NHS North West Surrey CCG Pre –Market Engagement Event 6 th February 2014

Service Opportunities Any Qualified Provider (AQP) locally commissioner service opportunities for those services formerly delivered as Local Enhanced Services via the GP contract 24hr Blood Pressure Monitoring and Minor Surgery

SASSE 13 practices (Spelthorne BC) Thames Medical 14 practices (West Elmbridge & Runnymede BCs) Woking 15 practices (Woking BC) North West Surrey Clinical Commissioning Group serves 350,000 people in 42 practices working across three localities and four boroughs. NHS North West Surrey CCG was formally established in April 2013 Our GP practices are all members of our CCG Key Facts ●Area: square kilometres (111.7 square miles) ●Population density: 5,900 per square kilometre (15,200 per square mile) ●Boundaries: Surrey Local Authority, Hounslow Local Authority, Surrey Downs CCG, Guildford & Waverly CCG, Farnham & North East Hampshire, Bracknell & Basingstoke CCH, Windsor, Ascot & Maidenhead CCG, Slough CCG, Hillingdon CCG, Hounslow CCG and Richmond CCG ●Transport routes: Main roads includes M25, M3 and A3. Main line rail connections to central London & the south of England ●Main employers: IT, Pharmaceutical & communications, wholesale & retail and construction Key Facts ●Area: square kilometres (111.7 square miles) ●Population density: 5,900 per square kilometre (15,200 per square mile) ●Boundaries: Surrey Local Authority, Hounslow Local Authority, Surrey Downs CCG, Guildford & Waverly CCG, Farnham & North East Hampshire, Bracknell & Basingstoke CCH, Windsor, Ascot & Maidenhead CCG, Slough CCG, Hillingdon CCG, Hounslow CCG and Richmond CCG ●Transport routes: Main roads includes M25, M3 and A3. Main line rail connections to central London & the south of England ●Main employers: IT, Pharmaceutical & communications, wholesale & retail and construction

We are responsible for listening to our local community to ensure we understand their needs, planning how we invest to ensure effective services, and improving local health services to enable North West Surrey people to enjoy the best possible health. What does our CCG do? Our Main Providers are Ashford & St Peters Hospitals NHS Foundation Trust Virgin Care for community health services Surrey and Borders Partnership NHS Foundation Trust for mental health and learning disability services South East Coast Ambulance Services We are responsible for commissioning Planned (often called Elective ) hospital care Rehabilitation care Urgent and emergency care Most community health services Mental health and learning disabilities We do not commission the following services, but we work closely with the relevant commissioners Primary care services – NHS England Specialist services – Specialist Commissioners Public health services – Surrey CC We work with: Patients and the public Local authorities and other stakeholders, including voluntary groups Other CCGs Other healthcare professionals 4

Our Vision To enable all North West Surrey people to enjoy the best possible health. We are seeking to transform service delivery, focused on better outcomes for patients, with decisions taken by GPs and listening to the voices of our patients and stakeholders. Our Strategic Objectives 1. Increase length of life and prevent people from dying prematurely 2. Improve quality of life and promote independence 3. Optimise the integration, quality and effectiveness of services 4. Help people recover from ill-health 5. Target spend for greatest gain and eliminate waste Our Vision

Our Core Values We are accountable to our population and our members We are open and transparent in decision making We value quality and patient experience in everything we do We value strong clinical leadership and engaged clinicians We value relationships with patients, providers and stakeholders We will promote good governance and proper stewardship of public resources in pursuance of our goals and in meeting statutory duties 6

Why are we proposing change? CCGs responsible for commissioning services to meet needs of local population NHS England responsible for Primary Care (amongst other services) Local Enhanced Services currently an adjunct to Primary Care contracts thus need to commission as local services subject to CCG control and leadership. Opportunity to align with wider strategic direction

All existing LES and Tier 2 services reviewed Multi agency steering group evaluated service and proposed route to market as appropriate Patient representative and LMC involved throughout All service specifications have been revised in the context of the emerging strategic objectives of the organisation via a clinically led sub group(s) Corporate approval gained to recommendations Designing a new service

Safe, effective, high quality services Locally accessible, convenient services Patient choice available at point of referral Innovative use of technology and service delivery models Delivery of defined outcome measures and strategic objectives What are our service aims?

Improved patient access and experience - “right care, right place, first time” High quality care in a sustainable ‘best value’ system Better clinical outcomes, delivered where possible within a ‘one stop’ pathway Greater consistency of care through improved service specifications and equality of provision across the CCG Plurality within the market to drive improvements in quality and patient experience What are the expected benefits of change?

The Government has specifically committed to extending patient choice of Any Qualified Provider (AQP) for appropriate services. AQP means that when patients are referred, usually by their GP, for a particular service, they should be able to choose from a list of qualified providers who meet NHS service quality requirements, prices and normal contractual obligations. What is Any Qualified Provider?

The following principles govern an AQP approach to contracting for services: 1.Providers qualify and register to provide services via an assurance process that tests providers’ fitness to offer NHS funded services: 2.Commissioners set local pathways and referral protocols which providers must accept. 3.Referring clinicians offer patients a choice of qualified providers for the service being referred to 4.Competition is based on quality, not price. Providers are paid a fixed price determined by a national or local tariff (where no national tariff exists). 5.Providers receive no volume guarantees and are paid on an activity basis only. The Principles of AQP

Allows the market to be as open as possible Allows both existing and new providers to enter the market Allows all qualified providers to compete for services on the basis of ‘quality’ rather than ‘price’ Facilitates better patient choice Is a ‘leaner’ process for the commissioner What are the benefits of AQP?

How to apply for AQP Status

Draft Procurement Timetable 16 StageDates Any Qualified Provider (AQP) advert published on Supply2Health 17 th February 2014 AQP submissions must be completed17 th March 2014 Assessment of submitted applications24 th March – 2 nd May 2014 AQP Provider Clarification Questions - Final Date for Request of Information 6 th May th May 2014 Providers notified of the outcome of the qualification process 27 th May 2014 Contract Award/Mobilisation2 nd June 2014 – 30 th June 2014 Service Commencement 1 st July 2014

Questions?