1. Co-drivers and co-design:
Commissioning for outcomes with patients and carers
Macmillan Cancer Support in partnership with…
Sharon King – Head of TCEOLC Programme
Paul Giles – Patient and Procurement Champion
Maggie Matthews – Patient and Procurement Champion
Jo Judges – Strategic Partnership Manager
Anna Lynall – Engagement Co-ordinator

2. WiFi name: WifiLoveMCR Password: internet Join the conversation on Twitter using #DrivingChange

3. Working in partnership

4. Programme timeline

5. The context

6. In the beginning Local context Understanding the issues:
National context – National Cancer Strategy and NHS Five Year Forward View
Aspirational
Challenging but achievable
Appealing to the market
Understanding the issues:
Public Engagement
Clinical Engagement
Commissioner perspective – shared vision
Bringing it all together
Co-design of the outcomes framework

7. Maggie’s story
The mobile unit was in my hometown of Leek at that time and I went along for a test
Three months after my breast operation it was apparent that something new was happening. 
At each hospital visit I drew attention to this and it took 9 months for someone to listen - they then sent me for a biopsy which confirmed Morphea - No one knew what to do! I sat there in silence, tears dripping down my chin
When my consultant came back from maternity leave I saw her and I cried. I was so relieved to see her

8. “Systems are not joined up and it is too easy to fall through gaps
“Systems are not joined up and it is too easy to fall through gaps. My husband says he wonders what would happen to someone who wasn’t as confident as I am and didn’t have the support that I have.”

9. Rewards and challenges of co-production with patients and carers
No blue print
Applying learning on the job
Long process of co-design
Media attention
The pause – keeping momentum

10. Rewards Person-centred – fit for purpose Real-time feedback
Wealth of experience
Patient accountability

11. Outcomes based commissioning
“Patient champions are patients (current and former), carers, bereaved people and members of the public who care about the future of cancer and end of life services in Staffordshire and Stoke-on-Trent. We have experience of the current system and recognise the need for a radical change in the way services are co-ordinated.”

12. Overarching domains – cancer care

13. Overarching domains – end of life care

14. Our learning Commissioners and patients working together
Need to define the role of patients clearly
No blue print
Applying learning ‘on the job’
Long process to develop and co-design
Responding to a changing NHS landscape
Uniting Care reviews

15. Next steps
Cancer procurement – evaluation completed, contract not awarded, as the bidder did not meet the required evaluation criteria
Develop a revised plan to deliver the objectives through the Staffordshire and Stoke-on-Trent Sustainability and Transformation Plan and West Midlands Cancer Alliance
Complete the end of life procurement process
Ongoing patient engagement and involvement
Establish a new board for cancer and recruit patient representatives as members

16. Contact details for presenters
Sharon King:
Anna Lynall:
Jo Judges: