Health/Business Planning in Primary Care
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Transcript of Health/Business Planning in Primary Care
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Health/Business Planning in Primary Care
Alan Miller
NHS Primary Care Contracting Adviser
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Session Outcomes
NHS Planning Processes
Provider Business Cases
Procurement Processes
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Understand the concept of health planning and why it is important to both PCTs and Small Business in Primary Care
Increase awareness of the range of planning processes related to PBC and Practice & Service Development and Improvement
Recognise the importance of planning within the context of income generation and service development
Describe the key elements of a business cases
Outcomes
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Imperatives for the NHS
Priorities
I: Improving the health of the population
II: Supporting people with long-term conditions
III: Access to services
IV: Patient/User Experience
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PCT Planning Process
Joint Strategic Needs Assessment Plans (JSNAs)
Local Development Plans (LDPs)
Activity Plans
Workforce Plans
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More diverse providers, with More diverse providers, with more freedom to innovate more freedom to innovate
and improve services and improve services
(supply-side reforms)(supply-side reforms)
More choice and a much More choice and a much stronger voice for patientsstronger voice for patients
(demand-side reforms)(demand-side reforms)
Money following the patients, Money following the patients, rewarding the best and most rewarding the best and most
efficient providers, giving efficient providers, giving others the incentive to others the incentive to
improve improve
(transactional reforms)(transactional reforms)
A framework of system A framework of system management, regulation and management, regulation and
decision making which decision making which guarantees safety and guarantees safety and
quality, fairness, equity and quality, fairness, equity and value for moneyvalue for money
(system management (system management reforms)reforms)
Better careBetter careBetter patient Better patient experienceexperience
Better value for moneyBetter value for money
Planning and NHS Reforms
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Major inequalities in health and wellbeing across the country
Variation in care across the country
NHS lags behind other countries on treatment outcomes
Care could be more convenient and easier to access for many
Care needs to keep pace with the expectations of citizens
Disease patterns evolve & the population is ageing
New technology and treatments
Clinical Case for Change
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Practice Business Case Development
Starting Point
Business Case Elements
Submission of Bids
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Starting Point
Advertised Service Specification
Practice Business Case Development
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Business Case Elements
Imperatives :-
demonstrate ability to meet the advertised service specifications
demonstrate a clear strategy/ability to meet the future shape of services
Demonstrate service modernisation
Practice Business Case Development
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Business Case Elements
- Details of the Bidder- Workforce- Equipment and Premises - Financial information- Clinical capacity and capability- General capacity and capability - Legal and Regulatory
Practice Business Case Development
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Output Based Specification
Project team to establish project plan and agree
timetable
Source service providers
Receive expressionsof interest
Produce shortlist of potential service providers using selection criteria. Notify
unsuccessful companies.
Draft ‘Invitation to Submit Preliminary Offer’ (ISPO)
Trust sign off ISPO and potential service provider list
Trust evaluates and scores preliminary offers
Trust shortlists preferred service provider and notifies
unsuccessful companies
Trust evaluate ‘final offer’
‘Final offer’ adjudication meeting
Trust conducts and concludes contract with
preferred offeror
Post award activity
Tenderers prepare and submit ‘preliminary offers’
Trust sign off and issue ISFO to preferred service
provider
Tenderer prepare and submit ‘final offer‘
Contract starts –monitoring performance
Prepare ‘Invitation to Submit Final Offer’ (ISFO)
To include initial negotiations, presentations and site visits with potential service providers
Trust Issue ISPO to potential service providers
To include further negotiation and presentations
section 9.3
section 9.4
section 9.5
sections 11
section 11.1
section 11.2-4
sections 9
sections 3.1 – 3.3
section 6.2 & 8
sections 9 section 8
sections 8
Award of contract
Outline business case (OBC)
Project initiation document (PID)
Full BusinessCase (FBC)
section 115
section 11.6
section 11.7
section 11.8
section 12
section 13
Appendix C & section 9.1
sections 3.1 – 3.3
section 14
Procurement Process - Flowchart
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Stage
Week
Expressions of interest. Advertisement for expressions of interest 1 PQQ to be returned 4 Shortlisting on basis of PQQ 4-6 Invitation to tender Short listed applicants invited to submit a full tender
7
Closing date for submission 12 Selection Panel meets. Presentations by providers
15/16
Selection of preferred provider, contract negotiation, award of the contract
Selection of preferred provider 17 PCT Board ratifies the decision to award the contract
18
Contract negotiation 18- 26 Contract commencement 26-28
Procurement Process – Typical Timetable
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Procurement Process – Bidder Assessment
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Planning Processes
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• Grasp opportunities• Ensure that Business Planning is done• Ensure Plans are targeted• Prepare for PQQ and Spec• Consider Security of larger organisation
Grasp the Opportunities
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It is not the strongest of the
species that survives, not
the most intelligent, but the
one most responsive to
change.”
Charles Darwin
Grasp the Opportunities
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Change is the process by which the future
invades our lives
Toffler 1970
Change is the process by which the future
invades our lives
Toffler 1970
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http://www.pcc.nhs.uk
http://www.nhsconfed.org
http://nww.pasa.nhs.uk/nhsforum/shared/pct/
http://www.improvementfoundation.org
http://www.nhsalliance.org
Useful Guidance / Contacts
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Useful Guidance / Contacts