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Commissioning: A New Beginning

Commissioning: A New Beginning. HIV Prevention England 20 th February 2014. For discussion . New beginning – is it? The new architecture - what do we need to know? Opportunities and challenges Commissioning goal – common ground. New beginning or next chapter?.

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Commissioning: A New Beginning

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  1. Commissioning: A New Beginning HIV Prevention England 20th February 2014

  2. For discussion • New beginning – is it? • The new architecture - what do we need to know? • Opportunities and challenges • Commissioning goal – common ground

  3. New beginning or next chapter? • New organisations: HWBB, Clinical Senates • New responsibilities: duty to promote integrated health, social care and ‘health related services’ around the needs of service users • New cultures, new ways of working And • Some things remain the same • Continued focus on reducing sexual ill health and promoting good health • Increasing need for improved quality and reduced cost

  4. The architecture

  5. The architecture • Local authorities – responsible for prevention services for local populations • NHS England – responsible for commissioning primary care (including dental etc.), health in the justice system, military health, screening programmes • NHS England – responsible for commissioning prescribed specialised service through provider based commissioning for all eligible England patients • Clinical commissioning groups (CCGs) – supported by commissioning support units - responsible commissioning community and acute care for local populations

  6. At the interface?

  7. Challenges and Opportunities • Relationships • Flexibilities • Responsibilities • Governance • Cultures • Innovation and change • Targets • The money

  8. Common ground • Reduce ill health and improve good health • Improve outcomes and experience for people and populations • Service redesign solutions • Ensure safe and appropriate services available • Deliver roles and legal responsibilities • Deliver savings and value for money • Duties around partnership and integration

  9. Shared agendas • Reducing new infections (and arrangements for PEPSE , consideration of TasP and PrEP) • Expanding testing and earlier diagnosis • Quality standards • Clinically appropriate care • Innovation and new models of care • Cost efficient care • Personal responsibility and self management • Service user experience and co-production

  10. Making the new arrangements work The allegory of the long spoons…

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