PBC

1
PBC 18 Week Mutually Exclusive or Not

• Dr Mo Dewji
• GP and Clinical Director

2
Main Issues

• National Perspective
• Target
• Understanding
• Ownership
• Commissioning
• For Outcomes / Procedures / Providers
• Service / Pathway Redesign
• Choice / PbR
• NHS Myths !!

3
The 18 Week Target

• Understanding
• Nuts and Bolts
• Possible ways of Delivery
• Integration with Other Priorities
• Ownership
• Clinical / Patient Engagement
• Partnership
• Other Stakeholders
• Ability to Influence Outcome

4
What is Commissioning?

• Commissioning v/s Contracting
• Whats Being Commissioned
• Language
• Responsibility v/s Accountability
• Myths / Fundholding
• Start From 100 -gt 0 of Budget

5
Commissioning - PBC

• Procedures
• Bottle Necks / Parallel / Flexibility
• Providers
• Any Willing Provider
• Rules on Tender
• Transparency of Budgets
• Ownership
• Ability to Re-invest Efficiency Gains
• Governance
• Corporate versus Clinical

6
Service / Pathway Redesign

• Not Just About
• Holistic View
• Outcomes Based
• Evidence Based
• Team Approach
• Ability to Ask What If?

7
Real Choice !!
8
Choice / PbR

• Choice
• Choose and Book
• Role of Primary Care
• Patient as the Leader
• PbR
• Tariff
• Unbundling
• New Pathways

9
Summary

• PBC Essential to 18 week Target
• Partnership re National Objectives
• Clinician Led / Patient Centred / PCT Supported
• Split Clinical and Corporate Governance
• Focus on Service Redesign
• Role of Innovation and Use of Freed Resources

10
Contact Details

• Improvement Foundation PBC Team
• Tel [phone]
• Email eloise.glew_at_improve.nhs.uk
• Website www.improvementfoundation.org