NHS Clinical Commissioning Groups

Alan Campbell – NHS Salford

Introduction

NHS Commissioning Development Clinical Commissioning Groups Authorisation process Commissioning Support Services PCT workforce risks

NHS – Commissioning Development Health Bill through Commons Stage > Lords Oct /Nov GM level management by ‘Cluster’ since May Establishment of Commissioning Support Services Establishment of Clinical Commissioning Board at GM level Collaboration across GM but not formal governance changes

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Development of Clinical Commissioning Groups

Shadow form until April 2013 Appointed leadership in interim period

— Dr Hamish Stedman - Chairman

Inter Practice Agreement Annual ‘contract’ Operational Management through QIPP/ Clinical services GP Partnership Board Representatives Extending Involvement and Engagement with partners

Authorisation Process GPs encouraged by their profession to get through this 90% are in

‘pathfinders’ now NHS Commissioning Board Authorises 6 domains

— Clinical Focus/added value analysis— Public Engagement— Clear plan to deliver clinical quality— Financial control/ capability - QIPP— Collaborative arrangements with strategic partners— Effective Leadership

Over 70% of budgets delegated to CCG (over £300m in Salford) Consortia complete a self assessment readiness diagnostic test

Commissioning Support Services Development of Commissioning Business support ‘at scale’ Build at GM level exploring bigger footprints Initial shared work

— HR, IM&T, Continuing Care, Effective Use of Resources

Governed by management cost constraint – ‘Ready Reckoner’ Target c£20 per patient. Current system costs £50 per patient

Risk of Clinician ‘buy in / ownership Outsourcing in future ?

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PCT Workforce Risks Lack of clarity about the future Local GP support for Salford workforce Good relationship/track record with Council Different destinations

— Clinical Commissioning Groups— Commissioning Support Services— LA Public Health related— NHS Commissioning Board

Market Test outsourcing possibility Keeping eyes on the current tasks

Interim Governance - > April 2013

Sub Committee of GM Cluster Board

Shadow Clinical Commissioning Group for 2013

Extended Stakeholder membership4 Clinical CommissionersElected Member & Director NHS Non Executive Co-ChairsReduced NHS Executive Membership

Meeting in Public

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Summary & Questions