Strengthening Commissioning Melanie Walker Chief Executive, Newham PCT

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Strengthening CommissioningMelanie WalkerChief
Executive, Newham PCT
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Commissioning for world-class healthcare

• Department of Health set the vision for
  world-class commissioning to drive up
  commissioning performance in primary care trusts
  (PCTs)
• Strengthening commissioning
• Londons response to how PCTs will become world
  class commissioners
• 31 PCTs engaged since early April 2008
• Will deliver tangible improvements in health
  outcomes for local people
• Healthcare for London
• PCTs in London are working together to deliver
  the clinically driven changes proposed in
  Healthcare for London

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World class competencies

• Commissioners will need to develop the knowledge,
  skills, behaviour and characteristics of a
  world-class organisation.

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Why is London unique?

• 31 PCTs commissioning over 10 billion in
  healthcare services
• Health inequalities
• Varying life expectancy rates in different parts
  of London
• Varying standards of care across London
• Poor performance in some key health interventions
  i.e. immunisation, stroke
• Public health issues
• London has higher rates of child obesity than the
  rest of England
• 57 of HIV cases are in London
• Diversity and transiency
• London has 90 different ethnic groups speaking
  over 300 different languages and all of these
  groups need access to the NHS
• High levels of patient turnover in GP surgeries
• Despite notable improvements, London is behind
  most of England in
• terms of patient access and experience indicators

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Sectors across London
North Central London (NCL)
Outer North West London (ONWL)
Enfield
Harrow
Waltham Forest
Barnet
Redbridge
Brent
Haringey
Havering
Hillingdon
Ealing
Barking Dagenham
City Hackney
Camden
Isling- ton
Hammersmith Fulham
Tower Hamlets
Outer North East London (ONEL)
Newham
Inner North East London (INEL)
Inner North West London (INWL)
Kensington Chelsea
Westminster
South- wark
Greenwich
Richmond Twickenham
Wandsworth
Lambeth
Lewisham
Bexley
Kingston
Bromley
Sutton Merton
South West London (SWL)
South East London (SEL)
Croydon
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Strengthening commissioning in London

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  Stronger commissioning

Innovation
London Clinical and Business Support Agency
(LCBSA or the Hub)
Pan-London
Sub-regional collaborations engaged in acute
commissioning
Sector level
Integrated working with local partners
PCT level
Improved outcomes
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PCT level

• Developing shared arrangements with partners
  including local strategic partnerships
• Practice Based Commissioning
• Primary care
• Care outside of hospital contracting
• Health and wellbeing

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What we want to achieve

• Real patient benefits
• Sharing of expertise in areas such as health
  economics, predictive modeling and clinical
  evidence which are expensive to recruit or
  procure as a single PCT
• Maximise economies of scale at a sector level
• Avoid unnecessary duplication of activity
• Negotiate more effectively with providers
• Be better placed to recruit skilled staff into
  more specialised roles

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What it means for us?

• As providers
• Redesign services
• Demonstrate value for
• money
• Demonstrate outcomes

• As commissioners
• Support strategy and planning
• Contract management