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David Soodeen Inner City GP Bristol Clinical Lead Inner City and East Locality

David Soodeen Inner City GP Bristol Clinical Lead Inner City and East Locality. GP CONSORTIA. All GP practices will have to join a consortiium There is no minimum or maximum size Each GP practice will nominate a clinician to represent it on the consortium board PCTs and SHAs will be abolished

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David Soodeen Inner City GP Bristol Clinical Lead Inner City and East Locality

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  1. David SoodeenInner City GP BristolClinical Lead Inner City and East Locality

  2. GP CONSORTIA All GP practices will have to join a consortiium There is no minimum or maximum size Each GP practice will nominate a clinician to represent it on the consortium board PCTs and SHAs will be abolished National commissioning board will replace the SHA PCTs must involve consortia in NHS contracting from now Consortia will be responsible for debts from 2011 onwards

  3. The NHS commissioning board will hold consortia to account via a commissioning outcomes framework GP consortia must be represented on local health and wellbeing boards Consortia will be scrutinized by local health watch boards Consortia will manage 80% of NHS budget Consortia will be given an initial management budget of 2 pounds per patient

  4. STATUTORY HEALTH AND WELL BEING BOARD Public Health, Local Authority, GP consortia, Local Health Watch, Director of Adult social Services, Children Services Overview totality of resources for health and wellbeing Increased Joint Commissioning and pooled budgets

  5. PUBLIC HEALTH White paper on public health published in November 2010 Currently sits with PCTs, will now sit in local authorities How will GP consortia and public health engage re issues such as equalities and drive changes forward?

  6. TIMESCALE March 2011, consortia duties confirmed 11/12 Shadow NHS commissioning and shadow consortia form June 11 PCTs form clusters April 12 NHS commissioning board goes live, Councils hold indicative budgets for public health April 13 GP consortia and Health and wellbeing boards go live, Councils will hold budgets for public health

  7. BRISTOL 3 Localities: Inner City and East, South and North Each has 150,000 patients Also 2 adjacent localities in North Somerset and South Gloucester each about 200,000 patients The bigger the consortium, the more you can absorb financial risk The smaller the consortium, the easier it is to respond to local need Can you confederate consortia to address both of these issues?

  8. QUESTIONS I HAVE How do public health currently work re equalities and how is that about to change? There have been discussions about outsourcing work that the consortia have to do such as equalities, is this a good idea? What are other cities doing? (the core cities) How do I make sure the needs of the ethnic minority population in Bristol are met in a big organization? There is a danger of our needs being marginalized How is the health and wellbeing board going to work?

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