Commissioning and cardiac Rehab

Val BillinghamCommissioning AdviserBritish Heart Foundation

COMMISSIONING IN THE NHS

• It’s all about the population

• Big culture shifts• World class

commissioning

Outcomes-based commissioning

• Pcts have a duty to improve the health of the local population

• Outcomes:– Individual– population

Prevention

• Funding needs to shift upstream

• Commitment to principle but little idea of how to do it in pcts

• Need clinical engagement on service specification

• Need it on industrial scale

• Local authority angle

Personalisation

SOCIAL CARE:• Direct payments• Individual budgets

HEALTH CARE:PERSONAL HEALTH BUDGETS

Common assessment framework for adult services

Commissioning cycle

World Class CommissioningCore competencies:

• locally lead the NHS • work with community partners • engage with public and patients • collaborate with clinicians • manage knowledge and assess needs • prioritise investment • stimulate the market • promote improvement and innovation • secure procurement skills • manage the local health system • make sound financial investments

• New in 2009:• efficiency, based on financial management, looking at ensuring value for money and return on

investment;• Support for Practice-Based Commissioning

WCC assessment timetable

• September – December 2009  PCT preparation  January – March 2010  Analytical phase  April – May 2010  Panel days  June/July 2010  Calibration and publication of results

Local Government

• Health Overview and Scrutiny Committees (HOSCs)

• Local Involvement Networks (LINks)

• Local Strategic Partnerships (LSPs)

The future

Map of Medicine

•   visualisation of ideal pathway

• Customisable locally• Dh will use it to

operationalise reductions in programme budgets

• Ambition to abolish traditional terminology

• http://www.mapofmedicine.com

Quality

• Quality Accounts• PROMS• CQINS• Quality

observatories

Information technology

• Power of Information Task Force– Social networking

for public servants as a matter of course

– “Backstage” model of data for co-production

Contact details

Greater london House180 hampstead road

LondonNw1 7aw

020 7554 0345

www.billinghamv@bhf.org.uk