Competencies 7

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Competencies 7 9WCC good practice Katy
Peters15th July 2009

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Objectives

• Why this maters
• What good looks like
• Support

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Why?

• 2nd year of WCC
• Financial climate and QUIPP
• Patients

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Robust market analysis Range of providers
Different forms of market management Commissioning
and decommissioning
Choice, information
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A robust market analysis

• Purpose
• To help PCTs make judgements about where
  competition is likely to lead to better services,
  and where it is unlikely to do so
• To inform negotiations with existing providers so
  PCTs can get better value for money
• To provide PCTs with a robust approach to
  decision making that can be detailed in case of
  challenge

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Healthcare market analysis
PCTs select specific areas to focus onbased on
their assessment of priorities
Step 1 Identify priority areas
PCTs use information to assesstheir current
provision in that area, which will include
benchmarking where appropriate
Step 2 Assess the current market
PCTs identify candidate markets, based on
assessing theirclinical and economic attributes
Step 3 Choose market options
PCTs implementinga method for market stimulation
Step 4 Implementation
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Market management
Different forms of market management
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Commissioning and decommissioning

• Evidence not targets - How many tenders? What
  of spend has been tendered?
• What change in spending patterns have there been?
• If change in tenders and pending patterns why? If
  no change why?

Identify full range of providers
List of providers, including social enterprise,
independent sector, third sector Use of market
intelligence e.g. LaingBuison, Tribal sector
reports, Trade fairs
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Help is on its way

• Healthcare market analysis and market management
  
• 7 SHAs have done HMA
• Decision Support Tool
• Knowledge repository
• Coming soon to Supply 2 Health

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Choice

• What good looks like
• Choice survey
• Coms
• Complaints process
• Care plans for LTC
• Maternity
• End of life Strategy
• What can help
• Toolkit
• Guidance

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Provider Economics
Negotiation of contracts
Outcomes metrics
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What good looks like

• Provider economics
• Are they about to go bust? Are they making a
  profit?
• Reference cost relative to tariff?
• If you take away one part of the business will it
  destablise them? Are they expensive relative to
  others?
• Negotiating
• What metrics are being used?
• What patient experience data?
• How often reviewed?
• Type of contract?
• Outcomes
• Use of patient experience? How have you engaged
  local user groups in defining outcomes, national
  quality measures. Where is your break clause

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Help is on its way

• Provider Economics
• Laing and Buisson
• Negotiation
• Procurement packs in priority areas with
  access to defined variables for some key areas.
• FESC e.g. the big dogs contract
• Outcomes
• Quality Accounts, PROMs,
• Supply to health