3E72
Health ProtectionAgency
VantageDiagnostics
3E68HoltDoctors
3Dallas BurstonAshbourne
5E31HealthIntelligence
GPSupplies
PatientAccess
E66
4HealthcareCommissioningServices
E1
3The CommissioningCommunity
IQMedical
ApolloMedicalSystems
E2
3E25
3IsabelHealthcare
Red EmbeddedSolutions
E27
12
L41
10
10
8 9
H52
9
99
4024
126
10
6
Docman
36
30
Broomwell
AdvancedHealth& Care
2012 prices are being held for a limited time
Call Lee or James 0207 3485254 or email [email protected] to book your stand
Space: £399+VAT (per m2) Shell: £409+VAT (per m2)
Plan not to scale and subject to change. Correct at the time of print
www.commissioningshow.co.uk6
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GP-AD-30-06/12
To book an appointment with your Financial Consultant:
45724 Commissioning Show A4 Ad GP-AD-30 06/12.indd 1 15/05/2012 15:45
CAN YOU SPOT YOURSELF IN THE CROWD? Take a look at the latest pictures from The Commissioning Show 2012. Go to www.commissioningshow.co.uk to see more pictures of the show.
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deliver linked patient data to support integrated care.
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www.commissioningshow.co.uk 7
Dr Peter Swinyard, Chair of the Family Doctor Association:‘I think it has been a very good conference. There are a lot of interesting exhibitors and a lot of interesting people here. The number of delegates has held up at a time when we are all rather busy in our practices.
‘What has been interesting this year has been the continuity of care agenda which is the Family Doctor Association’s big agenda and we’ve had our session on it. It has been very good to bring to the fore to commissioners that continuity of care is cost effective.’
Professor Steve Field, Chair of the NHS Future Forum:‘The Commissioning Show has provided a great opportunity to network with people; a lot of the delegates here haven’t perhaps been to other commissioning group meetings.
One of the highlights of the conference for me was the GP who talked about how introducing a new way of working in his practice – his patient satisfaction improved and there was a reduction in A&E attendances and referrals. The take home message was - we have got an opportunity to really get involved in transformational care.’ Dr James Kingsland, a GP on the Wirral, former Chair of the National Association of Primary Care and recently appointed by the Department of Health as the National PBC clinical network lead: ‘When you enter the conference you notice the buzz. There is energy and an enthusiasm which is really welcome. In some of the work I am doing I am finding there is a creeping sense of despondency in some areas but this sort of conference really energises delegates and shows that there is a huge appetite amongst the primary care community to deliver these reforms.
Despondency can arise if we just focus our efforts on the structural changes in the NHS and not the reform of care because we are not necessarily focusing on where we need to put most of our efforts. This sort of conference is designed to concentrate mind-set on the efforts to reform of care rather than building CCGs which is a means to an end not an end in itself.
At next year’s conference we have got to move on to hearing about the results achieved by this structural change with people talking about how they have achieved some fantastic service redesign, developed a new care pathway which is improving quality or meeting the quality and productivity challenge.’
Dr Steve Mowle, Vice Chair of the Royal College of General Practitioners:‘It has been great to be among so many enthusiastic, energetic commissioners. We are going through some very challenging times. The finances are going to be driving a lot of what we do and that’s quite worrying. If we can maintain our values of a sustainable NHS with universal healthcare for all then we will have done very well because the financial challenge that we are facing is going to be very distracting.
I’m worried that we are going to be forced into short-termism because a lot of the things we are doing need to be big strategic changes around integrated care, moving care into the
community, having GPs as leaders of care and improving the standard of primary care so that patients can stay at home and look after themselves and be healthier.
Some commissioners I’ve heard from are tired but generally there is a degree of optimism that that commissioning will deliver some of our goals. But what I heard from the audience has been – let’s get real what are we going to achieve in the next few months? I think there isn’t going to be a huge change in April 2013 - most contracts for the next year are already done and dusted. What we will be doing over the next couple of years is making small changes and building relationships so we can build a shared vision in areas where we can make the big changes. Even if the structures change, if the relationships are built and people are valued, then that will be worthwhile.’
Faraz Ali, Assistant Practice Manager, Kings Road Medical Centre:‘The Commissioning Show has helped my understanding of the future. The chance to network is very good. The sessions have been helpful, especially for me, the productivity through technology sessions have really helped me to see the development of technology and the changes it will make to the NHS.’
Amit Sidhu, Contracts Manager, East London Foundation Trust:‘A very different show-very well run. It’s great to talk to people in different industries, it’s important to get an overview of everything. It’s easy to be inward looking, but coming to The C o m m i s s i o n i n g Show you get the chance to see how other parts of the industry are coping with change. It’s important to see integration and different experiences of change.’
Stewart Findlay, Interim AO, GP, Bishops Gate Medical Centre:‘It’s a great chance to meet people from all over the country and find out what other practices are doing. It’s a good opportunity to meet with people in a more informal, relaxed setting; you get a lot more out of the experience that way.’
Dr Jenny Stephenson, GP, Lead for Diabetes, Stannington Medical Centre:‘A stimulating and evidence based show. It has given me a can-do feeling. Much wider remit than other shows. It builds on what I’ve already learnt; I feel it has put disease specific learning points into perspective.‘
Dr Charles Alessi, Chair of the National Association of Primary Care:‘We need to remember the impatience that there is around getting results. This is interesting because CCGs aren’t in existence yet but everybody is saying they haven’t worked. They haven’t worked because they are not up and running yet. But I think this is also a positive because we are in a situation where people really have an appetite to actually try to get this process not only started but actually completed.
‘At next year’s conference we should be looking at where we have managed to get to. The discussion will need to be much more granular and much more about the detail of ‘how’. CCGs will have developed quite a bit – and that’s the aspiration surely.’
Jonathon Drew, Commissioning Manager, Torbay and South Devon CCG:‘A broad range of topics, an especially useful talk on procurement.’
Hugo Luck, CCG Commissioning & Development, NHS South of England:‘A good way of finding out about good practice and I have had a lot of answers to unanswered questions.’
Here’s what some of our exhibitors thought of the show...
United Health UK:‘We are here as ‘commissioning support’ fits into our work space and it’s a good opportunity to meet with CCG’s and NHS representatives who are our potential customers.’
Graphnet:‘The event has been excellent for industry networking. The management of the conference streams, to make them more staggered, has been really useful for visitor flow.’
GPTeamNet:‘It has been constantly busy for two days which is fantastic – and it was exactly the people we wanted to see. I would say we will be taking a good 60 leads away from two days – which out of a possible 212 in England is outstanding. We had conversations with everyone and I would say 80% of them wanted to have a demonstration. We have booked a bigger stand already for next year.‘
Bosch Healthcare:‘We met genuinely interested delegates, so our experience has been positive. GP’s were unaware of our products, so it was refreshing to have the opportunity to speak to new prospects.’
Numera:‘This is one of the best planned and executed exhibitions we have attended in the past 10 years.’
Take a look at what some of our key opinion leaders, delegates and exhibitors made of the show….
What did you think of the show?
Show news brought to you by:
www.commissioningshow.co.uk8
But she says general practice is the last bit of the health and social care system to come under the new regulatory model and she says the CQC is concentrating on making it as user-friendly as possible.
The CQC is currently working on registering 10,000 primary care locations.
Ms Bower says they have specific levers that they can use to improve practice and ensure that quality is good enough for the public. ‘So we always see ourselves as an organisation that works in partnership with others. We are an organisation that improves quality rather than someone who comes round with a big stick.
‘Our job is to look at outcomes for patients and people who use services. We try to involve people who use services as
much as possible in making our judgments about whether or not services are compliant with the law. Our focus is on how care is being delivered to people. We do our best to take swift action to deal with issues as they emerge. It’s very much our philosophy that the only person to assure quality is the caregiver or the professional clinician sitting in front of the patient.
‘At the moment we are saying we are likely to try and inspect general practice every couple of years although we are still testing that out. We already starting to pilot what compliance inspections look like which we hope will be very straightforward,’ she says.
Preparing for CQCRegulation is not GPs’ favourite subject, admits Cynthia Bower, Chief Executive of the Care Quality Commission (CQC).
NHS leaders spell out their hopes and fears for the future
Commissioning Show moves to new home
A panel of NHS leaders were asked about their greatest hopes and fears for the commissioning reforms during the HSJ debate.
Stephen Dorrell, MP former health secretary and Chair of the Health Select Committee, said: ‘My hope is that effective, empowered commissioners introduce change and reflect the fact that information and clinical technology all point in the direction of the need for a completely different way of meeting the increasing demands being placed by patients on the system.
‘My greatest fear is that commissioning is misinterpreted as being competitive transaction purchasing. If commissioning is just about buying what we do now as we did then it won’t come close to justifying the kind of things I’ve just been describing.’
Sir Robert Naylor, Chief Executive of University College London Hospitals Foundation Trust, said: ‘My first hope is that GP commissioning will have longevity and second that it will promote integration. We will need to fundamentally change the existing culture and to stop clocking up the cash register every time a patient comes into hospital.
‘My main fear is that GP commissioning will lead to ever increasing fragmentation. Certainly in discussions that I
have with GP commissioners in London they are really concerned about what they will have to face on a day-to-day basis. They are not concerned with the big strategic issues which I am concerned with i.e. looking at the future of cancer care or cardiac centres. Clearly there needs to be a radical rationalisation of services which is already happening
behind the scenes in discussions between providers. We have to work out how we are going to sustain ourselves in the future and be much more productive and we have to reorganise services in a much more cost effective way.’
Helen Bevan Chief of Service Transition, NHS Institution for Innovation and Improvement, said: ‘My hope is that CCG leaders will build the kind of energy that is needed to deliver a ‘re-imagined’ service and the radical changes that we need in the future to secure and deliver the outcomes that are needed. I also hope that CCG leaders can build the emotional and spiritual energy that we need to come together with our partners in local communities with a shared purpose and to understand the kind of future we want to have. My fear is that these efforts will run out of energy.’
Dr Jennifer Dixon, Director of the Nuffield Trust, said her fear was that commissioners would be strangled by bureaucracy and the financial situation. Her hope was that small GP enterprises would club together and become effective providers and leaders negotiating with both hospitals and the centre to achieve effective integrated care.
Jeremy Taylor, Chief Executive of National Voices, said he hoped that the reforms would drive huge improvements in primary, community and integrated care that supported people to manage their long term condition and that all this would be done in collaboration with patients, families and communities. ‘My fear is that we won’t do any of that.’
The Commissioning Show’s second year success has prompted the meeting to relocate to London EXCEL in 2013.
The move to London EXCEL will create more learning opportunities for primary care professionals as well as local authorities and third sectors. The show floor will be on one level, allowing delegates to build their own programme as their needs become more diverse and providing a better layout for delegates and exhibitors alike.
The new site will be conveniently located with excellent transport links, ideally positioned close to the Olympic Park and Westfield Stratford where delegates have the choice to dine and shop.
Visit www.excel-london.co.uk for more information about the venue.
The Commissioning Show will be returning on the 12th and 13th June 2013 at London EXCEL.
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Stephen Dorrell, MP
Cynthia Bower
Dr Jennifer Dixon
“My greatest fear is that commissioning is misinterpreted as being competitive transaction purchasing.”Stephen Dorrell, MP
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JUNE 2013SAVE THE DATEThe Commissioning Showreturns on the 12th and 13thJune 2013 at London EXCEL
