New Commissioning Arrangements A presentation for Health and Social Services Councils Edmond McClean Area Director of Commissioning (Designate) Health.

New Commissioning Arrangements

A presentation for Health and Social Services Councils

Edmond McCleanArea Director of Commissioning (Designate)

Health & Social Services AuthorityMarch 2007

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

Creating a New Health and Social Care System

New Systems: Devolved commissioning Performance management Finance Public and social health development Workforce and staff development

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

Commissioning

General Principles: Primacy of commissioning: separate from provision Devolved system: Regional standards in a local context Community focus Strong leadership and engagement Effective governance and accountability arrangements Performance and outcome focussed Capability enabled

Commissioning

Organisational Arrangement:

Health & Social Services Authority (HSSA) Local Commissioning Groups (7) Community Commissioning Associations Functional support to LCGs and CCAs

NHSSB = Red and greenWHSSB= Purple and PinkSHSSB = TurquoiseEHSSB = Blue and Yellow

A Local Commissioning Group is

Committee of the 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

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 Deliver health and social care targets Develop Community Commissioning

Associations

Benefits

Shared understanding and ownership between professionals and communities

Ability to influence and direct change Manage resources Improve performance Ability to define and develop new services

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 with delegated powers and budgets Supported and incentivised to deliver real

change

Functional Support to LCG and CCAs

Finance, information, contracting, public health, social care, modelling and analysis, performance monitoring 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

Directors of Commissioning

Regional Director to focus on strategic planning plus commissioning of specialist services

3 Areas Directors to support LCGs & CCAs to commission services– Ensure strong functional support to LCGs & CCAs– Establish and navigate relationships with

stakeholders– Support and work in partnership with Chairs of the

LCGs

Timetable

Local Commissioning Groups by April 2007 Organisational Development programme

May, June and July 2007 Commissioner Development programme

begins August 2007 Community Commissioning pilots during

2007/8

Next steps

Local Commissioning Groups become functional and engage with stakeholders to plan for 2008/9

HSSA puts into place functional support for LCGs and CCAs

Other elements of reform programme align with commissioning – performance, service framework and financial regime as examples

Thank you for listening