South West Peninsula SHA

Local consultation on

Commissioning a Patient-led NHS

14 Dec 2005–22 Mar 2006

Commissioning a Patient-led NHS aims to …

Strengthen commissioning Support patient choice & public involvement Increase involvement of GPs and other frontline

staff Achieve closer joint working with local authorities Develop Trusts as Foundation Trusts Achieve 15% management savings from Strategic

Health Authorities and Primary Care Trusts

Building on the Peninsula’s Firm Foundations

• Local NHS organisations committed to– improving health and tackling inequalities– maximising independent living and supporting

users’ choices– avoiding unnecessary and unplanned use of

specialist hospital services

• PCTs already working with local authorities

• PCTs sharing skills and knowledge

Key messages from initial stakeholder engagement

• Strengthen strategic commissioning– Links with adult social care and children's

services, use of public health information

• Don’t lose ground that has been gained– Effective local partnerships, local service

developments, local relationships

• Develop a local infrastructure– Locality working, public & GP involvement

Primary Care Trusts:Strengthening commissioning for

individual patients

Roll out GP ‘practice-based’ commissioning supported by PCTs

Improve and extend joint commissioning of community-based care with adult social care and children's services

Design services which are tailored to the particular needs of each individual user

Primary Care Trusts: Strengthening Strategic Commissioning

Focus on health, need and equity Understand world class best practice Find opportunities for improvement Set clear priorities Procure appropriate services Achieve closer working with local authorities

Primary Care Trusts: Future roles in provider services

• No national requirement for PCTs to stop being service providers

• Criterion for change would be ‘what is genuinely best for local patient care’

• New approaches and models will be explored• Any future proposal for change would be subject to

consultation• Terms and conditions of transferring staff would be

protectedDept of Health, Dec 2005

Primary Care Trusts:Boundary changes to support new roles

Considerations in setting new boundaries The opportunity to continue on our journey to improve

local services The importance of taking account of local authority

boundaries – County and District The need to combine commissioning ‘muscle’ with

sensitivity to the diverse needs of our communities The target of achieving £8m in savings

Primary Care Trust ChangesOption 1

Primary Care Trust ChangesOption 2

Primary Care Trust Changes Option 3

Strategic Health AuthorityChanges

Principal Functions of SHAs

• Strategic overview, leadership and connections across the public sector

• Robust public health delivery system• Performance management and development• Support for the Department of Health

Strategic Health AuthorityChanges

Options

1. SWPSHA amalgamation with Dorset & Somerset only

2. SWPSHA amalgamation with Dorset, Somerset, Avon, Gloucestershire & Wiltshire (aligned with Government Office of the South West boundaries)

Ambulance Trust Changes

Aims to Achieve• Greater financial flexibility and investment

in front-line services• Enhanced co-ordination in planning &

handling major incidents• Improved patient care through adoption of

best practice• Increased service resilience through the

combination of compatible technology

Ambulance Trust Changes

Proposal

To amalgamate Westcountry Ambulance Services Trust with Dorset Ambulance

Trust

Summary

The Strategic Health Authority wants your views by 22 March on:

Proposals for Primary Care TrustsProposals for the Strategic Health Authority

Proposals for Ambulance Trusts

• Write to: Consultation Team, SWPSHA, Peninsula House, Kingsmill Road, Saltash, PL12 6LE

• E-mail: consultation@swpsha.nhs.uk