1. Primary Health Networks and commissioning Primary Health Networks Commissioning Master Class Friday 1 May 2015 Paul Smith Deputy Secretary Mental Health, Wellbeing, Social Capital and Ageing

2. Victorian context Public Health Services (LHNs) GPs Community health Private hospitals Private medical specialists Local government Community Service Organisations Allied health providers Partnerships Frameworks

3. What and why Commissioning? No clear, single, agreed definition of commissioning At its simplest, commissioning is the process of planning, agreeing and monitoring services…. (NHS) Aims of commissioning including: –facilitate clear lines of public accountability for performance –clarify and benchmark costs –encourage providers to respond more accurately and effectively to the needs of individuals –challenge traditional patterns of resource allocation and sectional interests –make priority decisions more explicit Be clear about what you mean when you talk about commissioning A/Prof Helen Dickinson, School of Government, University of Melbourne

4. Recommissioning in Victoria Insert image of reflection and put content in Notes pages]

5. PHNs as Commissioning bodies Build on existing data, plans, work of other parts of sector Strong engagement Acknowledge skill and judgment of practitioners Be specific about requirements, the intervention, how it can be measured to improve quality/access in the longer term Shared principles

6. Integration and working together Community Health Pharmacy Allied Health Dental Health Maternal and Child Health Specialist Services Primary Mental Health Aged Care Eg: HACC Aged Care Eg: HACC Alcohol and Drug Disability Nurse on call and district nursing Health promotion General Practice Hospitals Sub-acute services “Integrated care does not appear to evolve as a natural response to emerging care needs in any system of care whether this be planned or market-driven” Ham et al, cited in ‘The evidence for integration’ presentation by Goodwin & Smith, The Kings Fund, Nuffield Trust, 2011.

7. Working together Existing state frameworks Existing planning structures Collective responses Working across catchments Engaging with general practice

8. Population and service planning… ?Population health planning for health service delivery? ?Or population health planning for prevention? ?Or population health planning for prevention activities in health services (e.g. immunisation, screening)? State Public Health and Wellbeing Plan sets direction and identifies prevention priorities New Plan due to be released in September 2015 System wide focus for prevention Local government role – Municipal Public Health and Wellbeing Plan Victorian Population Health Survey

9. Questions?