Clinical commissioning and the voluntary and community sector

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Clinical commissioning and the voluntary and
community sector

• Louise Edwards
• Commissioning Development team

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A system focused on improving outcomes
Robust economic regulation and quality inspection
Clinically-led commissioning payment for
results
Enhanced local voice
Empowered professionals working in autonomous
providers
Informed patients exercising choice
Summary of NHS reforms
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Parliament
Funding Accountability
Department of Health
Reformed NHS has lots of new structures that are
supposed to look like this..
NHS Commissioning Board
Care Quality Commission
Monitor (economic regulator)
licensing
contract
Local Authorities
local partnership
GP Commissioning Consortia
Providers
accountability for results
Local Health Watch
Patients and Public
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But it might look and feel more like this to you
for a while!
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These reforms are all about putting clinicians
in the driving seat
In essence, its about putting accountability for
decision making in the hands of those who commit
resources.
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And with that accountability comes high
public expectations
National IPSOS MORI/DH survey 2010 73 of
respondents said they were satisfied with the NHS
as a national service 76 of respondents voiced
pessimism in relation to the challenges facing
the NHS in future years. 47 believe that NHS is
understaffed. 75 of respondents feel that NHS
spending should be protected. Where are the
trade offs in here??
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Do you know who your local clinical commissioning
group is?

• In the North West we currently have 48 Clinical
  Commissioning Groups (CCG) that cover the
  geographical patch, all of whom have been
  approved as Pathfinders.
• The majority of the consortia have broad
  alignment with Local Authority boundaries and
  have representation on local Health and Wellbeing
  Boards alongside other key local stakeholders.

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Authorisation of clinical commissioning groups
will set the pace for their development between
now and 2013
Phase 3 Authorisation Summer 2012- April 2013
The Pole represents the apparatus required to
support effective trajectory and scale the
challenge (i.e. the business support)
Phase 2 Development path Now Summer 2012
The Bar represents the aggregation of evidence
required from all domains (i.e. the size of the
challenge)
The CCG
Phase 1 Configuration October December 2011
The Pre-Authorisation Timeline (i.e. the track)
H1 H2 H3 the standards required to demonstrate
Domain Capability H4 the final authorisation
stage following validated evidence of fitness for
purpose
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What does all this mean for the voluntary and
community sector?
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We know that all this change makes planning very
difficult
A huge number of voluntary organisations are
currently delivering health related outcomes that
are funded from within the health system mainly
through PCTs. Many of these organisations are
looking to deliver more services but are
currently struggling to come to terms with what
clinical commissioning will mean for
them. Planning in the sector is proving
incredibly difficult in the current environment
with so many uncertainties and organisations are
struggling to make sense of how clinical
commissioning will evolve.
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VSNW/Regional Voices/NHSNW workshops November
2010-now

• Over the course of the last 8 months weve
  brought together a range of voluntary and
  community sector organisations to consider how
  the sector might respond to the commissioning
  reforms in the NHS.
• Brought together national voluntary organisations
  to explore potential role of sector in
  commissioning support (i.e. support to the new
  clinical commissioning groups) and to decide best
  way for an informed dialogue between
  commissioners and voluntary sector.

Department of Health national workshop July 2011
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What are the themes emerging from these workshops?

• New landscape is confusing for voluntary sector
  and we might lose really valuable assets if were
  not careful NHS and DH need to help vcs
  interpret new landscape and make sense of it
• GPs dont necessarily understand distinct
  contribution of vcs hearts and minds awareness
  raising needed based on GP reality, not moral
  high ground
• How might vcs organisations work together and
  with other sectors to make themselves easier to
  commission 3 cs for voluntary sector
  collaboration, competition and co-opetition

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Questions for todays workshop

• Do the three themes resonate with you?
• What might be the practical ways DH/NHS can help
  vcs interpret new NHS commissioning landscape and
  make sense of it?
• Do you have experience of working with clinical
  commissioning groups, or GPs? How has that been?
• How might we enable and encourage vcs
  organisations to collaborate in order to grow
  their share of the market?