Commissioning rare and specialised services in the new NHS

Kate Caston

Specialised Commissioning Project Director

What we’ll cover

• What are specialised services?

• What is the new direction for specialised commissioning?

• E=CM2

• Quality, outcomes - a focus on services and patients

What are specialised services?

• National Specialised Services Definition Set

• 1m plus population catchment areas – critical mass

• ‘High cost / low volume’

• Types of services

• Carter review and improving equity & excellence

A true story…• Young man who went to the gym 3 times a week

• Became ill, went to GP, referred to local hospital

• Diagnosed with cardiomyopathy virus – referred to Wythenshawe Hospital

• “I could see him dying in front of my eyes”

• Eventually had a successful heart transplant

• Now recovering close to home –plans to run the marathon!

Why this is important…

• Can happen to any of us

• Shows the importance of linking the whole patient journey

• Cutting edge treatment, patient centred

• Successful outcome

What is happening to specialised commissioning?

• NHS Commissioning Board rather than PCTs / CCGs.

• Moving from 10 SCGs and NSCT to single function

• National consistency – single policies, standards, contracts

• Equity & Excellence

Apologies for all the acronyms!

When?

• Now – the change is underway - National Commissioning Development Transition Team, led by Dame Barbara Hakin

• Shared Operating Model for PCTs (July 2011) - 10 SCGs to be clustered alongside new 4 SHA Clusters

• Measured transition and national workstreams

• 17+ service areas will be commissioned nationally by April 2012; more by April 2013.

But how do we avoid…

…by putting patients & public at the centre of everything

You & me

Five programmes of care• Definition set into 5 programmes of care

• Will provide single point of contact for service / care organisations like yours

• Focus on patients, care, outcomes, quality, your voice

• Because: contract knowledge + national strategy + your engagement =

a better service for all

E=CM2?

“Everything should be made as simple as possible, but not simpler” Albert Einstein

Can we crack the code – can we make patient centred services reality?

• E = Excellence• C = Commissioning & Contracts• M 2 = Meaningful engagement x meaningful engagement

So…• Blank sheet of paper – a unique opportunity.

• We can be bold and innovative….with your help

But…• We have the opportunity – but not unlimited funds or unlimited

authority

• It will not happen all at once everywhere but many places will see many improvements quickly

• We need Critical friends

Thank you

Questions & Answers