World class commissioning for better sexual health Gareth Jones Director of Scientific Development,

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World class commissioning for better sexual
healthGareth JonesDirector of Scientific
Development, Bioethics and Sexual Health
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World Class Commissioning

• Improve the health of the local population
• Reduce health inequalities
• Ensuring safe and sound health services
• Ensuring best value

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Tackling Inequalities and Improving Sexual Health

• Poor sexual health disproportionately affects
  people experiencing other health inequalities,
  with young people, gay men and some black and
  minority ethnic communities experiencing the
  poorest sexual health.

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Public Health and the Commissioning Cycle

• Strategic Planning Leadership needs assessment
  health impact assessment health equity
• Procuring Services Advise contestability and
  commissioning processes
• Monitoring and Evaluation Develop indicators for
  sexual health and inform performance indicators

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People increasingly expect to be able to make
choices
From
To

You can have any colour, so long as its black
Colorado red, moon dust silver.
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Choice and competition

• Ensure safe quality care
• Greater emphasis on individualised care
• Better value for money
• Stimulate innovation

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Making A Bigger Difference A guide for NHS
front-line staff and leaders on assessing and
stimulating service innovation (NHS Institute
for Innovation and Improvement)

• If we continue to do what weve always done, we
  will get the results we have always got

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• Without change there is no innovation,
  creativity, or incentive for improvement. Those
  who initiate change will have a better
  opportunity to manage the change that is
  inevitable.
• (William Pollard)

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The 5 steps of Lean
Define Value
Specify Value-stream
Pull
Flow
Pursue Perfection
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Lean Thinking and World Class Commissioning Can
Transform This
CASH
Sexual Health Outreach
GUM
CSP
Primary care
HIV Prevention
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...to this