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Healthcare supply networks

Healthcare supply networks. Professor Christine Harland Director, CRiSPS, University of Bath President, HCSA. Healthcare supply networks. In any country healthcare supply networks are complex Most healthcare supply systems contain a large number of actors both public and private

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Healthcare supply networks

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  1. Healthcare supply networks Professor Christine Harland Director, CRiSPS, University of Bath President, HCSA

  2. Healthcare supply networks • In any country healthcare supply networks are complex • Most healthcare supply systems contain a large number of actors both public and private • Internationally demands on healthcare supply systems are increasing

  3. Commissioning – the network stimulus • Assessment of needs • Development of service priorities • Resource allocation across priorities • Procurement of healthcare services • Joining up with communities, patients and public • Minimisation of transaction costs • Management of financial risk

  4. International approaches

  5. Continuum of commissioning networks Individual – Practitioner – Practice – Locality – Community – Region - Nation Primary care organisation/ PCT commissioning Multi-practice or locality commissioning National commissioning Patient choice Single practice-based commissioning Lead PCT/ LHB/ HB commissioning Joint commissioning Source: Ham C. (2007) Commissioning in the English NHS: the case for integration London: Nuffield Trust

  6. Evidence of performance Comprehensive spending review CSR07 Public Service Agreements Departmental Strategic Objectives High level indicators

  7. Evidence-based approaches

  8. Primary Care Trusts Providers – choice Procurement Evidencing value DH commercial strategy Spotlight is now on…

  9. £18 billion Value of the English healthcare networks £100 billion

  10. STAGES OF PUBLIC PROCUREMENT Stage 7 Deliverer of broader government policy objectives 6 Supporter of broader government policy objectives 5 Value for money 4 Accountability 3 Efficient use of public funds 2 Compliance with legislation/ regulation 1 Sourcing and delivering goods and services Purpose of healthcare networks

  11. Contracting in healthcare networks • Relational contracting • Partnership procurement • Distributed commissioning – diverse arrangements • Piggy-backing • Lead

  12. Changing healthcare supply networks • Commercialisation of commissioning • Integrated commissioning network teams • Increased accountability • Lord Darzi’s next stage review • Innovation – league tables • Equitable access

  13. The future…? Evidence based commercial commissioning Integrated commissioning teams Strategic commissioning Policy led commissioning

  14. Commercial lens on healthcare supply networks • Clinical lens – cancer, cardio networks • Patient lens – voice • Commercial lens – value

  15. Research required in healthcare networks • Examine commercial aspects of healthcare services • Assess capacity and capability within PCTs to perform, manage and measure procurement of healthcare • Identify and provide appropriate commercial support - contingent

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