1. WELCOME TO PALLIATIVE CARE MANAGED CLINICAL NETWORK EVENT JO COOMBS DIRECTOR OF NURSING AND PATIENT CARE/ LEAD COMMISSIONING DIRECTOR FOR EoL

2. STRATEGIC CONTEXT WORLD CLASS COMMISSIONING (WCC) WCC Competencies Locally lead the NHS Work with community partners Engage with public and patients Collaborate with clinicians Manage knowledge and assess needs Prioritise investment Stimulate the market Promote improvement and innovation Secure procurement skills Manage the local health system Make sound financial investments

3. COMMISSIONING STRATEGY Addressing health inequalities and driving up quality Maternity and Children’s services Health Improve ment & pre- vention Developing integrated care models to meet individual need Mental health and learning disability services Primary and community care Maternity And newborn Children’s services Staying healthy Long term conditions AcutePlanned care End of life care Mental health Learning disabilities Primary and community care ObesityStroke

4. END OF LIFE CARE FOR ADULTS –PCT commissioning priority (2007) –End of Life Review (2008) –Darzi – NHS Next Stage Review –Healthy Ambitions – NHS Yorkshire and Humber –PCT Strategic Plan 2008-2013 (draft)

5. COMMISSIONING INTENTIONS Build on excellent work to date -Good specialist services -Good palliative care services (but not consistent) -Clinical engagement (palliative care) -Good patient and family experience (cancer care) Go beyond this -Improved patient and family experience -Good palliative care for all conditions -Effective pathways cover health and social care -Importance of generalists and specialists -Across all care settings -Consistency in care and addressing inequalities