Presentation on theme: "Richard Armstrong Head of Primary Medical Care Contracting Department of Health."— Presentation transcript:
Richard Armstrong Head of Primary Medical Care Contracting Department of Health
Practice-led Commissioning What is it ? Why Legal Framework Mechanics
Government Policy Themes Decentralisation STBoP Foundation Trusts Care/Children Trusts Systems Reform nGMS/nPMS Improving Performance Modernisation Agency/SHAs CHAI/Star ratings Improvement Plans
PCTs: The challenges Delivering the LDP Access NSFs Other National priorities (Health Inequalities, Drugs etc) System Reform Choice Payment by results Foundation Trusts Secondary to primary care shift Contracting for Primary Care provision Real clinical and public engagement
PCTs: The challenges The real challenge Matching demand with capacity, whilst meeting Need!
Practice-led Commissioning WHY? Empowering & engaging clinicians Choice, Access, Payment by Results Providing clear mechanisms for accountability Allows innovation – creating plurality of provision It works
Practice-led Commissioning WHY NOT Perverse incentives Distortions and gaming Transaction costs Alienating the profession