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Commissioner Development Update

Commissioner Development Update. Douglas Blair Associate Director of Commissioner Development (West) 2 April 2012. Commissioner Development goals.

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Commissioner Development Update

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  1. Commissioner Development Update Douglas Blair Associate Director of Commissioner Development (West) 2 April 2012

  2. Commissioner Development goals • Establish viable and effective Clinical Commissioning Groups (CCGs) that are ready for authorisation by the NHS Commissioning Board (NHSCB) from October 2012 wherever possible; • Ensure CCGs focus on sustaining financial and operational performance and deliver QIPP; • Ensure effective commissioning support arrangements are established with CCGs as intelligent customers; and • Working with the Chief Operating Officer’s team, ensure the safe transfer of appropriate functions to the NHSCB (primary care, offender health, military health, specialised commissioning), and continue to ensure these functions are well managed during the transition.

  3. The new NHS landscape Department of Health NHS Commissioning Board Approx. 24 Commissioning Support Organisations 200 – 250 Clinical Commissioning Groups Planned and emergency hospital care, rehabilitation, most community services and mental health and learning disability services Primary care, military healthcare, offender healthcare, specialised treatments

  4. Clinical Commissioning Group Configuration • 12 CCGs in the West • Recent changes: • Single CCG for Cornwall and Isles of • Scilly formed from 3 CCGs • Dorset, Bournemouth and Poole • forming a pan Dorset CCG • South Devon and Torbay CCG • formed from 2 CCGs; • North, East, West Devon formed • from 4 CCGs • 3 Wiltshire CCGs to form one CCG • All CCGs in West now either • same size or bigger than • predecessor • Primary Care Trusts.

  5. Establishing Clinical Commissioning Group as organisations • Governance arrangements • Constitution, decision making processes, locality/federation arrangements • Leadership • National assessment process for accountable officers, Chairs and Chief Finance Officers – nominations from both CCGs and SHA/PCT Clusters: not a selection process • Establishment: structures, decisions about make/do/buy/share, living within £25 running cost limit • Building a track record of delivery: • Active involvement in the 2012/13 planning and contracting round; • Full shadow year of commissioning responsibility; • Subcommittees and accountability agreements in place; and • 100% of relevant commissioning budgets delegated from 1 April 2012.

  6. Clinical Commissioning GroupsAuthorisation process No formal assessment but covering most aspects of governance, organisational form and commissioning support arrangements. Enabling the CCG to set out factual details relevant to its application, and to demonstrate compliance against a number of authorisation criteria. Covering all aspects of authorisation including desktop review, 360 review and site visit.

  7. Clinical Commissioning GroupsAuthorisation process • Six domains: • A strong clinical and multi-professional focus which brings real added value • Meaningful engagement with patients, carers and their communities • Clear and credible plans • Proper constitutional and governance arrangements, with the capacity and capability to deliver all their responsibilities • Collaborative arrangements for commissioning with other CCGs, local authorities and the NHSCB as well as the appropriate commissioning support • Great leaders who individually and collectively make a real difference • Strategic Health Authority pre-application stage: • Configuration, governance, establishment/leadership • Process to include statements of compliance, desktop review & site visits

  8. Commissioning Support Clinical Commissioning Groups Commissioning Support Organisations UNDER DEVELOPMENT UNDER DEVELOPMENT

  9. Commissioning support arrangementsEmerging offers Map not to scale and boundaries are subject to change Six offers are proceeding to checkpoint two across NHS South of England:

  10. CCG CSO CCG CSO CSO CCG CSO CCG CSO

  11. Commissioning support arrangementsNational assurance process

  12. Commissioning support arrangementsDevelopment • Leadership and governance arrangements; • Business plan development; • Service level agreements with Clinical Commissioning Groups for 2012/13; and • National service offers.

  13. Commissioner Development Update Douglas Blair Associate Director of Commissioner Development (West) 2 April 2012

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