1. NHS East Midlands Perspective
Andy Gregory
Assistant Director of Planning and Delivery (Primary Care)

2. Recap from April Website developed Service change template
Analysis of PBC progress
Innovation Fund
Consortia Success

3. PBC Progress 52 consortia representing over 90% practices
18 single practice PBC units
Organisational form variable – single practice to I.C.O
Clinically led redesign of services is widespread
Delays in implementation and evaluation
Competition approaches are variable
Pockets of PBC forming part of PCT Executive and influencing PCT strategy
Work on understanding clinical variation in some areas
Collaborative and consultative approaches to incentive schemes
Earned autonomy and real budgets
Variable input in to TCS and PCT strategy
Information and analytical support
Non GP input is limited

4. Does PBC still matter? Economic downturn – around 0% growth
From % efficiency year on year for the NHS until 2014
80% resource committers
Reducing clinical variation – productivity opportunities
Commissioning appropriate alternatives to traditional care
Sharing and adopting best practice
Clinicians commissioning is here to stay

5. Raising the profile of PBC
World Class Commissioning 09/10
New surveys
PBC Focus
Refresh of PCT strategy
Commissioning Intentions – clinical / PBC involvement
SHA/PCT Quarterly Reviews
SHA visits to consortia
A vision/strategy for PBC regionally and within health communities that maximises the impact of PBC / Clinical Commissioning

6. Key Messages Actively share successes and challenges
Adopt and mainstream successes
Increase clinical influence in PCT strategy and decision making
Focus on high impact initiatives

7. Questions?
What can the SHA do to develop PBC further?