Healthcare Professionals Commissioning Network13th December 2011

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ContextEngaging and connecting the wider community of multi-

professional clinical practitioners is critical to delivering effective clinical commissioning

Commissioning group leaders will need to mobilise primary care, secondary care, social care, public health and third sector professionals

Clinicians will need to gain skills, expertise and confidence in commissioning and to think and behave differently

The development of a vibrant and connected clinical commissioning community will be one way to support commissioning groups and the wider clinical community to achieve this

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The Clinical Commissioning Community (CCC)The CCC provides an inclusive, virtual space for anyone

who is, or wants to be involved with clinical commissioning

Through this work we will:strengthen the implementation of clinical commissioningbring increased capacity and focus to key areas such as

quality, innovation, productivity and preventionsupport the development and capture of learning in a

systematic way ultimately see clinical commissioning rapidly established as

a part of every day practice in primary care

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The CCC offerThe offer is to:

provide clinicians across the country with a simple means of connecting with each other, accessing the latest information and good practice and coming together as a community of experts who can support national work being undertaken to develop clinical commissioning

keep the frontline clinical community directly informed of developments in the system and provide a real time communication system that connects clinicians and clinical commissioning groups in an interactive way

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National Clinical Commissioning Community

Clinical Leaders NetworkLocal Government Networks

Patient Networks

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National Clinical Commissioning Network

Pharmacists Optometrists and opticians

Dentists

Social Care

Nurses

The Healthcare Professionals Commissioning Network

Secondary care

AHPs Public healthGPs

Individuals from a range of professions and organisations

The NCCN is an example of how a group of champions connect to other networks, cascade information, draw in soft intelligence and gather good practice.

There are several in this room today who have already signed up to being “information gatherers”.

NHS Networks is our platform.

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HCPCN achievements“Multi professional involvement in commissioning:

10 high impact actions” signed up to by national networks Recommendations on draft CCG Authorisation - validated

by amendments to the published frameworkIdentification and sharing of good practice 13 HCPCN members now part of the National Clinical

Commissioning Network as champions of clinical commissioning

Over 400 members, 10% of whom are showing active involvement by being here today

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The healthcare Professionals commissioning network (HCPCN)Our network has potential to:

provide a coordinated route to a breadth of clinical advice which will save time and money by informing innovative and effective commissioning

liberate and harness clinical intelligence at every level provide access to a broad range of healthcare professionals

with a wide span of expertise that may not sit within commissioning structures

provide a repository to capture accounts of healthcare Professionals’ service innovation and improvement as well as access to specialist advice

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Expectations and OutcomesThat we all see ourselves as active participants in the

HCPCN and the CCCThat we are all here because we are willing to take action

personally to deliver the offer of the CCC and to enable the HCPCN to reach its full potential

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At the end of the day we will haveA core offerEach committed to deliver on actions that are achievable

in 3 monthsEach exercised our own authority to act with

endorsement from peersA process to review progress

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Endorsement for HCPCNFrom Chief Officers:Barry Cockcroft - Chief Dental OfficerChristine Beasley - Chief Nursing OfficerJonathan Mason - National Clinical Director of PharmacyKaren Middleton - Chief Health Professions Officer

“I am clear in my mind that the Healthcare Professionals Commissioning Network (HCPCN), which inputs to the National Clinical Commissioning Network, is going to be crucial to ensuring commissioning decisions are informed by the very best clinical advice.” Karen Middleton

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"It is great that you are all here under the umbrella of the Healthcare Professionals Commissioning Network. Creating a clinically-led commissioning system starts with the practice and then clinical commissioning groups are the organisations that bring together healthcare professionals from across local communities.  All of you have a critical contribution to make as we create a system in which decisions are clinically-led and where we capture the evidence that will drive real improvements in outcomes for our patients and citizens.

"We must innovate to create truly integrated and productive services andwill do that by bringing together commissioners with clinical experts andproviders, to harness the intelligence of all healthcare professionals incommissioners’ decision making.  This is why it is commendable that thisgroup is acting now on its ambition to help commissioning groups be thebest they can be, in driving real improvement.  Increased clinicalinclusion and leadership is central to the new commissioning system and youhave my full support as you work together today to determine how each ofyou will take the initiative locally, to bring others with you and get thebest for our patients.“

Sir David Nicholson 11

Testing our offerWhen we are delivering on the CCC offer, the HCPCN

(we) will ……….provide a coordinated route to a breadth of clinical advice

which will save time and money by informing innovative and effective commissioning

liberate and harness clinical intelligence at every level provide access to a broad range of healthcare professionals

with a wide span of expertise that may not sit within commissioning structures

provide a repository to capture accounts of healthcare Professionals’ service innovation and improvement as well as access to specialist advice

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ProcessFuture focus Refining and capturing themesSelecting which theme you have most energy to take

action uponIdentifying barriers and solutionsSigning up to individual action‘Speed dating’Collating and sharing all actionsReview process

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Ground rulesTake responsibility for managing timeKeep the group moving forwardAccept every idea as validOwn your own action plans It’s all about you – avoid giving an action to someone

who is not in the roomRefine actions to those that are achievable within

3 months

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Creating the future It is December 2012. The HCPCN is successfully

delivering its core offer.‘In December 2012, the successful HCPCN is………’Complete with as many short sentences as you can,

describing what the network is doing, how it is used and how it is viewed by its users

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Run around………..now!10 minutes to move about the room with your

3 statementsStick your post-its on the wall next to others which share

the same/similar theme Continue to sort the themes until the time runs out

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Taking personal authorityWalk around the room and survey the clusters of issuesWhich of these themes are you willing to use your

personal authority to move forward?Stand next to this theme

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Translating aspiration into actionAgree on a final summary statement of the outcome

(10 mins)Write this on a blank piece of flip chartMove onto identifying any barriers to be removed and write

barriers on flip chart under the summary statement (20 mins)Identify the first few actions to resolve barriers/achieve the

outcome (30 mins) Actions must be achievable in 3 monthsThe only actions that can be taken are by those in the room who

agree to take them! If it essential to engage someone not in the room, then the action can only be ‘arrange a discussion with….’)

Actions are summarised by the group on flip chart. 19

Signing up to action 20 mins to discuss and agree on individual sign-up to

specific actions within your groupsCreate your own personal action plan - ‘Summary action

sheet’:the agreed name of the themethe action you are going to takethe time-scale for achieving it

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Preparing for ‘speed dating’Make sure your theme is visible on a flip chartUsing blutac, stick all the action sheets around the theme

so that everyone can see them. This will be the basis of this afternoon’s ‘speed dating’

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Choose…You now have 30 minutes to browse the flip charts

around the roomAs you absorb the total offer of all participants, note

down who you wish to meet to coordinate your actions with theirs or whose action might support yours

When you’ve had a good chance to see all the flip charts, we will ask you to prioritise the people with whom you would like to have a conversation

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…and book!You now have 15 minutes to find your top 3 people and

to book dates with them into your summary action sheetEach of you have 5 x 10 minute slots on your summary

action sheet - to include a brief coffee break at a time of your choice

If your key contacts have no slots left by the time you find them, you will need to follow up with them after today – go onto the next person on your list

All ‘summary action sheets’ will be collated and circulated after the meeting to enable you to contact other member of the network

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Speed date now!Record any agreed actions on your action summary sheetRemember to have a 10 minute break!

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We have now agreed:

HCPCN core offer most important themes individual commitment to deliver on actions that are achievable in 3 months

Collating the action plan and agreeing review processAll summary action plans will be taken for copying and

can be collected as you leaveWe will collate these into an over-arching HCPCN action

plan to be circulated electronically to all members of the network with contact details so others not present at the meeting can engage

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Now that you own this action plan, what process will you have to sustain the momentum?

How are you willing to be held accountable and demonstrate that this is happening?

Consensus on a process for review

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The Action learning process Plan Plans generated from the here and now Do Take action in the here and now Study Learn from this real experience Act Make the next change based on what you have

learned

P

D

S

A

FeedbackSomething that worked well todaySomething we should do differentlySomething we should do in the future

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Closing words

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