The vision for World Class Commissioning

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Vision and competencies

Assurance framework

Support and development framework

Vision

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

Why world class?World-class commissioning is a statement of intent

aimed at raising ambitions and

dramatically transforming the

way we work

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

• Strategic• Long-term• Outcome-driven• Evidence-based• Partnership-focused• Clinically led• Highly professional

How is it different?

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

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

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

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

Competencies

What are competencies?

Competencies are the skills,

knowledge, behaviour and characteristics

that underpin effective commissioning

What are the competencies for world class commissioners?

World Class Commissioners:• Locally lead the NHS

What are the WCC competencies?

World Class Commissioners:• Work closely with community

partners• Engage with public and patients• Collaborate with clinicians

World Class Commissioners:

• Manage knowledge and assess needs

• Prioritise investment

What are the WCC competencies?

What are the WCC competencies?

World Class Commissioners:

• Stimulate the market• Promote innovation

and improvement

What are the WCC competencies?

World Class Commissioners:• Secure procurement skills• Manage the local health system• Make sound financial investments

What will the competencies look like?

Each competency will be broken down into

•Skills•Processes and knowledge•Outputs

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

Commissioning assurance

What is commissioning assurance?

• A system to drive and support performance

• Key principles:• One national system• Developmental• SHA led

What will it look like?

Health outcomesand quality

Competencies

Governance

10-15Indicators

Vital signs

Example

Population ‘x’

NHSUpper Quartile

BestNHS

WorldLeading

e.g. Chronic Heart Disease

Determined by:PCT, PBC,Local Population

Stretch target

PBC’s drive innovation to deliver

Support and developmentframework

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

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

How is it measured Strategic Plan,Five Year Financial Plan, OD PlanAnnual Operating PlanLocal Area AgreementJoint Strategic Needs AssessmentCommunications StrategyPBC GovernanceProvider Contracts

How is it measured Pathway RedesignProvider performance reportBoard Self CertificationCompetency Self AssessmentPANEL REVIEW DAY