World Class Commissioning Gary Belfield Director of Commissioning Department of Health

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World Class CommissioningGary BelfieldDirector
of CommissioningDepartment of Health
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High quality care for all

• NHS Next Stage Review local clinical visions,
  national enabling report and NHS Constitution

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Introducing the reforms

• Patient choice and payment by results
• Foundation trusts
• Stronger commissioning

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Building capacity in the system

• NHS Plan saw greatest investment in the history
  of the NHS
• More doctors, more nurses, better facilities

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70 billion 200m a day
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The aim of world class commissioning,and
therefore the ultimate test of its success,will
be an improvement in health outcomes and a
reduction in health inequalities
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VISION AND COMPETENCIES
ASSURANCE SYSTEM
SUPPORT AND DEVELOPMENT MODEL
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11 Competencies

1. Locally lead the NHS
7. Stimulate the market
8. Promote improvement and innovation
2. Work with community partners
9. Secure procurement skills
3. Engage with public and patients
4. Collaborate with clinicians
10. Manage the local health system
5. Manage knowledge and assess needs
11. Make sound financial investments
6. Prioritise investment
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3 Key components outcomes,competencies and
governance
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NHS Spend - bn
4 average increase from 2008/09 2010/11
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Age
Drugs Technology
LTC
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All roads lead to commissioning
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Road map built around

• 5 year strategic plan to improve health outcomes
• Robust financial plan
• Organisational development plan
• A new way of operating as a local leader

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The Secret of My Success

• By
• A PCT Leader

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Information as the first key driver
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Build, buy or share what is your strategy?
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Its all about partnership with
Patients Population Clinicians Other key
stakeholders
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Market Analysis Prioritisation Map Output
Obesity Children
Alcohol Misuse
Support for Carers
Stop Smoking
Teenage Pregnancy
CHD(PC Diagnosis)
Sexual Health
Obesity
Glaucoma
Ind. Living
CHD (Rehab)
IAPT
Substance Misuse
Ease of implementation
Spec. Rehab
Patient Transport
Falls
Stroke Rehab
Healthy Individuals
Anxiety/ Depression - children
Cancer skin
COPD
Cont. Health Placements
Diabetes
Transfer of care
EOL Care
Opportunities for market structure change
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Shortlist Analysis and Prioritisation Map Output
Obesity Children
Support for Carers
CHD(PC Diagnosis)
CHD (Rehab)
Ease of implementation
Spec. Rehab
Stroke Rehab
COPD
Opportunities for market structure change
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Success built on

• Architect of the local health system
• Active engagement of partners
• Understanding the provider economics
• Relentless focus on health outcomes
• Commissioning behavioural change within the
  population
• Recognising the need to transform themselves and
  develop new capabilities

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2009
Clinicians in commissioning
Provider models
Integrated care
Regulator role
Commercial skills
Focus on quality
Measurement for improvement
Quality accounts
Primary care commissioning
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www.dh.gov.uk/worldclasscommissioning