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This article discusses the development of Practice-Based Commissioning (PBC) in Tower Hamlets, led by Project Director Kevin Mullins. It highlights the area's politically dynamic, socially diverse, and economically challenged context, with a registered population of 229,000 and 137.6 GPs across 37 practices. The PBC engagement rose from 40% in June 2005 to 100% in April 2006, achieved through local meetings, technical workshops, and strategic sessions. Key issues addressed include policy alignment, primary care capacity, data integrity, and innovative practices in healthcare commissioning.
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Developing Practice Based Commissioning in Tower Hamlets Kevin Mullins Project Director
In the beginning……… • Politically dynamic • Socially diverse • Economically deprived
More beginning………. • Registered Population – 229,000 • GPs (GMS, PMS & salaried) – 137.6 • Practices - 37 (6 PCT run) • PBC Take Up @ June 2005 – 40% • PBC Take Up @ April 2006 – 100%
Engagement • Conversations • 4 Local meetings • 2 Technical workshops under PLT • 2 Nuts & Bolts sessions on budgets • Processes • Project Board & Project Team • Commissioning Executive
Issues • Aim & drive of PBC • Policy collision • True influence • Capacity within primary care • Freedom to innovate • Integrity of data & budget setting • Freedom to innovate
Answers • Policy Framework • ELIC Support • Commissioning Executive • LES for Referral Management & Data Validation