Delivering World Class Commissioning:

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Delivering World Class Commissioning

• Dr Chris Packham, DPH , NHS Nottingham City

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How does PH engage with commissioning?

• Fully integrated
• Strong clinical PH teams
• Deputy DPH leads WCC agenda
• Programme teams
• children, vulnerable adults,
• DPH leads commissioning prioritisation process

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Drivers and barriers

• WCC
• Major PH support
• CE understands what PH can do
• Deliver
• Targets (I and V, chlamydia etc)
• Lead
• Front LSP, media, acute, clinical issues

• Capacity
• Technical skills
• Energy
• Whats round the corner
• Funding

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Successes
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Targeting our services to make a
differenceNottingham where do the smokers live?
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Where do smoking cessation service users live?
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Is there a gap?
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Evidence of improvement maintained over 3 years
(April 2004 March 2009)
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Predictive Modelling

• Predictive modelling (trend)
• health needs modelling eg. Modelling a rise in
  obesity and model how a rise in diabetes will
  follow.
• Predictive modelling (individuals at high risk)
• ie of high risk individuals eg PARR tool and NHS
  Health Checks while the focus in on risk
  stratification by groups, it does then link to
  individual-level (patient-level) data.
• Predictive modelling (activity)
• patient pathway activity and design / demand
  management.
• Predictive modelling (impact)
• ie predicting the impact of our interventions
  eg modelling with Logframes DH HI tool, this is
  also where some of the effectiveness work would
  sit (eg QALYs, etc.).