1. Local Area Teams of the National Commissioning Board Jim Gardner Medical Director NHS Lancashire

2. Commissioning Development Programme Building choice of high quality support for commissioners Design of the Chief Operating Officer’s Directorate - Identifying Staffing Structures 19 October 2012 – Final

3. National Commissioning Board 1 NCB 4 Regions 27 Local Area Teams

4. 4 Medical Director’s Team Director of Nursing Team Finance Director’s Team Director of Operations & Delivery Team Commissioning Director’s Team Business Office Regional Team structure Business office key functions small team to support the RD in leading and organising the NHS CB across the region, liaising with key external stakeholders, and supporting key briefing and (internal) communications requirements. Business Manager (AfC band 7) Senior Admin Support (AfC band 5) Admin Assistant (AfC band 4) Regional Director (VSM) Director of HR and OD (VSM) (plus team of 2 wte) Project team (5 WTE staff) – detailed on slide 10 Head of Office (AfC band 8a) Director for Patients and Information (8wte staff) Embedded national support centre HR, P&I and analytics staff will support both local area and regional teams.

5. 5 Medical Director’s Team Nurse Director’s Team Finance Director’s Team Director of Operations and Delivery Team Commissioning Director’s Team Business Office Local Area Team structure Local Area Director (VSM) A small team (3 WTE staff, AfC bands 4-7) to support the LAT Director in leading and organising the Local Area Team.

6. Functions of NCB Local Area Teams 1.Direct Commissioning 1.Independent contractors 2.Offender health 3.Veterans’ health 4.Specialised commissioning (10) 2.CCG assurance and assessment 3.A “Deep understanding of quality and safety” – Early Warning Systems: Quality Surveillance Groups 4.Relationships and partnerships across the locality 5.Emergency Preparedness, Planning, Response (EPRR) 6.Designated body for Revalidation 7.Host Senates/Strategic Clinical Networks (12)

7. Within direct commissioning teams staff will be deployed flexibly across primary care and public health commissioning based on business needs. This structure gives an indication of deployment. Details of screening and immunisations teams on following slide. Commissioning Director (VSM) Head of Primary Care AfC band 8d Primary Care Support Team 3 – 7 AfC 7 2-4 AfC 6 Mix of AfC 4&5 Clinical Leadership Team ** Contract Managers 1-4 AfC band 8b Assistant Contract Managers 1 – 6 x AfC band 8a Public Health Programme Contracts AfC band 7 Commissioning Director’s Team Some staff are funded from outside the COO budget Screening & Immunisation Team Funded by Public Health England* Support Team 2x AfC band 3 Head of Public Health AfC band 8d Public Health Commissioning Manager AfC band 8b Public Health Programme AfC band 8a All LATs will have Primary Care and Public Health responsibility. FHS staff will also report to the Commissioning Director. *Primary care team : White boxes are core staff for every LAT and the pink boxes are flexible. The total number of flexible staff will vary from 8-23 ** Resource to support LPNs and provide clinical advice to contractors. The following LATs will have Offender Health responsibility: North of England: * Durham, Darlington and Tees * Lancashire * South Yorkshire and Bassetlaw Midlands and East: * East Anglia * Hertfordshire and S. Midlands * Shropshire and Staffordshire South of England: * Bristol, North Somerset, Somerset and South Gloucestershire * Kent and Medway * Wessex London The following LATs will have Military Health responsibility: North of England: * North Yorkshire and Humber Midlands and East: * Derbyshire and Nottinghamshire South of England inc London: * Bath, Wiltshire, Swindon and Gloucestershire The following LATs will have Specialised responsibility: North of England: * Cheshire, Warrington and Wirral * Cumbria, Northumberland, Tyne and Wear * South Yorkshire and Bassetlaw Midlands and East: * Birmingham and the Black Country * East Anglia * Leicestershire and Lincolnshire South of England: * Bristol, North Somerset, Somerset and South Gloucestershire * Surrey and Sussex * Wessex London Support Team 2 x AfC 3 1x AfC 4 Senior Admin Support AfC 5 Detailed structure for offender health, military health and specialised commissioning teams provided on separate slides Specialised Commissioning Team Head of Specialised Commissioning AfC band 9 Head of Military Health AfC band 8d Military Health Team Head of Offender Health AfC band 8d Offender Health Team

8. RO functions in Designated Body Clinical leadership of the Designated Body Maintain a list of doctors: “prescribed connections” Establishment and maintenance of GMC compliant annual appraisal systems Clinical governance systems to allow feedback of clinical information and 4Cs into appraisals Performance management and ‘fitness to practice’ and Revalidation systems in place – managing concerns Make recommendations to the GMC about revalidation.

9. Relationships Health and Wellbeing Boards Patients and public Politicians Providers CCGs Regulators AHSNs LET-Bs Local Professional Networks (LPNs) LMC/LPC/LOC/LDC Research Networks Strategic Clinical Networks – Cardiovascular – Cancer – Mental Health – Maternity & children Senate(s)

10. Thank you Jim.gardner@nhs.net