1. Local Commissioning Groups (LCG) The Health and Social Services Authority (Designate) together with the BMA (NI) held a series of evening roadshows for GPs and other independent practitioners in January 2007. These slides are correct as at 21 st January 2007

2. Local Commissioning Groups The Health and Social Services Authority and the British Medical Association Northern Ireland David Sissling, Chief Executive Designate HSSA Mary Burrows, Director System Planning HSSA

3. Welcome and introductions Purpose Expectations Questions and answers

4. Creating a New Health and Social Care System: Objectives and Outcomes: Improved performance and quality levels Enhanced user experience Improved health and well-being New integrated models of care Motivated, dynamic workforce Value for money

5. Creating a New Health and Social Care System: New Systems: Devolved commissioning Performance management Finance Public and social health development Workforce and staff development

6. Creating a New Health and Social Care System: Enablers: Service frameworks Strong information system Effective professional leadership New organisational arrangements Enhanced public, user and staff engagement Effective planning processes

7. Commissioning General Principles: Separate from provision Devolved Regional standards Strong professional engagement Community focus Effective governance and accountability arrangements Performance and outcome focussed Capability enabled

8. Commissioning Organisational Arrangement: HSSA Local Commissioning Groups (7) Community Commissioning Associations Functional support to LCGs and CCAs

9. Belfast Inner East North West East West North East South

10. A Local Commissioning Group is: Committee of the Health and Social Services Authority (HSSA) with delegated power to commission services Primary care led with 15 members, two of which are lay people from the local community Leader and decision maker for commissioning health and social care services Accountable to the HSSA Board

11. Functions Engage and involve local people in the promotion and planning of services Redesign and improve services Secure safe and responsive services Commission public health programmes with partners to reduce health inequalities Deliver local, national and Ministerial health and social care targets

12. Benefits Involve local people in health and social care issues Ability to influence and direct change Manage resources Improve performance Ability to define and develop new services

13. To achieve success Involvement of GPs designing commissioning arrangements Preparatory year to develop expertise Commissioner development programme Professional leadership development programme Incentives

14. Specifics Each LCG has 4 GP places Chairman position is open to GPs, pharmacists, optometrists, dentists and lay applicants Chairman is the responsible individual for the LCG Members 2 days per month; Chairman 6 days per month Time commitment and remuneration to be reviewed April 2008

15. Specifics Recruitment and selection through Public Appointments Process Application form to complete Interview will be competency based Interview panel will consist of 3 members to be confirmed

16. Community Commissioning Associations Locality based commissioning Alliance of GPs, other health and social care practitioners, community and voluntary sector Commissioners for a distinct population within a LCG area Sub-committee of an LCG with delegated powers and devolved budgets Supported and incentivised to deliver real change Implementation guidance being developed for April 2007 Universal coverage

17. Functional Support to LCG and CCAs Finance, information, contracting, public health, social care, modelling and analysis, performance monitoring To be provided to LCGs and CCA from HSSA Will support not drive LCGs and CCAs Will respond to priorities, work programmes and objectives of LCGs and CCAs Will not be delivered through discrete organisational entities

18. Directors of Area Commissioning Executive Directors with portfolio of expertise such as secondary care commissioning Represent, with 5 other professional officers, the HSSA on LCGs Ensure strong functional support to LCGs & CCAs Establish and navigate relationships with stakeholders Support and work in partnership with Chairs of the LCGs

19. Timetable LCG recruitment and selection of independent contractors and lay members – January and February 2007 Appointments made March 2007 LCGs in place March - April 2007 Commissioner Development programme begins April 2007

20. Thank you for listening Comments & Questions?