The future of market access – the local picture

The future of market access – the local picture

David Thorne, chief executive, Newcastle West CCG

NEW

CASTLE WEST CCG

The future of market access:

David Thorne 29th November 2012

the local picture

Where I come from N

EWCASTLE W

ESTMe and my background18 practices and 132,000 patientsTypical inner city ethnically diverse patch£240m spend and medicines spend is........All CCGs are different as you know!

One step ahead – NHS and market access

1. Identify our population’s health needs

2. Note national priorities from the DH

3. Commission service provision to meet 1 and 2

4. Manage provision via contracts

5. Performance manage to ensure “bangs per buck”

6. Keep within budget

7. Maintain public confidence in the NHS

1. Identify our population’s health needs

2. Note national priorities from the DH

3. Commission service provision to meet 1 and 2

4. Manage provision via contracts

5. Performance manage to ensure “bangs per buck”

6. Keep within budget

7. Maintain public confidence in the NHS

Clinical commissioning – those closest to the patients are those

best placed to design the way care is provided

1856 1784 331894 1720 34

Our QIPP challenge - the number plate

32 43 12

Transition Authorisation

Circles of influence and control

Transition:the process through

which the NHS needs to move to new

structures

Authorisation:the process throughwhich the ability to

have statutory status is confirmed

DH

NHS CB

LAT

Region

CCGs

FTs CSUs

Strategic ClinicalNetworks

ClinicalSenates

AcademicStrategicHealth

Networks

• 14.8 million population• 1 NHSCB regional office• 9 Local Area Teams• 68 Clinical Commissioning Groups• 8 Commissioning Support Services• 50 Health and Well Being Boards• 4 Clinical Senates• 4 Strategic Clinical Networks

• Competition vs integration

• Long term irresistible trends:

• workforce• consolidation and franchising• redesign drivers and consequences• provider-commissioner linear relationships

• Community services

• Primary care

Where we are as a CCG N

EWCASTLE W

EST CCG• Ageing population, highly dependant on benefits

• Life expectancy that of a developing country

• Increasing birth rate consequent of BME community

• Big drivers – local lifestyles, early chronic ill health, economics

• The three Cs – cancers, CHD and COPD

• Can’t under estimate local authority and economic position

• Over 40 live projects led by clinicians

Executive

GP Board Member - Domain 1

Contracting


Clinical Development of LTC


GP Chair


Quality & Safety

Nurse Board Member - Domain 5

Patient Safety & Safeguarding

Commissioning Manager C Commissioning Manager B Head of Commissioning Commissioning Manager A PCPE Lead

Clinical Engagement Grouping Clinical Engagement Grouping Clinical Engagement Grouping Clinical Engagement Grouping Clinical Engagement Grouping

Prevention LA/Public Health Westgate LTC LTC users North Urgent / Unplanned Care

Secondary Care Armstrong Mental Health / Planned Care

Mental Health Mid west MGMP Primary Care Outer west

Clinical Areas Member Practices Clinical Areas Member

Practices Clinical Areas Member



Practices

Cancers Dilston Adult Mental Health

Broadway Emergency admissions

Scotswood Urgent Care Denton Turret Safeguarding Newburn

Prescribing Prospect Diabetes Ponteland Rd Care Homes Grainger A&E Betts Ave HCAIs Throckley

Ambulance Cruddas Park CVD Roseworth Public Health Holmside Access Westerhope PCPI Parkway

West Rd Respiratory Fenham Hall Maternity Denton Park

Primary Care

Quality

• Quality and Productivity

• Practice reviews activity data

• A&E, OPs and NELs

• External peer review

• Design pathways

• Typical practice gets £13k

Yes! Lookhow

important it is in their data!

Would theylook at

our portfolio?

The commissioning recipe

1. What do the numbers say?

2. What do patients say?

3. What are our daily experiences of the system?

4. What do our friends say?

5. What works elsewhere?

6. Pragmatism and simple systems

Shine a torch!

What have we got andwhat do we

lack?

Have we got a torch and a set of spanners?

• Transition capacity and capability• Organisational development and networking• Business intelligence• Management support, management systems and project management • Education and training • Facilitating integrated care• Messages:

– QIPP and cost efficacy are fundamental – transferable positive practice– collaboration across sectors of health care– speak our language and know our whiteboard – respond! Nb Ramadan and diabetes

• “See the person and you’ve seen the company” – it is all about you

NEW

CASTLE WEST

[email protected]

Thanks for

listening

The future of market access – the local picture

Documents

Transcript of The future of market access – the local picture