1. The vision for World Class Commissioning

2. The programme Vision and competencies Assurance framework Support and development framework

3. Vision

4. Why now? We have the foundations in place to dramatically Improve health outcomes Universal coverage Efficiency Equity/ Fairness Financial balance WCC will be the main vehicle for delivering world class services which meet locally determined health needs, and deliver wider policy objectives – for example Lord Darzi Review

5. Why world class? World-class commissioning is a statement of intent aimed at raising ambitions and dramatically transforming the way we work

6. What will it deliver? Better health and well-being for all Better care for all Better value for all Adding life to years And years to life

7. Strategic Long-term Outcome-driven Evidence-based Partnership-focused Clinically led Highly professional How is it different?

8. How will it support the NHS vision? It will deliver : More focus on prevention and well-being More personalised care Greater choice Greater safety Better quality Better value

9. How has it been developed? World class commissioning is a shared programme Input from over 100 leading NHS thinkers Questionnaires to seek broader views Open working style Close engagement with partners

10. How will it be delivered? Delivered locally PCTs will lead the program Clinical engagement and innovation will drive improved outcomes Partnership is key to success

11. What is the role of PBC? Clinical engagement essential Key role for PBC Assessing local needs Helping decide priorities Helping shape outcomes Designing care Developing future services Giving feedback on provider performance

12. Competencies

13. What are competencies? Competencies are the skills, knowledge, behaviour and characteristics that underpin effective commissioning

14. What are the competencies for world class commissioners? World Class Commissioners: Locally lead the NHS

15. What are the WCC competencies? World Class Commissioners: Work closely with community partners Engage with public and patients Collaborate with clinicians

16. World Class Commissioners: Manage knowledge and assess needs Prioritise investment What are the WCC competencies?

17. World Class Commissioners: Stimulate the market Promote innovation and improvement

18. What are the WCC competencies? World Class Commissioners: Secure procurement skills Manage the local health system Make sound financial investments

19. What will the competencies look like? Each competency will be broken down into Skills Processes and knowledge Outputs

20. World class commissioning is NOT an end in itself. In order to be successful, commissioners will need to demonstrate better health outcomes; adding life to years and years to life

21. Commissioning assurance

22. What is commissioning assurance? A system to drive and support performance Key principles: One national system Developmental SHA led

23. What will it look like? Health outcomes and quality Competencies Governance

24. 10-15 Indicators Vital signs Example Population ‘x’ NHS Upper Quartile Best NHS World Leading e.g. Chronic Heart Disease Determined by: PCT, PBC, Local Population Stretch target PBC’s drive innovation to deliver

25. Support and development framework

26. What is the Support and Development Framework? A framework to provide commissioners with the tools they need to progress towards world class

27. Support and development LEARN Development assessment Development/ training SHARE Creation of a commissioning community Early adopters learning spread SHARE FESC Tools to support contracting BUY

28. How is it measured Strategic Plan, Five Year Financial Plan, OD Plan Annual Operating Plan Local Area Agreement Joint Strategic Needs Assessment Communications Strategy PBC Governance Provider Contracts

29. How is it measured Pathway Redesign Provider performance report Board Self Certification Competency Self Assessment PANEL REVIEW DAY