1. Future Commissioning Arrangements of the Cervical Screening Programme Fiona Jorden and Jacky Mason January 2013

2. Secretary of State Department of Health Strategic Health Authorities PCTs

3. Cervical Screening Current Position Function Colposcopy and Cervical Histopathology ProviderCommissionerContract BHNFTNHS BarnsleyBlock Hospital Contract DBHFTNHS Doncaster NHS Bassetlaw Block Hospital Contract TRFTNHS RotherhamBlock Hospital Contract STHFTNHS SheffieldBlock Hospital Contract

4. Cervical Screening Current Position Function Colposcopy ProviderCommissionerContract CarcroftNHS DoncasterGP LES

5. Cervical Screening Current Position Function Laboratory Initial Training Localisation Training Call and Recall ProviderCommissionerContract STHFTSCG/NORCOMNHS Barnsley University of Sheffield Y&H SHA Individual PCTsNone SYPCA (FHS) SBS NHS Doncaster East Midlands PCT Collaborative NHS Doncaster Led by Derbyshire Cluster DoF

6. Cervical Screening Current Position Function Sample Taking ProviderCommissionerContract GP Practices CASH/ Others DH Individual PCTs GMS Contract Individual PCTs Mentors RDASHSY&B Screening TeamSHA Learning Development Agreement

7. Secretary of State Department of Health Public Health England Responsible (amongst other things) for screening and immunisation NHS Commissioning Board (NHSCB) 27 Area Teams NHS Commissioning Board in Localities 212 Clinical Commissioning groups (CCGs) led by GPs Will commission (amongst other things) local maternity services Local Authority Public Health Health and Wellbeing Boards Overview and scrutiny role Screening and Immunisation Team Employed by PHE and embedded in Area Teams Regional Offices

8. NHS Act 2006   New - Section 7a Agreement gives the Secretary of State power to arrange for his Public Health Functions to be exercised by the: NHSCB CCGs LA

9. NHSCB The NHSCB will on behalf of the Secretary of State commission:   Public health services for children aged 0-5 including health visiting and family nurse partnerships   Immunisation and screening programmes   Public health services for those in prison or custody   Sexual assault referral services   Child Health Information Systems (CHIS)

10. NHSCB   Role will be to : Allocate resources to CCGs and support them to commission services on behalf of their patients according to evidence based quality standards Directly commission primary care, military and offender health and specialised services including high security psychiatric services Allocate commissioning resources within limits set by the Secretary of State for Health Focus on achieving equal access to health services, designed around the needs of the patient Deliver improved patient outcomes

11. NHSCB Governing Frameworks   NHS Constitution   NHS Outcomes Framework   NHS Mandate

12. NHSCB Area Team   Support and develop CCGs   Assess and assure performance   Undertake direct and specialised commissioning   Manage and cultivate local partnerships and stakeholder relationships   Emergency planning, resilience and response

13. NHSCB Area Team Screening and Immunisation Team (SIT) Employed by PHE Employed by PHE   Responsible for Screening Programmes and Vaccination Immunisation Screening and Immunisation Lead (SIL) Screening and Immunisation Manager (SIM) Screening and Immunisation Coordinator (SIC)

14. Screening and Immunisation Team Head of Public Health Commissioning NHSCB PHE Screening and Immunisation Lead Screening and Immunisation Manager Screening and Immunisation coordinator

15. Service Specification Outlines the arrangements for commissioning the Cervical Cytology (including HPV testing) Cervical Histopathology and Colposcopy services. Detailed documentation at www.cancerscreening.nhs.uk and www.csp.nhs.uk www.cancerscreening.nhs.ukwww.csp.nhs.uk www.cancerscreening.nhs.ukwww.csp.nhs.uk

16. Cervical Screening Future Position Function Sample Taking ProviderCommissionerContract GP practices CASH/ Others DH ?CCGs/NHSCB GMS Contract ??? Mentors RDASHNHSCB (Area Team) Learning and Education Training Board (LETB)

17. Function Laboratory Initial Training Localisation Training Call and Recall ProviderCommissionerContract STHFTNHSCB University of Sheffield LETB ???????None SYPCA (FHS) SBS NHSCB (SY&B) NHSCB (East Midlands) NHSCB (SY&B) NHSCB (East Midlands ? Area Team) Cervical Screening Future Position

18. Cervical Screening Future Position Function Colposcopy and Cervical Histopathology ProviderCommissionerContract BHNFT? NHSCB/Barnsley CCG (Gynae/Obs Pathway) NHSCB DBHFT? NHSCSB/Doncaster CCG (Gynae/Obs Pathway) NHSCB TRFT? NHSCB/Rotherham CCG (Gynae/Obs Pathway) NHSCB STHFT? NHSCB/Sheffield CCG (Gynae/Obs Pathway) NHSCB

19. Cervical Screening Future Position Function Colposcopy ProviderCommissionerContract Carcroft? NHSCB

20. Cervical Screening Future Position   But: Where a screening service is an integral part of a clinical service to be commissioned by CCGs the NHSCB is likely to delegate contract related functions to appropriately authorised CCGs NHSCB will retain responsibility for Service Specification and the Service but ask CCGs to include the screening service specification in the overall contract to be commissioned by the CCGs e.g. Maternity Services Pathway, Gynaecology/Obstetrics Pathway

22. Thank you!