Primary Health Networks and commissioning

Primary Health Networks Commissioning Master ClassFriday 1 May 2015

Paul SmithDeputy SecretaryMental Health, Wellbeing, Social Capital and Ageing

Victorian context

Public Health Services(LHNs)

GPs Community health

Private hospitals

Private medical

specialists

Local government

Community Service

Organisations

Allied health providers

PartnershipsFrameworks

What and why Commissioning?

• No clear, single, agreed definition of commissioning

• At its simplest, commissioning is the process of planning, agreeing and monitoring services…. (NHS)

• Aims of commissioning including:

– facilitate clear lines of public accountability for performance

– clarify and benchmark costs

– encourage providers to respond more accurately and effectively to the needs of individuals

– challenge traditional patterns of resource allocation and sectional interests

– make priority decisions more explicit

• Be clear about what you mean when you talk about commissioningA/Prof Helen Dickinson, School of Government, University of Melbourne

Recommissioning in Victoria

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PHNs as Commissioning bodies

• Build on existing data, plans, work of other parts of sector

• Strong engagement

• Acknowledge skill and judgment of practitioners

• Be specific about requirements, the intervention, how it can be measured to improve quality/access in the longer term

• Shared principles

Integration and working together

Community Health

Pharmacy

Allied Health

Dental Health

Maternal and

Child Health

Specialist Services

Primary Mental Health

Aged CareEg:

HACC Alcohol and Drug

Disability

Nurse on call and district nursing

Health promotion

General Practice

Hospitals

Sub-acute services

“Integrated care does not appear to evolve as a natural response to emerging care needs in any system of care whether this be planned or market-driven” Ham et al, cited in ‘The evidence for integration’ presentation by Goodwin & Smith, The Kings Fund, Nuffield Trust, 2011.

Working together

• Existing state frameworks

• Existing planning structures

• Collective responses

• Working across catchments

• Engaging with general practice

Population and service planning…

? Population health planning for health service delivery?

? Or population health planning for prevention?

? Or population health planning for prevention activities in health services (e.g. immunisation, screening)?

• State Public Health and Wellbeing Plan sets direction and identifies prevention priorities

• New Plan due to be released in September 2015

• System wide focus for prevention

• Local government role – Municipal Public Health and Wellbeing Plan

• Victorian Population Health Survey

Questions?