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Enhancing World-Class Commissioning in Berkshire East PCT: A Competitive Health Approach

This document discusses the strategic vision for world-class commissioning within Berkshire East PCT, emphasizing the ambition for better health, care, and value for all. It highlights the need for strong clinical engagement, community collaboration, and innovative practices that prioritize investment and stimulate market improvement. Key competencies for effective commissioning are outlined, along with challenges such as regulation debates, the importance of communication, and the need for practice-based commissioning. The focus is on creating sound financial investments and securing patient well-being through strategic partnerships and resource management.

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Enhancing World-Class Commissioning in Berkshire East PCT: A Competitive Health Approach

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  1. Commissioning in a PCT Thoughts Dr Lise Llewellyn Berkshire East PCT

  2. World Class Commissioning • Another review ? history - re - organisations fitness for purpose • Ambition Better health and well being for all, better care for all and better value for all

  3. World Class Commissioning Competencies locally lead the NHS work with community partners engage with public and patients collaborate with clinicians manage knowledge and assess needs prioritise investment stimulate the market promote improvement and innovation secure procurement skills manage the local health system make sound financial investments

  4. Assurance Framework • Piloted in the North West SHA positive • Timescale • Arguments over regulation • HCC SHAs CAA • Progress not overnight Failure? What happenss

  5. FESC • One route to get help • NHS perspective • Out to tender • Common areas - contracts negotiation and validation social marketing - communication business skills

  6. Pharma examples • CHD - health coaching • Respiratory - less glamorous

  7. Practice based commissioning • Clinical engagement • Lever - not end in its self • Opportunities exploit gatekeeper role • Service redesign • Lean

  8. Slow progress • Cynicism • Information • Understanding • Time

  9. Drugs and activity • Explicit link incentives / Freed up resources • Prescribing no benefit • Promote short term successes E.g. heart failure / methotrexate • Help us get GPs to understand the information and opportunities

  10. Future • Structure - provider • Clinical engagement • Pathways - variation monitor • Communication • Marketing

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