NHS North West Surrey CCG

1. NHS North West Surrey CCG Pre –Market Engagement Event 6th February 2014

2. Service OpportunitiesAny Qualified Provider (AQP)locally commissioner service opportunitiesfor those services formerly delivered as Local Enhanced Services via the GP contract24hr Blood Pressure Monitoring and Minor Surgery

3. North West Surrey Clinical Commissioning Group serves 350,000 people in 42 practices working across three localities and four boroughs.NHS North West Surrey CCG was formally established in April 2013Our GP practices are all members of our CCG SASSE 13 practices (Spelthorne BC) Key Facts • Area: 289.1 square kilometres (111.7 square miles) • Population density: 5,900 per square kilometre (15,200 per square mile) • Boundaries: Surrey Local Authority, Hounslow Local Authority, Surrey Downs CCG, Guildford & Waverly CCG, Farnham & North East Hampshire, Bracknell & Basingstoke CCH, Windsor, Ascot & Maidenhead CCG, Slough CCG, Hillingdon CCG, Hounslow CCG and Richmond CCG • Transport routes: Main roads includes M25, M3 and A3. Main line rail connections to central London & the south of England • Main employers: IT, Pharmaceutical & communications, wholesale & retail and construction Thames Medical 14 practices (West Elmbridge & Runnymede BCs) Woking 15 practices (Woking BC)

4. 4 What does our CCG do? We are responsible for listening to our local community to ensure we understand their needs, planning how we invest to ensure effective services, and  improving local health services to enable North West Surrey people to enjoy the best possible health. • We are responsible for commissioning • Planned (often called Elective ) hospital care • Rehabilitation care • Urgent and emergency care • Most community health services • Mental health and learning disabilities • We do not commission the following services, but we work closely with the relevant commissioners • Primary care services – NHS England • Specialist services – Specialist Commissioners • Public health services – Surrey CC • We work with: • Patients and the public • Local authorities and other stakeholders, including voluntary groups • Other CCGs • Other healthcare professionals • Our Main Providers are • Ashford & St Peters Hospitals NHS Foundation Trust • Virgin Care for community health services • Surrey and Borders Partnership NHS Foundation Trust for mental health and learning disability services • South East Coast Ambulance Services

5. Our Vision

6. 6 Our Core Values • We are accountable to our population and our members • We are open and transparent in decision making • We value quality and patient experience in everything we do • We value strong clinical leadership and engaged clinicians • We value relationships with patients, providers and stakeholders • We will promote good governance and proper stewardship of public resources in pursuance of our goals and in meeting statutory duties

7. Why are we proposing change? • CCGs responsible for commissioning services to meet needs of local population • NHS England responsible for Primary Care (amongst other services) • Local Enhanced Services currently an adjunct to Primary Care contracts thus need to commission as local services subject to CCG control and leadership. • Opportunity to align with wider strategic direction

8. Designing a new service • All existing LES and Tier 2 services reviewed • Multi agency steering group evaluated service and proposed route to market as appropriate • Patient representative and LMC involved throughout • All service specifications have been revised in the context of the emerging strategic objectives of the organisation via a clinically led sub group(s) • Corporate approval gained to recommendations

9. What are our service aims? • Safe, effective, high quality services • Locally accessible, convenient services • Patient choice available at point of referral • Innovative use of technology and service delivery models • Delivery of defined outcome measures and strategic objectives

10. What are the expected benefits of change? • Improved patient access and experience - “right care, right place, first time” • High quality care in a sustainable ‘best value’ system • Better clinical outcomes, delivered where possible within a ‘one stop’ pathway • Greater consistency of care through improved service specifications and equality of provision across the CCG • Plurality within the market to drive improvements in quality and patient experience

11. What is Any Qualified Provider? • The Government has specifically committed to extending patient choice of Any Qualified Provider (AQP) for appropriate services. • AQP means that when patients are referred, usually by their GP, for a particular service, they should be able to choose from a list of qualified providers who meet NHS service quality requirements, prices and normal contractual obligations.

12. The Principles of AQP • The following principles govern an AQP approach to contracting for services: • Providers qualify and register to provide services via an assurance process that tests providers’ fitness to offer NHS funded services: • Commissioners set local pathways and referral protocols which providers must accept. • Referring clinicians offer patients a choice of qualified providers for the service being referred to • Competition is based on quality, not price. Providers are paid a fixed price determined by a national or local tariff (where no national tariff exists). • Providers receive no volume guarantees and are paid on an activity basis only.

13. What are the benefits of AQP? • Allows the market to be as open as possible • Allows both existing and new providers to enter the market • Allows all qualified providers to compete for services on the basis of ‘quality’ rather than ‘price’ • Facilitates better patient choice • Is a ‘leaner’ process for the commissioner

14. How to apply for AQP Status

16. Draft Procurement Timetable

17. Questions?