Outcome Based Commissioning in Richmond. March 2015
|
|
- George May
- 6 years ago
- Views:
Transcription
1 Outcome Based Commissioning in Richmond March 2015
2 Contents 1. What is Outcome Based Commissioning? 2. Case for Change for Community Services in Richmond 3. Findings from Outcomes that Matter and Detailed Design phase 4. High level schematic of the key outcomes for community-based care in Richmond 5. Recommendations for Community and Out of Hospital contract 6. Two stage process to move to an OBC contract for out of hospital health and social care 7. Progress with enhancing the 2015/16 contracts 8. Progress with development of 2016 approach 9. Timeline and process for 2016 OBC contract
3 What is Outcome Based Commissioning? Outcome based commissioning (OBC) is a relatively new approach to commissioning health and social care services in the UK. It rewards both value for money and delivery of better outcomes that are important to patients and other service users. Outcomes refer to the impacts or end results of services on a person s life. As such, outcome-focused services aim to achieve the aspirations, goals and priorities of service users. It enables commissioners to create the circumstances in which provider organisations can innovate to deliver improved outcomes for services users at a lower cost. This will enable the delivery of new models of care. Three benefits of OBC are: increased focus on whole-person care; enabling collaboration and integration; realising efficiencies in the system. Process for Commissioning Outcomes Moving to a system of commissioning for outcomes broadly requires a three phase seven step process, which is outlined below. After completing the Case for Change it was decided to proceed with Phase 2 of the OBC Programme in Richmond. Phase 1 Phase 2 Phase 3 BAU Governance Case for change Outcomes that matter Detailed design Contracting options Contracting Run, monitor, improve 3
4 Case for Change for Community Services in Richmond The case for change report was the output of the first phase of a programme agreed by the CCG governing body to assess the potential benefits of outcome based commissioning in re-commissioning community services for the population of Richmond. The report concluded that there was a clear case for changing the way in community services are commissioned in the London Borough of Richmond. The key problems are: 1. The public s experience of the system appears to be fragmented and does not focus on improving outcomes for them in a holistic way. This is a particular problem for elderly people with complex needs a population group forecast to increase significantly over the next decade; 2. Staff do not feel the way the service is commissioned and managed enables them to do their best for patients; rather it forces them to work in a siloed way when they would rather be working in integrated teams. New models of care are required; 3. Many GPs, as key customers of (and gatekeepers for) the service, experience it in a way which is almost random. There is no logical reason for the extent of variability of access to and engagement with the current service. The risks to patients of continuing to run a model with this level of variability should be of concern to all; 4. The current contract is poorly designed and not effectively managed. KPIs focus on inputs and processes, rather than improvements to patient health. Even if the contract were well-designed, it is not clear that the CCG has the capacity to manage it and hold the provider to account for delivering value for money. 4
5 Findings from Outcomes that Matter and Detailed Design work Key milestones and findings in Phase 2: Milestone Findings Design of key outcomes and indicators through public engagement, Outcomes Reference Group, and engagement with wider stakeholders. Outcomes framework designed through engagement with the public, capturing high level outcome categories, more detailed outcome goals, and suggested measures or indicators for these outcomes. This process also used significant engagement work that has been undertaken previously by Richmond CCG and LBRuT. Overseen by Outcomes Reference Group, who provide a statement in the public engagement report and outcomes that matter report. Also engagement with GPs, Practice Nurses, Public Health and Social Care Leads and senior representatives of the current provider of community services. A high level schematic of the key outcomes for community based care in Richmond is on the following slide. A recommendation of the Outcomes Reference Group, which was agreed at Programme Board was that if the contract was to include children and young people, mental health services, and those with learning disabilities it would require further engagement with users of those services. Analysis of as-is service provision, and budgets and contracts. Design principles for community services based on the key outcomes and as-is analysis for community services The as-is service map that has been developed and the range and scale of contracts for community provision and out of hospital care demonstrates a community services and out of hospital care market that is difficult to manage as a whole system, focusing on the needs of the population. In the scope of an outcomes based contract for community services and out of hospital care could be up to 100 contracts that are currently individually managed with value of 76m. Further work needs to be completed by the end of December to define the scope of the contract in more detail. Commissioning for outcomes involves a shift from dealing with episodes of care to continuous models of care - looking at the whole person and the situation in which they are living. 5
6 High level schematic of the key outcomes for community-based care in Richmond 6
7 Recommendations for community and out of hospital contract: Given these findings a contract for Community and Out of Hospital health and social care services which has the following features was recommended: Explanation and reasoning Outcome based Capitated and population health management Contract length Payment will be based on meeting a set of patient centric outcomes. This will cause a shift in thinking away from activity towards how better outcomes can be sought for patients. We will be moving away from a block contract towards a capitated budget for the population. This, combined with the outcome based contract, will incentivise providers to invest proactively in maintaining the health of the population. The contract will be designed to incentivise the providers of health and social care services to promote wellbeing and healthy independent living. To allow the most capable provider to demonstrate improvement in patient outcomes we would suggest the contract duration will be 5-10 years. Single accountable alliance of providers The integration of health, social, community and primary care will be delivered from a single accountable provider responsible for providing all the care for our population over the contract length. The accountable provider could be a single organisation or multiple organisations that have come together as the contractual counterparty. GPs, community health services, hospital specialists and social care would combine to create integrated out-of-hospital care as a Multispecialty Community Provider. 7
8 Two stage process to move to an OBC contract for out of hospital health and social care The November Governing Body accepted the recommendation for a two stage process to achieve an outcomes based contract for Community Services and Out of Hospital Care. Stage one: To enhance the 2015/16 contracts and move providers towards an OBC approach. Stage two: To let a more complete OBC contract for Community Services and Out of Hospital Care to commence in April The two stage process was agreed due to the scale and complexity of the vision for change. 8
9 Progress with enhancing the 2015/16 contracts - moving providers towards an OBC approach Areas of focus for change: Better integrated District Nursing Improvements to discharge planning with an immediate focus on Rapid Response and Rehabilitation Service (RRRT) Overall better integrated care planning across the services; and Support reductions in non-elective admissions (supported by points 1-3) Changes under negotiation / discussion: Potential new contract features for community and associated providers e.g. incorporation of some select outcomes and financial measures within the FY15/16 contract to facilitate change, prior to full Outcomes Based Contract in 2016/17. Changes to the service specifications / service delivery models within the 15/16 contract in relation RRRT, wider discharge process, community nursing, IV service, and use of TMH beds to deliver more coordinated and effective care models. Informed by discussions with GP New or refined requirements on providers to collect appropriate data to show performance against the outcomes and highlight areas of concern / disagreement more effectively Capacity / staffing 9
10 Progress with development of 2016 approach Design work to develop a vision and ideal operating model of service delivery for the outcomes specified. Development of initial scope of contract from the ideal operating model (paper to Programme Board in February for an initial decision on the scope of the contract). Selection of coordinating providers Development of detailed plan and process to reach 1 st April 2016 see slide overleaf for high level view. Initial engagement with providers and Vanguard bid for MSCP. 10
11 Timeline and process for 2016/17 OBC contract Route A: Coordinating provider development Jan 15 END FEB Finalise selection of Healthcare Most Capable Providers and notify existing providers of decision and process MARCH Publish MOI to providers setting out overall terms and process from March 2015 to April 2016, including requirement for providers to submit Governance Qualification MOU Mar 15 Jun 15 Oct 15 Jan 16 Providers develop Memorandum of Understanding (MOU) MAY Confirm collaboration between Social Care and OBC Governance Qualification Most Capable Providers submit MOU demonstrate collective agreement JUNE MCP OBC dialogue documents released Contract negotiation MCP Response SEPTEMBER Interim Checkpoint Review and Feedback DECEMBER Formal Evaluation Contract negotiation 6 weeks MARCH Mobilisation Checkpoint Review of initial mobilisation and transition plan April 16 Phased transition Fail On-going dialogue and performance assessment Fail Route B: Open Market Procurement MCP Most Capable Provider 11
Outcomes Based Commissioning. Update for Governing Body. 19 May 2015
Outcomes Based Commissioning Update for Governing Body 19 May 2015 Background To enable the commissioning of the outcomes based contract (OBC) for out of hospital health and social care an outcomes framework
More informationYorkshire and Humber Integrated Urgent Care: Service Development and Procurement
Yorkshire and Humber Integrated Urgent Care: Service Development and Procurement NHS Hull Clinical Commissioning Group Governing Body Meeting 23 rd March 2018 1. Purpose Integrated Urgent Care (IUC) is
More informationDudley Multi-specialty Community Provider Delivering a whole population budget via a single provider
Dudley Multi-specialty Community Provider Delivering a whole population budget via a single provider Mr Paul Maubach Chief Executive Officer Dudley Clinical Commissioning Group Timeline for MCP procurement
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT
9.6 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT Date of the meeting 18/07/2018 Author Sponsoring Board member Purpose of Report
More informationOverview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy
Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital
More informationThe Integrated Support and Assurance Process (ISAP): guidance on assuring novel and complex contracts
The Integrated Support and Assurance Process (ISAP): guidance on assuring novel and complex contracts Part A: Introduction Published by NHS England and NHS Improvement August 2017 First published: Friday
More informationMEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014
MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 Title: Bedfordshire and Milton Keynes Healthcare Review: The way forward Agenda Item: 4 From: Jane Meggitt, Director of Communications and Engagement
More informationPrime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014
Prime Contractor Model King s Fund Nick Boyle Consultant Surgeon 27 March 2014 Current Referral Route options - Information 1. Horizon Health Choices Horizon Musculoskeletal Triage & Treatment Chronic
More informationWestminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 17 January 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome
More informationCommunity Pharmacy in 2016/17 and beyond
Community Pharmacy in 2016/17 and beyond Stakeholder briefing sessions 1 CONTENTS Contents This presentation describes our vision for community pharmacy, and outlines proposals for achieving that vision,
More informationRE-PROCUREMENT OF 111 SERVICES SOUTH WEST LONDON
RE-PROCUREMENT OF 111 SERVICES SOUTH WEST LONDON Introduction SWL CCGs variously let contracts for the provision of 111 during 2012 with contracts let to Care UK (Wandsworth, Kingston and Richmond, Croydon)
More informationSupporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014
TFA document Supporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014 Tripartite Formal Agreement between: Hertfordshire Community NHS Trust NHS East of England Department of Health
More informationOne Croydon Alliance. Background and overview for inaugural meeting of Croydon Community Health Alliance (Croydon Voluntary Action)
One Croydon Alliance Background and overview for inaugural meeting of Croydon Community Health Alliance (Croydon Voluntary Action) 7 December 2017 OBC Alliance Vision Working together to help you live
More informationDeveloping primary care in Barnet
Developing primary care in Barnet Introduction In January 2012, the Joint Boards of NHS North Central London (NCL) approved a NCL Primary Care Strategy, which describes development of the primary care
More informationPRIMARY CARE COMMISSIONING COMMITTEE MEETING
PRIMARY CARE COMMISSIONING COMMITTEE MEETING Date of meeting Title of report 20 th June 2017 Agenda item number Unscheduled Primary Care Services for the Fylde Coast 7 Paper Presented by: Alison Kerfoot,
More informationCentral London Clinical Commissioning Group Governing Body Meeting 13 August 2014
Central London Clinical Commissioning Group Governing Body Meeting 13 August 2014 CONTRACT AWARD - CARE PROVIDER PROCUREMENT OF SPECIALIST HOUSING FOR OLDER PEOPLE IN WESTMINSTER (SHSOP) 1. Executive Summary
More informationUsing outcomes to transform health and social care systems. Dr Nicholas Hicks FRCP FRCGP FFPH Co-founder and Chief Executive, COBIC
Using outcomes to transform health and social care systems Dr Nicholas Hicks FRCP FRCGP FFPH Co-founder and Chief Executive, COBIC What is an outcome? The results people care about most including functional
More informationIntegrating Health And Social Care Community Services. Richard Milner and Stella Baillie
Integrating Health And Social Care Community Services Richard Milner and Stella Baillie AGENDA 1. Why we are doing this 2. Our plans for integrating Adult Social Care Assessment and Care Management with
More informationThames Ambulance Service Ltd (TASL) Performance Report
WEST LEICESTERSHIRE CLINICAL COMMISSIONING GROUP BOARD MEETING 8 th of May 2018 Title of the report: Section: Report by: Presented by: Thames Ambulance Service Ltd (TASL) Performance Report Public Joanna
More informationA meeting of NHS Bromley CCG Governing Body 25 May 2017
South East London Sector A meeting of NHS Bromley CCG Governing Body 25 May 2017 ENCLOSURE 4 SOUTH EAST LONDON 111 AND GP OUT OF HOURS MEMORANDUM OF UNDERSTANDING SUMMARY: The NHS England Commissioning
More informationDeveloping a Federation
Developing a Federation Scott McKenzie, NHS Consultant www.bw-medical.co.uk HELLO Scott McKenzie, NHS Consultant BW Medical Accountants / Scott Mckenzie Consultancy Scott is recognised as a specialist
More informationNewham Clinical Commissioning Group Board Meeting
Title: Newham Clinical Commissioning Group Board Meeting Wednesday 8 May 2013 Sir Ludwig Guttmann Health and Wellbeing Centre - update Agenda item: 4.1 Paper: I Author: Presented by: Contact for further
More informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 January 2018
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 January 2018 Agenda No: 7.1 Attachment: 6 Title of Document: South West London Health & Care Partnership one year on Report Author:
More information16 May Elizabeth James Director of Clinical Commissioning, Barnet CCG
Barnet Health Overview and Scrutiny Committee 16 May 2016 Title North West London, Barnet & Brent Wheelchairs Service Redesign Report of Elizabeth James Director of Clinical Commissioning, Barnet CCG Wards
More informationOutcomes based commissioning. Andrew Smith 11 February 2016
Outcomes based commissioning Andrew Smith 11 February 2016 Objectives To give a quick snapshot of where we are seeing outcomes being used and what we mean by outcomes To reflect on what NHS England are
More informationService Transformation Report. Resource and Performance
SUMMARY REPORT Meeting Date: 31 May 2018 Agenda Item: 9.1 Enclosure Number: 9 Meeting: Trust Board (Part 1) Title: Author: Accountable Director: Other meetings presented to or previously agreed at: Service
More informationJOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes
JOB DESCRIPTION Job Title: Grade: Team: Accountable to: Joint Commissioning Manager for Older People s Residential Care and Nursing Homes HAY 14 / AfC 8b (indicative) Partnership Commissioning Team Head
More informationHealthier Wigan Partnership Board. Richard Mundon Director of Strategy and Planning. Approve x Adopt Receive for information. On the BAF.
Trust Board Agenda Item 6. Date: 31.05.17 Title of Report Purpose of the report and the key issues for consideration/decision Prepared by: me & Title Presented by: Action Required (please X) Strategic/Corporate
More informationLondon Mental Health Payments and Outcomes. Programme Overview 17/18
London Mental Health Payments and Outcomes Overview 17/18 National Policy and Guidance Context Five Year Forward View Reform payment and incentives to move away from unaccountable block contracts. It recommends
More informationThe journey to integration
The journey to integration Learning from seven leading localities April 2016 1 The journey to integration Acknowledgements This report has been authored by Ben Richardson, Managing Director, Carnall Farrar.
More informationContract Award Recommendation for NCL Direct Access Diagnostics Service Tim Deeprose/Leo Minnion
Appendix 5.4 MEETING: Haringey Clinical Commissioning Group Governing Body Meeting DATE: Wednesday, 26 March 2014 TITLE: LEAD DIRECTOR/ MANAGER: CLINICAL LEADS AUTHORS: CONTACT DETAILS: Contract Award
More informationReport to Governing Body 19 September 2018
Report to Governing Body 19 September 2018 Report Title Author(s) Governing Body/Clinical Lead(s) Management Lead(s) CCG Programme Purpose of Report Summary NHS Lambeth Clinical Commissioning Group (CCG)
More informationOutcomes Based Commissioning Improving the health and independence of older people in Croydon
Wednesday 24 June 2015 Outcomes Based Commissioning Improving the health and independence of older people in Croydon 1 Purpose of this meeting 1. To review why we re looking at these services 2. To share
More informationMerton Integration & Better Care Fund Plan 2017/19
Merton Better Care Fund Programme Merton Clinical Commissioning Group Merton Integration & Better Care Fund Plan 2017/19 Area London Constituent Health and Wellbeing Boards Merton Constituent CCGs Merton
More informationManchester Health and Care Commissioning Board. A partnership between Manchester. City Council and NHS Manchester Clinical Commissioning Group
Manchester Health and Care Commissioning Board A partnership between Manchester City Council and NHS Manchester Clinical Commissioning Group Agenda Item: Report Title: Date: Strategic Commissioning Prepared
More informationNHS Providers Strategy Directors Network meeting Five Year Forward View and Vanguards - Birmingham Community Healthcare NHS Trust our story
NHS Providers Strategy Directors Network meeting Five Year Forward View and Vanguards - Birmingham Community Healthcare NHS Trust our story Lorraine Thomas Director of Business and Organisational Development
More informationTHE EMERGING PICTURE OF NEW CARE MODELS IN THE ENGLISH NHS
THE EMERGING PICTURE OF NEW CARE MODELS IN THE ENGLISH NHS ICCHNR SYMPOSIUM University of Kent at Canterbury 15 th -16 th September 2016 Dr John M Ribchester GP Chair and Clinical Lead for Encompass MCP
More informationWarrington Children and Young People s Mental Health and Wellbeing Local Transformation Plan
Warrington Children and Young People s Mental Health and Wellbeing Local Transformation Plan 2015-2020 1 Introduction 1.1 Welcome to the update on Warrington s Local Transformation Plan for Children and
More informationReport. Report Author Presented By Responsible Director Susi Clarke, Primary Care Strategic Development Lead
Governing Body Meeting Held in Public Report Date of Meeting: 5.7.18 Agenda Item: 11.0 Report Title Extended Access Update Report Author Presented By Responsible Director Susi Clarke, Primary Care Strategic
More informationSt George s Healthcare NHS Trust: the next decade. Research Strategy
the next decade Research Strategy 2013 2018 July 2013 Page intentionally left blank Contents Introduction The drivers for change 4 5 Where we are currently with research Where we want research to be Components
More informationHealth as a Social Movement INFORMATION PACK FOR NATIONAL PARTNER
Health as a Social Movement INFORMATION PACK FOR NATIONAL PARTNER NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. & Corp. Ops. Commissioning
More informationHaringey and Islington
Haringey and Islington Wellbeing Partnership Who we are Thoughts on system leadership and on leading within complex systems Observations from our experience Recognising where we are seeing and showing
More informationCCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group. Urgent Care Redesign
CCG name: CCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group Case study title: Urgent Care Redesign CCG case study number: (specify 1 to 5) Does the case study provide core
More informationWAITING TIMES 1. PURPOSE
Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE
More informationPRIMARY CARE COMMISSIONING COMMITTEE
PRIMARY CARE COMMISSIONING COMMITTEE 1. Date of Meeting: 2. Title of Report: Western Avenue Medical Centre Personal Medical Services (PMS) Reinvestment Report 3. Key Messages: The Personal Medical Services
More informationMeeting in Common of the Boards of NHS England and NHS Improvement. 1. This paper updates the NHS England and NHS Improvement Boards on:
NHS Improvement and NHS England Meeting in Common of the Boards of NHS England and NHS Improvement Meeting Date: Thursday 24 May 2018 Agenda item: 03 Report by: Matthew Swindells, National Director: Operations
More informationNorth West London Draft Sustainability and Transformation Plan Review
North West London Draft Sustainability and Transformation Plan Review In carrying out our work and preparing our report, we have worked solely on the instructions of the West London Alliance (specifically
More informationIain Patterson. Associate Workforce Director Homerton University Hospital NHS Foundation Trust
Iain Patterson Associate Workforce Director Homerton University Hospital NHS Foundation Trust Who we are? Who we are? North East London Sector 3,800 staff spread across Hackney and beyond c. 3,000 acute
More informationLinking quality and outcome measures to payment for mental health
Linking quality and outcome measures to payment for mental health Technical guidance Published by NHS England and NHS Improvement 8 November 2016 Contents 1. Purpose of this document... 3 2. Context for
More informationVision 3. The Strategy 6. Contracts 12. Governance and Reporting 12. Conclusion 14. BCCG 2020 Strategy 15
Bedfordshire Clinical Commissioning Group Quality Strategy 2014-2016 Contents SECTION 1: Vision 3 1.1 Vision for Quality 3 1.2 What is Quality? 3 1.3 The NHS Outcomes Framework 3 1.4 Other National Drivers
More informationHERTFORDSHIRE COMMUNITY NHS TRUST INTERMEDIATE CARE SERVICE UPDATE WINDMILL HOUSE MAY 2011
HERTFORDSHIRE COMMUNITY NHS TRUST INTERMEDIATE CARE SERVICE UPDATE WINDMILL HOUSE MAY 2011 1. Purpose This paper provides an update on the outcome of the consultation to re-provide Intermediate Care Services
More informationSCOTTISH GOVERNMENT FUNDING CONDITIONS FOR DELIVERING PROJECTS THROUGH THE NON PROFIT DISTRIBUTING MODEL
Acting Director-General Health & Social Careand Chief Executive NHSScotland Derek Feeley T: 0131-244 2410 F: 0131-244 2162 E: dghsc@scotland.gslgov.uk ~ The Scottish Government To: NHS Board Chief Executives
More informationThe Commissioning of Hospice Care in England in 2014/15 July 2014
The Commissioning of Hospice Care in England in 2014/15 July 2014 Help the Hospices. Company limited by guarantee. Registered in England & Wales No. 2751549. Registered Charity in England and Wales No.
More informationImproving Healthcare Together : NHS Surrey Downs, Sutton and Merton clinical commissioning groups Issues Paper
Improving Healthcare Together 2020-2030 NHS Surrey Downs, Sutton and Merton CCGs Improving Healthcare Together 2020-2030: NHS Surrey Downs, Sutton and Merton clinical commissioning groups Surrey Downs
More informationEDS 2. Making sure that everyone counts Initial Self-Assessment
EDS 2 Making sure that everyone counts Initial Self-Assessment Equality Delivery System for the NHS EDS2 Summary Report Implementation of the Equality Delivery System EDS2 is a requirement on both NHS
More informationMemorandum of understanding for shadow Accountable Care Systems
Since Previously Discussed by BLMK CEOs: Memorandum of understanding for shadow Accountable Care Systems Dear Richard, As described in Next Steps on the NHS Five Year Forward View, we intend to name a
More informationEngland. Questions and Answers. Draft Integrated Care Provider (ICP) Contract - consultation package
England Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package August 2018 Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package
More informationProcurement of Prevention and Wellbeing Training
ACTION TAKEN UNDER DELEGATED POWERS BY OFFICER 01 March 2016 Title Report of Wards Status Procurement of Prevention and Wellbeing Training Commissioning Lead Health and Wellbeing All Public Enclosures
More informationSurrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust
Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust 1. Strategic Context 1.1. It has long been recognised that
More informationIntegrating care: contracting for accountable models NHS England
New care models Integrating care: contracting for accountable models NHS England Accountable Care Organisation (ACO) Contract package - supporting document Our values: clinical engagement, patient involvement,
More informationMental Health Social Work: Community Support. Summary
Adults and Safeguarding Commitee 8 th June 2015 Title Mental Health Social Work: Community Support Report of Dawn Wakeling Adults and Health Commissioning Director Wards All Status Public Enclosures Appendix
More informationDelegated Commissioning Updated following latest NHS England Guidance
Delegated Commissioning Updated following latest NHS England Guidance 13th August 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England (Direct
More informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More informationREFERRAL TO SECRETARY OF STATE FOR HEALTH Report by Devon County Council Health and Wellbeing Scrutiny Committee Torrington Community Hospital
The Rt Hon Jeremy Hunt MP Secretary of State for Health Richmond House 79 Whitehall London SW1A 2NS 6 th Floor 157 197 Buckingham Palace Road London SW1W 9SP 23 September 2016 Dear Secretary of State REFERRAL
More informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationTransforming Primary Care
Transforming Primary Care Co-commissioning - a new local way for designing and providing Primary Care Services What will it mean for me and my family? Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth
More informationNorfolk and Waveney STP. Meeting with East Suffolk Partnership 27 September 2017
Norfolk and Waveney STP Meeting with East Suffolk Partnership 27 September 2017 2 The Norfolk and Waveney STP Members Waveney District Council Focus of Norfolk and Waveney STP Our plan is in line with
More informationIntegrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0
Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and
More informationNorthumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary
Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary This summary has been prepared to aid understanding of the draft STP technical submission. Copies
More informationSouth East Essex. Discharge to Assess Strategy
South East Essex Discharge to Assess Strategy 2018-2020 Version 3.5 27 th March 2018 Document Control: Revision: Name Date: Version 2.0 Shirley Regan 12 December 2017 Version 2.1 Amendments-Paul 19 December
More informationVanguard Programme: Acute Care Collaboration Value Proposition
Vanguard Programme: Acute Care Collaboration Value Proposition 2015-16 November 2015 Version: 1 30 November 2015 ACC Vanguard: Moorfields Eye Hospital Value Proposition 1 Contents Section Page Section
More informationMid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016
Mid and South Essex Success Regime Overview and next steps Andy Vowles, Programme Director 18 April 2016 What s in this briefing Part 1 overview Background to the Success Regime Action to date The challenge
More informationImperial College Health Partners - at a glance
Imperial College Health Partners - at a glance Imperial College Health Partners - at a glance Our vision and purpose This document is intended to provide an introduction to Imperial College Health Partners
More informationHealth and Wellbeing Board 25 January 2018
Title Report of Wards All Status Urgent Key Health and Wellbeing Board 25 January 2018 Child and Adolescent Mental Health (CAMHS) - Update Director of Children s Services, LBB Chief Operating Officer,
More informationReport to Patients. A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15. Healthy Norwich. Patient
Report to Patients A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15 Healthy Norwich GP Care Patient Quality YourNorwich The work of the CCG, what it has achieved for patients,
More informationFAMILY WELLBEING GUIDELINES
FAMILY WELLBEING GUIDELINES 2016 Table of Contents Table of Contents... 1 1. About these guidelines... 2 Who are these guidelines for?... 2 What is the purpose of these guidelines?... 2 How should these
More informationSWLCC Update. Update December 2015
SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West
More informationSERVICE SPECIFICATION
SERVICE SPECIFICATION Service Childhood Immunisation Service Commissioner Lead Sarah Darcy Provider GP Confederation Mary Clarke Provider Lead Period 1 April 2018 to 31 2019 Date of Review December 2018
More informationHealth Services and Delivery Research Programme
Health Services and Delivery Research Programme NIHR Health Services and Delivery Research (HS&DR) programme Researcher-led workstream (Standard Stage 1 to Stage 2): Specification Closing date: 1pm, 06
More informationDischarge to Assess Standards for Greater Manchester
Discharge to Assess Standards for Greater Manchester 1 Contents 1. Introduction... 3 2. Definition of Discharge to Assess... 3 3. Discharge to Assess Pathways... 4 4. Greater Manchester Standards for Discharge
More informationWest Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups
West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups Annual Report 2017-2018 2 Chair s foreword I m proud to introduce the first Annual Report of the West Yorkshire and Harrogate
More informationChairman of Environment Committee. Summary
Environment Committee 14 March 2018 Title Report of Wards Status Urgent Key Copthall Sports Hub and Mill Hill Open Spaces Draft Masterplan Chairman of Environment Committee All Public No No Enclosures
More informationNew NHS Primary Care procurements
MAY 2008 New NHS Primary Care procurements GPC guidance for GPs and LMCs (England only) Contents 1 Introduction page 3 2 New primary care services page 3 3 The process of procurement page 4 4 Local consultation
More informationThe National Programme for IT in the NHS: an update on the delivery of detailed care records systems
Report by the Comptroller and Auditor General HC 888 SesSIon 2010 2012 18 may 2011 Department of Health The National Programme for IT in the NHS: an update on the delivery of detailed care records systems
More informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 th January 2018 Agenda No: 7.2 Attachment: 7 Title of Document: Acute Sustainability at Epsom & St Helier University Hospitals NHS
More informationKingston Hospital NHS Foundation Trust Length of stay case study. October 2014
Kingston Hospital NHS Foundation Trust Length of stay case study October 2014 The hospital has around 520 beds and provides acute medical services for a population of around 320,000 in Kingston, Richmond,
More informationMarginal Rate Emergency Threshold. Executive Summary
Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director
More informationAgenda Item. 12 July NHS North Cumbria CCG Primary Care Committee. Approval of ICC Primary Care Investment Proposals. Purpose of the Report
NHS North Cumbria CCG Primary Care Committee Agenda Item 12 July 2018 6 Approval of ICC Primary Care Investment Proposals Purpose of the Report The purpose of this report is: - To formally ratify the decision
More informationA consultation on the Government's mandate to NHS England to 2020
A consultation on the Government's mandate to NHS England to 2020 October 2015 You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of
More informationResponding to a risk or priority in an area 1. London Borough of Sutton
Responding to a risk or priority in an area 1 London Borough of Sutton October 2017 Contents Contents... 2 Introduction... 3 Scope and activity... 4 What did we do?... 5 Framework... 6 Key findings...
More informationservice users greater clarity on what to expect from services
briefing November 2011 Issue 227 Payment by Results in mental health A challenging journey worth taking Key points Commissioners and providers support the introduction of Payment by Results for adult mental
More informationCabinet Member for Education, Children and Families
Meeting Cabinet Resources Committee Date 24 September 2013 Subject Provision of therapies to Children with Special Educational Needs and placements to children in care Report of Summary Cabinet Member
More informationUrgent & Emergency Care Strategy Update
RCCG/GB/17/144 Urgent & Emergency Care Strategy Update 1. Introduction The purpose of this paper is to provide assurance on the effective delivery to date of our urgent and emergency care strategy within
More informationBUSINESS CASE FOR LEVEL 2 SPECIALIST NEURO-REHABILITATION BEDS : SLIDE PACK & FINANCIAL MODEL
BUSINESS CASE FOR LEVEL 2 SPECIALIST NEURO-REHABILITATION BEDS : SLIDE PACK & FINANCIAL MODEL V8 June 2015 1 Index Executive summary Slides 3-5 Business Case on a Page Slide 6 Model methodology Index/
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationMental health crisis care models
Mental health crisis care models Rapid review by London s mental health crisis care October 2017 Supported by and delivering for: London s NHS organisations include all of London s CCGs, NHS England and
More informationThe Suffolk Marie Curie Delivering Choice Programme
The Suffolk Marie Curie Delivering Choice Programme Phase III A report on progress and achievements Date: April 2012 Author: Sandy Barron Project Lead Manager Design and Development - MCDCP 1 Table of
More informationOverarching Section 75 Agreement Adults Integrated Health and Social Care Services. Subject. Cabinet Member
ACTION TAKEN BY CABINET MEMBER (EXECUTIVE FUNCTION) Subject Cabinet Member Overarching Section 75 Agreement Adults Integrated Health and Social Care Services Cabinet Member for Adults Cabinet Member for
More informationTitle of meeting: Primary Care Joint Commissioning Committee (JCC) Committees in Common (CIC). Date of Meeting 12 th April 2016 Paper Number 7
Title of meeting: Primary Care Joint Commissioning Committee (JCC) Committees in Common (CIC). Date of Meeting 12 th April 2016 Paper Number 7 Title Sponsoring Director (name and job title) Sponsoring
More informationA meeting of the Governing Body of NHS Bromley Clinical Commissioning Group 26 November 2015
South East London Sector A meeting of the Governing Body of NHS Bromley Clinical Commissioning Group 26 November 2015 ENCLOSURE 6 HEALTHY LONDON PARTNERSHIP SUMMARY: The enclosed is a paper from the interim
More information