Commissioner Development Update
Douglas Blair
Associate Director of Commissioner Development (West)
2 April 2012
Commissioner Development goals
1.
Establish viable and effective Clinical Commissioning Groups
(CCGs) that are ready for authorisation by the NHS
Commissioning Board (NHSCB) from October 2012 wherever
possible;
2.
Ensure CCGs focus on sustaining financial and operational
performance and deliver QIPP;
3.
Ensure effective commissioning support arrangements are
established with CCGs as intelligent customers; and
4.
Working with the Chief Operating Officer’s team, ensure the safe
transfer of appropriate functions to the NHSCB (primary care,
offender health, military health, specialised commissioning), and
continue to ensure these functions are well managed during the
transition.
The new NHS landscape
Department of Health
NHS Commissioning Board
Approx. 24
Commissioning Support
Organisations
Primary care, military healthcare,
offender healthcare, specialised
treatments
200 – 250 Clinical
Commissioning Groups
Planned and emergency hospital care,
rehabilitation, most community services and
mental health and learning disability services
Clinical Commissioning Group Configuration
• 12 CCGs in the West
• Recent changes:
•
•
•
•
•
Single CCG for Cornwall and Isles of
Scilly formed from 3 CCGs
Dorset, Bournemouth and Poole
forming a pan Dorset CCG
South Devon and Torbay CCG
formed from 2 CCGs;
North, East, West Devon formed
from 4 CCGs
3 Wiltshire CCGs to form one CCG
• All CCGs in West now either
same size or bigger than
predecessor
Primary Care Trusts.
Establishing Clinical Commissioning
Group as organisations
• Governance arrangements
• Constitution, decision making processes, locality/federation
arrangements
• Leadership
• National assessment process for accountable officers, Chairs and
Chief Finance Officers – nominations from both CCGs and SHA/PCT
Clusters: not a selection process
• Establishment: structures, decisions about make/do/buy/share, living
within £25 running cost limit
• Building a track record of delivery:
• Active involvement in the 2012/13 planning and contracting round;
• Full shadow year of commissioning responsibility;
• Subcommittees and accountability agreements in place; and
• 100% of relevant commissioning budgets delegated from 1 April 2012.
Clinical Commissioning Groups
Authorisation process
Phase 1
Preapplication
No formal assessment
but covering most
aspects of governance,
organisational form and
commissioning support
arrangements.
Phase 2
Application
Enabling the CCG to set
out factual details
relevant to its
application, and to
demonstrate
compliance against a
number of authorisation
criteria.
Phase 3
NHSCB
assessment
Covering all aspects of
authorisation including
desktop review, 360
review and site visit.
Clinical Commissioning Groups
Authorisation process
Wave 1
from
July
2012
Wave 2
from
September
2012
Wave 3
from
October
2012
Wave 4
from
November
2012
• Six domains:
•
•
•
•
•
•
A strong clinical and multi-professional focus which brings real added value
Meaningful engagement with patients, carers and their communities
Clear and credible plans
Proper constitutional and governance arrangements, with the capacity and capability to
deliver all their responsibilities
Collaborative arrangements for commissioning with other CCGs, local authorities and
the NHSCB as well as the appropriate commissioning support
Great leaders who individually and collectively make a real difference
• Strategic Health Authority pre-application stage:
•
Configuration, governance, establishment/leadership
• Process to include statements of compliance, desktop review & site visits
Commissioning Support
Commissioning
Support
Organisations
Clinical Commissioning
Groups
UNDER
DEVELOPMENT
Commissioning support arrangements
Emerging offers
Map not to scale and boundaries
are subject to change
CCG
CCG
CSO
CSO
C
S
O
CCG
CCG
CSO
CSO
Commissioning support arrangements
National assurance process
Commissioning support arrangements
Development
• Leadership and governance arrangements;
• Business plan development;
• Service level agreements with Clinical Commissioning
Groups for 2012/13; and
• National service offers.
Commissioner Development Update
Douglas Blair
Associate Director of Commissioner Development (West)
2 April 2012