Clinical Commissioning Community
Influencing clinical commissioning
through networks
CSP English Regional Networks (ERN) – Development Event
September 2012
Dawn Smith
AHP Advisor
NHS Clinical Commissioning Community
Key messages
A good foundation
Reaffirming what physiotherapists have to offer
Making the case for informal networking
Some challenges for effective networking
• What the Clinical Commissioning Community has
to offer
• What the Clinical Commissioning community asks
of physiotherapists
Your good foundations
• A professional network that has potential to
reach out to engage with other networks
across regions, professions, sectors and levels
• ‘Physiotherapy works’ – evidence based
• AHP QIPP commissioning toolkit
• CSP influencing toolkit
Reaffirming what physiotherapists
have to offer
• You do not need the title of ‘commissioner’,
‘leader’ or ‘manager’ to engage with clinical
• If you make a decision about how to use an NHS
clinical resource, you are part of the clinical
commissioning community
You do need
• A passion for better quality care and
outcomes for patients
• A commitment to a more efficient and
effective NHS
• To be driven by reducing costs of services
through innovative service redesign
• To believe that multi-disciplinary
commissioning is essential to delivering better
Why should Physiotherapists
participate in clinical commissioning?
“AHPs can really contribute to saving money
long term by minimising physical and
psychological care needs and helping to keep
people out of hospital, or minimising the time
they are there. They are essential to the
achievement of sustainable, affordable
healthcare and can drive up quality whilst
reducing both immediate and long term care
North East Allied Health Professions Collaborative
What commissioners say
• “Where are you AHPs when we need you?”
• “The AHPs there were so frightened the meeting
was washout”
• “Death by detail; so much jargon the
commissioner passed out!”
• “Keeping up with the Jones’s; it took so long to
try to get a meeting with every profession that
we didn’t end up inviting anyone in the end.....”
North East Allied Health Professions Collaborative
The case for informal networking
• Clinicians working deep within organisations
are central to the achievement of effective
commissioning and QIPP, but may be on the
margins of formal influencing structures
• Formal structures may be limited in membership
and often populated by the same roles
The challenges for effective
networking (influencing)
• Getting noticed (in a good way!)
• Do educate commissioners on the your
– Population needs
– Your contribution to pathways
– Workforce, education and training
• Do provide robust evidence of quality,
innovation prevention and productivity
• Do be accessible
• Do form relationships through clinical
networks (formal and informal)
• Do collaborate - commissioners will be looking
to commission pathways across disciplines,
organisations and sectors to deliver against
• Do offer solutions for service redesign as a
means of finding savings, improving quality,
addressing gaps, duplication and missed
opportunities for prevention
• Don’t lobby for specific organisations/services
• Don’t lobby for one disciplinary ‘widget’ out of
context of the whole pathway
• Don’t involve commissioners in fights between
providers of other parts of the pathway – form
alliances and sort it out
What the Clinical Commissioning
Community has to offer
• Sponsored by the Department of Health (DH)
• CCC supports the implementation and
development of clinical commissioning by
connecting Primary Care Contractors, Nurses,
AHPs and GP leaders
• Two offers
– Networks
– ‘Soft intelligence’ process
• Informal networks allow free discussion and
participation that may not happen through
committee-type, formal structures
• Informal networks are effective in connecting
you to those who occupy positions in formal
NHS Clinical Commissioning
DH Policy Teams and NHS CB
NCCN - recognised by the Department of
Health and the NHS Commissioning Board as
a vital support network for the development
of clinical commissioning
Soft intelligence
HCPCN connecting with
and across disciplines
Soft intelligence
Soft intelligence
AHPs network
& professional
with AHP
4 SHA regional networks
Local, regional
and national
of service
users, partner
agencies and
The AHP national commissioning
• AHPs in any grade or role are participating in this
network to see and be part of discussions
between AHPs about clinical commissioning.
• It is an ideal forum in which to ask questions of
other AHPs about their experiences of improving
services and about how they are being influential
in effective commissioning
The healthcare professions
commissioning network (HCPCN)
• In this network, healthcare professionals are coming
together in order to inform commissioning and collaborate
to convey the message that successful healthcare
commissioning needs to be multi-disciplinary.
• AHPs participating in this network have the opportunity to
raise the profile of the specific AHP contribution to clinical
pathways and to Quality, Innovation, Prevention and
Productivity (QIPP).
• This network is also a useful means of receiving timely
alerts about events, development opportunities and to
input to consultations about clinical commissioning.
The national clinical commissioning
• Members of this network have adopted the role of clinical
• They will be in roles that enable them to connect quickly and
effectively with colleagues across professions, services and
geographical areas to draw-in and coordinate information across
the clinical commissioning community.
• Their aim is to give a consistent message and to act as a resource
for the clinical commissioning community.
• Participation in this network is through an application form
available on the website
• We will broker relationships to build
collaboration and knowledge sharing
between established formal networks
and informal communities of practice
• As a consequence, lower profile, but
equally important agenda are
highlighted, enabling the spread of
innovation for service areas where there
are less formalised structures
• Offering clinicians support, a national
profile and a voice
• A place to get noticed … if you want
Soft intelligence process
• What do we mean by soft intelligence?
Data in the form of opinions, feedback, ideas and thoughts
collected from the whole clinical system engaged in developing
effective commissioning practices
• Where do we collect it?
From anyone making decisions about how to use clinical
resources, via individuals, networks, organisations, events,
workshops and one-to-ones
• What do we use it for?
The data feeds an iterative process of dissemination and
feedback to ensure a flow of information and learning between
the policy, management and clinical commissioning communities
CCC asks…
• How will you activate your networks to flow
information and participation into others to
extend your voice and influence?
• Raise the profile of the CCC networks across
your regions and get the physio voice heard
• Named connectors by region
• A named professional link with the NCCN
• Get your evidence into the soft intelligence