Dr Caroline Gamlin

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World Class Commissioning

• Dr Caroline Gamlin
• Director of Public Health NHS Somerset

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The Somerset Health Community

• Population 524,600
• Significant issues- rurality, ageing population
• 2009/10 budget 800 million
• 4 major local NHS providers, including ISTC
• 75 general practices,
• 13 community hospitals
• Strong Local Authority and Third Sector
  partnerships

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How does PH engage with commissioning
in Somerset?

• Identified PH leads for programme areas
• Strong link with practice based commissioning
• Commissioners linked in with JSNA
• PH leads on selection of outcomes, needs
  assessments, evidenced based practice and
  supports benchmarking and care pathway design
• Increasing involvement in procurement

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Competencies Skills and Behaviours
1. Locally lead the NHS
7. Stimulate the market
2. Work with community partners
8. Promote improvement and innovation
3. Engage with public and patients
9. Secure procurement skills
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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Competitive Procurements
Equitable Access to Primary Care
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Chronic Obstructive Pulmonary Disease
(COPD)

• Commissioned in partnership with Practice Based
  Commissioning Consortium
• Addressed service inequity and major gaps
• 5 expressions of interest, 3 bids submitted
• Contract awarded to an independent partnership
  two local GPs and BUPA Home Healthcare Ltd.

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Somerset COPD

• Designed by Patients
• Selected by Patients
• Patient feedback informs performance

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Learning Points

• PCT internal firewall
• Capacity to support the process
• Strength of joint PCT/PbC process
• Value of patient engagement throughout

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Competition is just one of a range of levers
that PCTs can use to improve
healthcare services ...
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Challenges

• What does world class look like? getting
  comparative data on outcomes
• Ensure rigour applied to acute health services
  can be replicated to wider health improvement
  agenda
• Address inequalities and get PH messages to
  target populations

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WORLD CLASS COMMISSIONING OUTCOMES BEST PRACTICE
TEMPLATE
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