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Who’s who in the new commissioning landscape

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Presentation on theme: "Who’s who in the new commissioning landscape"— Presentation transcript:

1 Who’s who in the new commissioning landscape
Tim Barton, NHS North of England 28 February 2013

2 The 2013 health and care system

3 The 2013 health landscape Commissioning
Area Organisations Nos. North Commissioning NHS Commissioning Board (NHSCB) with national, regional and area teams (ATs) operating within a single operating model. NHSCB will be a non departmental public body and also host a range of bodies including clinical networks and senates, NHS Leadership Academy and CSUs. It will have responsibility for some direct commissioning Clinical commissioning groups (CCGs) Commissioning Support Units (CSUs) NHS CB 1 region 9 ATs 68CCGs (23 YH) 8 CSUs Provision NHS Trusts and NHS Trust Development Authority (NTDA) Foundation Trusts (FTs) Public Health Public Health England Public health teams to Local Authorities LAs Health & Wellbeing Boards to produce needs assessment and health and wellbeing strategy and promote integration 50 Information and Involvement Healthwatch (hosted by LAs) Ten-year framework for transforming information for the NHS, public health and social care. Health and Social Care Information Centre Workforce Health Education England Local Education and Training Boards

4 Commissioning (NHSCB)
NHS Commissioning Board Executive Non-Departmental Public Body with a mandate from Department of Health to improve outcomes through the total £80bn commissioning budget 1 National Support Centre, 4 Regional Teams and 27 Local Area Teams Responsible for Oversight and development of the commissioning system Direct commissioning responsibility for primary care commissioning, offender health, military health, specialised commissioning and some screening programmes Sets key frameworks – outcomes, accountability, choice and emergency preparedness One national single operating model Hosts some key bodies e.g. Clinical Senates

5 NHS 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 Wirral military health North Yorkshire & Humber offender health West Yorkshire Lancashire Durham, Darlington and Tees

6 LAT roles and functions
All ATs will have the same core functions around: CCG development and assurance emergency planning, resilience and response quality and safety partnerships configuration system oversight commissioning primary care There 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.

7 Clinical Senates and networks
Clinical Senates will work with clinical networks to provide clinical advice at the strategic level 4 national strategic clinical networks: cancer children and maternity mental health CVD Plus other operational networks

8 Health 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.

9 Regional Team structure (x1 in north)
Director Director 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.

10 Area Team structure (x9 in north)
Area Director Medical 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.

11 Commissioning (CCGs) CCGs
Power and responsibility for commissioning the majority of services for local people £60bn nationally 68 in the North (23 in Y&H) and 212 nationally Clinically led Membership organisations made up of constituent GP practices £25 per head of population running cost allowance Buy 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

12 Commissioning (CSUs) Commissioning Support Units (CSUs)
Provide range of support services to CCGs 7 CSUs in the North, 23 nationally Customer supplier relationship for services such as:- Health needs assessment Service redesign Business intelligence Comms and Patient & Public Engagement Contracting and procurement Back office services such as payroll Some 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 latest Commercially minded and customer focussed organisations required to cover costs through income from customers (CCGs and NHSCB and potentially others)

13 CSU and CCG configuration
North East & Cumbria 13 CCGs Population 3.1m North Yorkshire & the Humber 8 CCGs Population 1.75m Lancashire 8 CCGs Population 1.1m West Yorkshire 10 CCGs Population 2.4m South Yorkshire & Bassetlaw 5 CCGs Population 1.5m Cheshire, Wirral, Warrington & Merseyside 12 CCGs Population 2.9m Greater Manchester 12 CCGs Population 2.6m

14 Clinical Commissioning Groups
68 CCGs in the North (212 in the whole country) 13 in North East 23 in Yorks and Humber 32 in North West

15 Clinical Commissioning Groups – Yorkshire and the Humber

16 Who’s who in the regional and area teams
Team Director Medical Director Director of Nursing Finance Director Dir of Commissioning Dir of Ops and Delivery Director of HR and OD Dir Patients and Info. North Regional Team Richard Barker Dr Mike Bewick Gill Harris Tim Savage Dr Julie Higgins Jon Develing Sally Baines To be appointed West Yorkshire Mike Potts (interim) Dr Damian Riley Sue Cannon Ian Currell Alison Knowles Elaine Wyllie South Yorkshire & Bassetlaw Andy Buck Dr David Black Margaret Kitching Steve Hackett Eleri de Gilbert Brian Hughes North Yorkshire & Humber Chris Long Dr Paul Twomey Jo Coombs Jon Swift Julie Warren Matt Neligan

17 Who’s who in clinical commissioning groups (CCGs) #1
Area Team CCG Name Website Chair Accountable Officer Cumbria, Northumberland, Tyne & Wear Cumbria CCG Dr Hugh Reeve Nigel Maguire Newcastle North & East CCG Dr Relton Cummings Mark Adams Newcastle West CCG Dr Guy Pilkington David Thorne Gateshead CCG Dr Mark Dornan North Tyneside CCG Dr Jane Weatherstone Maurya Cushlow Northumberland CCG Dr Alistair Blair Julie Ross South Tyneside CCG Dr Matthew Walmsley David Hambleton Sunderland CCG Dr Ian Pattison David Gallagher Durham, Darlington & Tees Darlington CCG Dr Andrea Jones Martin Phillips Durham Dales, Easington & Sedgefield CCG _ Dr Stewart Findlay Hartlepool & Stockton-on-Tees CCG Dr Boleslaw Posmyk Alison Wilson North Durham CCG Dr Neil O'Brien Nicola Bailey South Tees CCG Dr Henry Waters Amanda Hume West Yorkshire Leeds South and East CCG Dr Andrew Harris Matt Ward Leeds West CCG Dr Gordon Sinclair Philomena Corrigan Leeds North CCG Dr Jason Broch Nigel Gray Bradford City CCG Dr Akram Khan Helen Hirst Bradford Districts CCG Dr Andrew Withers Airedale, Wharfedale & Craven CCG Dr Colin Renwick Dr Philip Pue Calderdale CCG Dr Alan Brook Dr Matt Walsh Greater Huddersfield CCG Dr Steve Ollerton Carol McKenna North Kirklees CCG Dr David Kelly Chris Dowse Wakefield CCG Dr Phillip Earnshaw Jo Webster North Yorkshire & Humber Hull CCG Dr Tony Banerjee Emma Latimer East Riding of Yorkshire CCG Dr Gina Palumbo Jane Hawkard (Designate) North East Lincs CCG Mark Webb North Lincolnshire CCG Dr Margaret Sanderson Allison Cooke (Designate) Harrogate & Rural District CCG Dr Alistair Ingram Amanda Bloor Scarborough and Ryedale CCG Dr Phil Garnett Simon Cox Hambleton, Richmondshire & Whitby CCG Dr Vicky Pleydell Vale of York CCG Dr Mark Hayes

18 Who’s who in clinical commissioning groups (CCGs) #2
South Yorkshire & Bassetlaw Barnsley CCG Dr Nick Balac Mark Wilkinson Bassetlaw CCG Dr Steve Kell Phil Mettam Doncaster CCG Dr Nick Tupper Chris Stainforth Rotherham CCG Dr David Tooth Chris Edwards Sheffield CCG Dr Tim Moorhead Ian Atkinson CWW NHS Eastern Cheshire CCG Dr Paul Bowen Jerry Hawker NHS Vale Royal CCG Dr Jonathan Griffiths Simon Whitehouse NHS South Cheshire CCG Dr Andrew Wilson NHS Warrington CCG Dr Andrew Davies Dr Sarah Baker NHS West Cheshire CCG Dr Huw Charles-Jones Alison Lee NHS Wirral CCG Dr Phil Jennings Dr Abhiganda Mantgani Gtr Mcr NHS Wigan Borough CCG Dr Tim Dalton Trish Anderson NHS Bolton CCG Dr Wirin Bhatiani Susan Long NHS Bury CCG Dr Kiran Patel Stuart North NHS Heywood, Middleton & Rochdale CCG Dr Chris Duffy (Designate) Lesley Mort NHS North Manchester CCG Martin Whiting Simon Wootton NHS Central Manchester CCG Dr Mike Eeckelears (Designate) Ian Williamson NHS South Manchester CCG Dr Bill Tamkin Caroline Kurzeja NHS Oldham CCG Dr Ian Wilkinson Denis Gizzi NHS Salford CCG Dr Hamish Stedman Alan Campbell NHS Stockport CCG Jane Crombleholme Dr Ranjit Gill CO Gaynor Mullins NHS Tameside and Glossop CCG Dr Raj Patel (Interim) Steve Allinson NHS Trafford CCG Dr Kath Sutton Dr Nigel Guest (Interim) Lancs NHS Blackburn with Darwen CCG Joe Slater (Lay Chair) Dr Chris Clayton COO Debbie Nixon NHS Blackpool CCG Roy Fisher Dr Amanda Doyle COO David Bonson NHS Greater Preston CCG Dr Ann Bowman Jan Ledward NHS Chorley and South Ribble CCG Dr Gora Bangi NHS West Lancashire CCG Dr John Caine Mike Maguire NHS East Lancashire CCG Diane Van Ruitenbeek Dr Mike Ions COO Tim Mansfield NHS Lancashire North CCG Dr Alex Gaw Andrew Bennett NHS Fylde and Wyre CCG Mike Niland Dr Tony Naughton COO Peter Tinson Mersey NHS St Helens CCG William Guest Dr Steve Cox Clinical AO NHS Halton CCG Dr Cliff Richards Simon Banks NHS Knowsley CCG Dr Andy Pryce Dianne Johnson NHS Liverpool CCG Dr Nadim Fazlani Katherine Sheerin NHS South Sefton CCG Dr Clive Shaw Fiona Clark NHS Southport and Formby CCG Dr Niall Leonard

19 Thank you Tim Barton NHS North of England

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