Commissioning a Patientled NHS in Essex

1
Commissioning a Patient-led NHS in Essex

• A special meeting of
• Essex Strategic Health Authority
• 6 April 2006

2
Commissioning a Patient-led NHS in Essex

• Summary Outcome of
• Formal Consultation

3
Active engagement

• Over 560 people at 17 workshops
• Over 40 further meetings by request
• Over 4,900 documents distributed
• Over 4,800 website visits (1,500 to feedback
  pages)
• Received over 600 written submissions

4
Main themes

• Success of Primary Care Trusts (PCTs)
• Preference for status quo
• Need to retain strong locality teams
• Protection of financial allocations
• Delivery of savings to frontline services
• More savings through shared services

5
Overview of feedback

• Mainly between 2 PCTs and 5 PCTs
• Very little support for option 3 (4 PCTs)
• Thurrock Council preferred option 2 (3 PCTs)
• Formal request for a Thurrock variation

6
Stakeholder feedback (1)
7
Stakeholder feedback (2)
8
Option 1 for 2 PCTs

• Greatest resources for commissioning and local
  partnerships
• Best alignment with social care and Local Area
  Agreements
• In line with Choice and other policies
• Greater influence in the Eastern region
• Too remote
• Loss of local relationships for key developments

9
Option 2 for 3 PCTs

• Benefits of coterminosity
• Stability for inter-agency working
• Recognises unitary council responsibilities
• Thurrock local needs are unique
• Viability of small PCTs
• Essex PCT too big

10
Option 3 for 4 PCTs

• Coterminous with unitary authorities
• No more advantages over option 2
• Same disadvantages as option 2
• South Essex PCT not a natural community

11
Option 4 for 5 PCTs

• Builds on existing strengths and established
  successful partnerships
• Least disruptive keeps momentum on service
  transformation
• Financial recovery not disrupted
• Boards close to local populations
• Health influence fragmented and weak
• Insufficient resources for commissioning and
  locality strength

12

• Questions