National Managed Clinical

Networks

Dr Mike WinterMedical Director

National Services Division

National Screening

Specialist Servicescomplexity/cost/volume

80 services

Cross Boundary

Risk Share

Other National Projects

£114 million Clinical Quality Equity of access

£170 million Clinical Quality Equity of Access

National MCNs

Background

• Acute Services Review 1998 (Carter)• MEL (1999) 10• HDL (2002) 69

• HDL (2007) 21 Core principles for Managed Clinical

Networks

Funding for nMCN

• Ring-fenced– Backfill for Lead Clinician (up to1-2 pa)

– Network Manager– Admin Support

• Meeting Costs • Database development

Steering Group

• Multi-disciplinary• Multi-professional• Patients, Carers and Voluntary Sector• Structure of Network• Evidence base

Expectations

• Agree Standards and demonstrate improved Quality of Care across all aspects of service

• Involvement of users and carers• Influence future planning of health services• Education and Training for service

providers and others

Standards

• Evidence based• Informing the Patient Pathway• For all professional disciplines• CLINICAL AUDIT• NHS Quality Improvement Scotland

Information

• Information for Improvement• Quality Assurance

– using information for Judgement

• Core Data Set (Database Development)

• Clinical Audit / Improvement Science• Annual Report for nMCN to be published

Communication

• Clinicians and Services across Scotland

• Patient Groups / Voluntary Sector (information and empowerment)

• NHS Boards• Regional Planning Groups• National Groups

Education and Training

• Clinicians across Scotland– Learning events for both specialists

and generalists• Patient Groups / Voluntary Sector• NHS Education Scotland / Higher

Education Institutes