1. ‘Commissioning for patient safety’ Dr Liz Herring Director of nursing, quality & development April 2015

2. North Durham clinical commissioning group Member Organisations

3. Clinical commissioning responsibilities Acute provision Community provision Mental health & learning disabilities Children (5+) & young people Transport Primary Care

4. The role of clinical commissioners Setting local quality standards, including patient safety Measuring local and national quality standards Supporting quality and safety improvements Driving up quality and patient safety in primary care Ensuring quality and patient safety across commissioned health care providers Driving up quality and patient safety, with local authority colleagues in Care Homes Patient experience & safety & staff value

5. The ‘systems’ we operate across Public & patients Clinicians & Providers Member practices & NHS England Local Authority CCG & CCG neighbours

6. Our clinical quality commissioning assurance framework

7. Commissioning levers  Commissioning for quality innovation  Local quality requirements of the NHS contract (Schedule 4)  Commissioning for outcomes - service specifications  Quality Accounts  Impact assessment of cost improvements  Learning from beyond our own lessons Going to see for ourselves

8. The reality… Data Observation Experience Are we data rich, intelligence poor?

9. Patient Safety: we are in it together… Effective relationships are the glue Making the best use of commissioning levers Bringing all players to the table Establishing common purpose Accessing expertise Holding people & organisations to account Seeing the world from the viewpoint of the patient A new social system that benefits patients Making change at scale Holding ourselves to account

10. Dr Liz Herring Director of nursing, quality & development Liz.herring@nhs.net @liz1herring