Presentation on theme: "Health and Justice Commissioning"— Presentation transcript:
1 Health and Justice Commissioning Kevin HeffernanTelford Conference June 2013
2 CRISIS Opportunity for Personal Growth Danger/risk and Adversity Characters representCRISISDanger/riskand AdversityOpportunity forPersonal Growth
3 NHS EnglandNHS England are playing a key role in the Government’s vision to modernise the health service with the key aim of securing the best possible health outcomes for patients by prioritising them in every decision it makes.Formally established as the NHS Commissioning Board on 1 October 2012, NHS England is an independent body at arm’s length to the Government.Over the past decade, the role of commissioning, as a key driver of quality, efficiency and outcomes for patients, has become increasingly important to the health system in England.
4 NHS EnglandAt its simplest, commissioning is the process of planning, agreeing and monitoring services. However, securing services is much more complicated than securing goods and the diversity and intricacy of the services delivered by the NHS is unparalleled.Commissioning is not one action but many, ranging from the health-needs assessment for a population, through the clinically based design of patient pathways, to service specification and contract negotiation or procurement, with continuous quality assessment.The NHS commissioning system was previously made up of primary care trusts and specialised commissioning groups. Most of the NHS commissioning budget is now managed by 211 clinical commissioning groups (CCGs). These are groups of general practices which come together in each area to commission the best services for their patients and population.
5 NHS England - CCG’s – CSU’s - PHE CCGs and NHS England are supported by new commissioning support units (CSUs). Their role is to carry out:Transformational commissioning functions, such as service redesign; andTransactional commissioning functions, such as market management, healthcare procurement, contract negotiation and monitoring, information analysis and risk stratification.Commissioning of public health services is undertaken by Public Health England (PHE) and local authorities, (although NHS England will commission, on behalf of PHE, some of the public health services delivered by the NHS)
6 NHS England A single operating model 1 Chief Executive and a central head office4 Regional Area Teams (Midlands and East of England, North of England, South of England and London)27 local Area Teams (A.T.s) across England ( 3 in the West Midlands)10 A.T.s will undertake health and justice commissioning (Shropshire and Staffordshire A.T. lead for West Midland region)211 Clinical commissioning groups (CCG’s) of which 21 are in the West Midlands
7 West Midlands Commissioning Structure Shropshire and Staffordshire Area Team)Arden Hereford and WorcestershireArea TeamBirmingham , Solihull and the Black Country Area TeamLeading on Health and JusticeSeparate offender and victim focused commissioningMaintain links with locality- police, third sector, LA
8 The Single Operating Model “A single approach for agreeing what will be commissioned, to what standard within available resources”“To move away from regionally and locally isolated commissioning to a clear and consistent national approach, with national standards based on the best available evidence to ensure efficient provision of care, and improved health outcomes.”
9 Commissioning Arrangements for Health and Justice NHS EnglandSexual Assault Referral CentresOffender Healthcare in custodial settingsLiaison and Diversion (national projects)CCGsAcute paediatric services.Healthcare provided to offenders who are in the community (including locally developed police and court diversion schemes)Emergency care services for offenders.Local AuthoritiesOpen access sexual health and genitourinary medicine (GU) clinics.Ongoing support and social care for victims of assault (including part funding ISVAs)Public health services for offenders not in detentionSubstance misuse servicesPoliceFME input (until proposed transfer to the NHS)Home OfficeIndependent Sexual Violence Advisors (ISVAs) – part funded with L.A.s
10 Commissioning Arrangements for Health and Justice Some of the many forums we come together in as collaborating agenciesHealth and Well-being boardsHealthcare partnership boards (Police)Mental Health expert reference groupsIntegrated Offender Health regional/national forumsSARC strategic management boards
11 Settings for the WM Health and Justice team PrisonsPolice ForcesSARCsDiversion SchemesBrinsfordStoke HeathStaffordshireCobridgeBirminghamDrake HallWest MidlandsNorth Staffs (A)DovegateLong LartinWest MerciaWalsallWarwickshireFeatherstoneHewellNuneatonSandwell x2OakwoodBransfordWolverhampton (Y)StaffordWellingtonStaffordshire (Y)Swinfen HallWerrington
12 NHS England - work to date with you Early adopter programme (Healthcare in police custody) – Honest broker’sPrimecare contract – Not business as usualIT requirementsMH and LD screeningA and E protocolsImproved clinical governance (e.g. complaints)Increased use of Primecare’s care coordination centreTop 100 frequent flyers – a collaboration between police, healthcare provider and L and D projects (e.g. Stoke MH diversion project and Primecare)Being a gateway into complex health systems. e.g. medical statements
13 This is not just about danger, risk and adversity….it’s about We now have the new structures, we have a willingness, a commitment and passion to make a real positive difference for those vulnerable people we connect with who have a mental health distress along the offender health pathwayThis is not just about danger, risk and adversity….it’s aboutOpportunity!
14 NHS England Contact Details West Midland Health and Justice Commissioning TeamHead of Health & Justice CommissioningSarah ForrestKevin HeffernanOffender Health project managerLynda ParkesOffender Health Commissioning managerBecki HipkinsOffender Health project managerChris RandallOffender Health Commissioning manager