1. CHIM 5 November 2008 World Class Commissioning and Diverse Providers

2. Objectives of the session To develop an awareness and understanding of what commissioning is To understand the D.O.H. approach to World Class Commissioning and why it has been introduced To understand WCC and Diverse Providers in the wider context of government policy towards the NHS To understand the implications of WCC for PCT’s and the wider NHS To consider the implications for information management

3. CHIM – 5/11/08 10.00 am – 1.00 pm 10.00Introductions Objectives of the session 10.05The WCC Quiz 10.15Presentation – NHS Policy & Structure 10.30Group Work 1 11.15Feedback 11.30Presentation – World Class Commissioning and Diverse Providers 12.00Group Work 2 12.30Feedback 12.50Review

4. NHS Annual Spend 2007/08£104 billion Employs1.3 million staff 10 SHAs 152PCTs 262Hospital Trusts 1.5million patient contacts/day

5. Where taxpayer’s money is spent

6. NHS Key Issues How do you improve efficiency quality within budget In context of -Increasing no.s of elderly -Improvements in medical technology

7. Structure of the NHS Parliament Sec. Of State D.o.H. S.H.A. TrustsPCTs £ Parliament Sec. Of State D.o.H. S.H.A. Foundation Trusts PCTs £ Board of Governors Members Regulator BeforeAfter

8. North East North West Yorkshire and The Humber East Midlands West Midlands East of England London South East Coast South Central South West

10. What are Primary Care Trusts? PCTs are responsible for: -ensuring people can get access to treatment when they are ill -improving health and well being PCTs receive funding from the Department of Health via weighted capitation. This is around £1,560 per capita, eg Newcastle PCT = £428.4m, and then they: 1.Identify the local health needs of their population 2.Receive guidance on national priorities and policies from DH 3.Commission service provision to meet population needs and meet national requirements 4.Establish LBC and SLAs based on activity required, funding levels and quality standards 5.Manage LBC and SLA contracts through Performance Management Systems to make sure they are delivered as planned

11. NHS North of Tyne

12. Group Work 1.Look at the slide – ‘Where the £1.2 billion goes’ What % of total spend goes on Secondary Care? What % of total spend goes on Primary Care? What % of total spend goes on PCT provider services? Why is the money spent in this way? How do you think the PCT has decided to spend these sums of money on these services?

13. Group Work 2.What is Commissioning? Discuss and come up with an agreed definition