Working Together to Deliver World Class Commissioning In The North East Or…How might NEPHO...
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Transcript of Working Together to Deliver World Class Commissioning In The North East Or…How might NEPHO...
Working Together to Deliver World Class Commissioning
In The North East
Or…How might NEPHO contribute to WCC locally….orWhither NEPHO?
Nonnie CrawfordSunderland Teaching Primary Care Trust and City Council
What I quickly reviewed• Vision for World Class Commissioning• Commissioning Assurance Framework• Health Needs and Local Area Maps (WCC)• Our Vision, Our Future, Our North East NHS• Better Health, Fairer Health • Health Inequalities: Progress and Next Steps• Sunderland Joint Strategic Needs Assessment• 500 of the Most influential People In The North East• Ph.com (newsletter of the Faculty of Public Health)
What will be covered
• The vision for world class commissioning• Outcomes, competencies, governance• Questions and random thoughts
Vision• Better health and wellbeing for all• Healthier longer lives, dramatically reduce health inequalities
• Better care for all• Evidence based services, best quality, personalised
• Better value for all• Informed considered investment decisions, optimised integrated care
Adding life to years
and years to life
“The aim of world class commissioning,
and therefore the ultimate test of its success,
will be an improvement in health outcomes
and a reduction in health inequalities”
3 Key elements: outcomes,competencies and governance
Improvement based on ‘relative’ outcomes
11 Competencies
1. Locally lead the NHS
2. Work with community partners
3. Engage with public and patients
4. Collaborate with clinicians
5. Manage knowledge and assess needs
6. Prioritise investment
7. Stimulate the market
8. Promote improvement and innovation
9. Secure procurement skills
10. Manage the local health system
11. Make sound financial investments
Each competency has 3 key indicators
e.g Competency 5 Knowledge Management
1
2
3
Analytical Skills and insights
Understanding of health need trends
Use of health needs benchmarks
And each indicator has 4 levels of rating
1
2
3
Level 1 Level 2 Level 3 Level 4
Competency 5 – Manage knowledge and undertake robust and regular needs assessment that establish a full understanding of current and future local health needs and requirements
Level 2 Regular needs assessments, consistent methodology, prioritises current and
future major health needs
Level 3 View of unmet needs and an disaggregate to locality/ward level
Level 4 Predictive modelling and analytical tools to discuss and describe trends in
needs, create future projects and identify variants from expectations
Governance• Reflects the ‘grip’ a Board and organisation has on its
core business• Good governance is at the core of a robust
organisation
Random thoughts• Will NEPHO be part of commissioning or providing?• How does NEPHO match against the competencies itself?• Has NEPHO taken ownership of and developed a meaningful strategy….how does
this align with WCC?• Does NEPHO have grip?• Is it reactive or proactive?
How might NEPHO contribute locally
• Team North East• Third sector organisations-engagement and capacity/capability building in specific areas• How engagement might work with local authorities • Equality/inequality work-
• Predictive modelling/prevalence modelling cf Bridging the Gap• Comprehensive targeting models (neighbourhoods/streets/conditions)• Systematic application of Health Impact Assessment• Work with Regional Improvement and Efficiency Partnerships• ….explain how Health England fits in
PCT preparation
Panel preparation
Panel day
Calibration
Follow-up
April May June July August September October November December January February March
Calibration
PCT PLANS
COMMISSIONING ASSURANCE*
Publication of Next Stages Review(2008)
PCT preparation
Ongoing follow-up
Ratings published(2010 onwards)
Annual operating plan
Five-year financial planStrategic plan
Revised strategic plan
Organisation development plan
Panel day
Panel preparation
Strategic planscomplete