3The 2013 health landscape Commissioning AreaOrganisationsNos. NorthCommissioningNHS Commissioning Board (NHSCB) with national, regionaland area teams (ATs) operating within a single operating model.NHSCB will be a non departmental public body and also host a range ofbodies including clinical networks and senates, NHS Leadership Academy and CSUs. It will have responsibility for some direct commissioningClinical commissioning groups (CCGs)Commissioning Support Units (CSUs)NHS CB1 region9 ATs68CCGs (23 YH)8 CSUsProvisionNHS Trusts and NHS Trust Development Authority (NTDA)Foundation Trusts (FTs)Public HealthPublic Health EnglandPublic health teams to Local AuthoritiesLAsHealth & Wellbeing Boards to produce needs assessment and health and wellbeing strategy and promote integration50Information and InvolvementHealthwatch (hosted by LAs)Ten-year framework for transforming information for the NHS, publichealth and social care. Health and Social Care Information CentreWorkforceHealth Education EnglandLocal Education and Training Boards
4Commissioning (NHSCB) NHS Commissioning BoardExecutive Non-Departmental Public Body with a mandate from Department of Health to improve outcomes through the total £80bn commissioning budget1 National Support Centre, 4 Regional Teams and 27 Local Area TeamsResponsible forOversight and development of the commissioning systemDirect commissioning responsibility for primary care commissioning, offender health, military health, specialised commissioning and some screening programmesSets key frameworks – outcomes, accountability, choice and emergency preparednessOne national single operating modelHosts some key bodies e.g. Clinical Senates
5NHS CB Area Teams - 9 in the North, 27 nationally The following area teams in the north will be responsible for:specialised commissioning• Cumbria, Northumberland, Tyne and Wear• South Yorkshire and Bassetlaw• Cheshire, Warrington and Wirralmilitary healthNorth Yorkshire & Humberoffender healthWest YorkshireLancashireDurham, Darlington and Tees
6LAT roles and functions All ATs will have the same core functions around:CCG development and assuranceemergency planning, resilience and responsequality and safetypartnershipsconfigurationsystem oversightcommissioning primary careThere will be variations around the scope of direct commissioning responsibilities:10 local area teams leading on specialised commissioning across England;smaller number of local areas teams carrying out the direct commissioning of other services such as military and prison health;hosting clinical senates and networks.
7Clinical Senates and networks Clinical Senates will work with clinical networks to provide clinical advice at the strategic level4 national strategic clinical networks:cancerchildren and maternitymental healthCVDPlus other operational networks
8Health and well being boards (HWB) Each upper-tier authority in England is required to form a health and wellbeing board as a local authority committee (15 in Y&H, 50 in north)The HWB aim is to improve integrated working between local health care, social care, public health and other public services so that patients and service users experience more joined-up care, particularly in the transition between health and social care.Determine local priorities (JSNA and joint health and wellbeing strategy) and have oversight of their delivery.Joint strategy will then inform the commissioning plans of Local Authorities and CCGs. This shared strategic view should ensure coordination of commissioning for local people.
9Regional Team structure (x1 in north) DirectorDirector of HR and OD(2 WTE staff)Director for Patients and Information(8 WTE staff)Medical Director’s Team(8 WTE staff)Chief Nurse’s Team(8 WTE staff)Finance Director’s Team(11 WTE staff)Director of Operations & Delivery Team(9 WTE staff)Commissioning Director’s Team(13 WTE staff)Embedded national support centre HR, P&I and analytics staff will support both local area and regional teams.
10Area Team structure (x9 in north) Area DirectorMedical Director’s Team(11-26 WTE staff*)Nurse Director’s Team(9 WTE staff)Finance Director’s Team(13-19 WTE staff*)Director of Operations and Delivery Team(9 WTE staff)Commissioning Director’s Team(25-56 WTE staff*)Team sizes are dependent on the direct commissioning responsibilities of the Local Area Team and whether they host clinical senates/networks.
11Commissioning (CCGs) CCGs Power and responsibility for commissioning the majority of services for local people £60bn nationally68 in the North (23 in Y&H) and 212 nationallyClinically ledMembership organisations made up of constituent GP practices£25 per head of population running cost allowanceBuy in support from CSUs (provided by NHS or non-NHS)CCGs will be assessed against their progress on nationally set clinical outcomes plus delivering constitution within budget
12Commissioning (CSUs) Commissioning Support Units (CSUs) Provide range of support services to CCGs7 CSUs in the North, 23 nationallyCustomer supplier relationship for services such as:-Health needs assessmentService redesignBusiness intelligenceComms and Patient & Public EngagementContracting and procurementBack office services such as payrollSome services at scale – comms, Business Intelligence, clinical procurement and back office (meaning that some CSUs will provide to others)Initial hosting by NHSCB until 2016 at the latestCommercially minded and customer focussed organisations required to cover costs through income from customers (CCGs and NHSCB and potentially others)
13CSU and CCG configuration North East & Cumbria13 CCGsPopulation 3.1mNorth Yorkshire & the Humber8 CCGsPopulation 1.75mLancashire8 CCGsPopulation 1.1mWest Yorkshire10 CCGsPopulation 2.4mSouth Yorkshire & Bassetlaw5 CCGsPopulation 1.5mCheshire, Wirral,Warrington & Merseyside12 CCGsPopulation 2.9mGreater Manchester12 CCGsPopulation 2.6m
14Clinical Commissioning Groups 68 CCGs in the North(212 in the whole country)13 in North East23 in Yorks and Humber32 in North West
15Clinical Commissioning Groups – Yorkshire and the Humber
16Who’s who in the regional and area teams Team DirectorMedical DirectorDirector of NursingFinance DirectorDir of CommissioningDir of Ops and DeliveryDirector of HR and ODDir Patients and Info.North Regional TeamRichard BarkerDr Mike BewickGill HarrisTim SavageDr Julie HigginsJon DevelingSally BainesTo be appointedWest YorkshireMike Potts (interim)Dr Damian RileySue CannonIan CurrellAlison KnowlesElaine WyllieSouth Yorkshire & BassetlawAndy BuckDr David BlackMargaret KitchingSteve HackettEleri de GilbertBrian HughesNorth Yorkshire & HumberChris LongDr Paul TwomeyJo CoombsJon SwiftJulie WarrenMatt Neligan
17Who’s who in clinical commissioning groups (CCGs) #1 Area TeamCCG NameWebsiteChairAccountable OfficerCumbria, Northumberland, Tyne & WearCumbria CCGDr Hugh ReeveNigel MaguireNewcastle North & East CCGDr Relton CummingsMark AdamsNewcastle West CCGDr Guy PilkingtonDavid ThorneGateshead CCGDr Mark DornanNorth Tyneside CCGDr Jane WeatherstoneMaurya CushlowNorthumberland CCGDr Alistair BlairJulie RossSouth Tyneside CCGDr Matthew WalmsleyDavid HambletonSunderland CCGDr Ian PattisonDavid GallagherDurham, Darlington & TeesDarlington CCGDr Andrea JonesMartin PhillipsDurham Dales, Easington & Sedgefield CCG_Dr Stewart FindlayHartlepool & Stockton-on-Tees CCGDr Boleslaw PosmykAlison WilsonNorth Durham CCGDr Neil O'BrienNicola BaileySouth Tees CCGDr Henry WatersAmanda HumeWest YorkshireLeeds South and East CCGDr Andrew HarrisMatt WardLeeds West CCGDr Gordon SinclairPhilomena CorriganLeeds North CCGDr Jason BrochNigel GrayBradford City CCGDr Akram KhanHelen HirstBradford Districts CCGDr Andrew WithersAiredale, Wharfedale & Craven CCGDr Colin RenwickDr Philip PueCalderdale CCGDr Alan BrookDr Matt WalshGreater Huddersfield CCGDr Steve OllertonCarol McKennaNorth Kirklees CCGDr David KellyChris DowseWakefield CCGDr Phillip EarnshawJo WebsterNorth Yorkshire & HumberHull CCGDr Tony BanerjeeEmma LatimerEast Riding of Yorkshire CCGDr Gina PalumboJane Hawkard (Designate)North East Lincs CCGMark WebbNorth Lincolnshire CCGDr Margaret SandersonAllison Cooke (Designate)Harrogate & Rural District CCGDr Alistair IngramAmanda BloorScarborough and Ryedale CCGDr Phil GarnettSimon CoxHambleton, Richmondshire & Whitby CCGDr Vicky PleydellVale of York CCGDr Mark Hayes
18Who’s who in clinical commissioning groups (CCGs) #2 South Yorkshire & BassetlawBarnsley CCGDr Nick BalacMark WilkinsonBassetlaw CCGDr Steve KellPhil MettamDoncaster CCGDr Nick TupperChris StainforthRotherham CCGDr David ToothChris EdwardsSheffield CCGDr Tim MoorheadIan AtkinsonCWWNHS Eastern Cheshire CCGDr Paul BowenJerry HawkerNHS Vale Royal CCGDr Jonathan GriffithsSimon WhitehouseNHS South Cheshire CCGDr Andrew WilsonNHS Warrington CCGDr Andrew DaviesDr Sarah BakerNHS West Cheshire CCGDr Huw Charles-JonesAlison LeeNHS Wirral CCGwwww.wirral.nhs.ukDr Phil JenningsDr Abhiganda MantganiGtr McrNHS Wigan Borough CCGDr Tim DaltonTrish AndersonNHS Bolton CCGDr Wirin BhatianiSusan LongNHS Bury CCGDr Kiran PatelStuart NorthNHS Heywood, Middleton & Rochdale CCGDr Chris Duffy (Designate)Lesley MortNHS North Manchester CCGMartin WhitingSimon WoottonNHS Central Manchester CCGDr Mike Eeckelears (Designate)Ian WilliamsonNHS South Manchester CCGDr Bill TamkinCaroline KurzejaNHS Oldham CCGDr Ian WilkinsonDenis GizziNHS Salford CCGDr Hamish StedmanAlan CampbellNHS Stockport CCGJane CrombleholmeDr Ranjit Gill CO Gaynor MullinsNHS Tameside and Glossop CCGDr Raj Patel (Interim)Steve AllinsonNHS Trafford CCGDr Kath SuttonDr Nigel Guest (Interim)LancsNHS Blackburn with Darwen CCGJoe Slater (Lay Chair)Dr Chris Clayton COO Debbie NixonNHS Blackpool CCGRoy FisherDr Amanda Doyle COO David BonsonNHS Greater Preston CCGDr Ann BowmanJan LedwardNHS Chorley and South Ribble CCGDr Gora BangiNHS West Lancashire CCGDr John CaineMike MaguireNHS East Lancashire CCGDiane Van RuitenbeekDr Mike Ions COO Tim MansfieldNHS Lancashire North CCGDr Alex GawAndrew BennettNHS Fylde and Wyre CCGMike NilandDr Tony Naughton COO Peter TinsonMerseyNHS St Helens CCGWilliam GuestDr Steve Cox Clinical AONHS Halton CCGDr Cliff RichardsSimon BanksNHS Knowsley CCGDr Andy PryceDianne JohnsonNHS Liverpool CCGDr Nadim FazlaniKatherine SheerinNHS South Sefton CCGDr Clive ShawFiona ClarkNHS Southport and Formby CCGDr Niall Leonard