The future of
commissioning
23 June 2015
www.gov.uk/monitor
Presentation today
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Monitor’s role in regulating commissioning
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The current regulations: a framework for change
– What lessons can be learned from Monitor’s approach to the regulations?
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How do the regulations fit together and do they impose new obligations?
•
Achieving the vision of the Forward View – new challenges and responses
Monitor is the healthcare regulator for England
Our job is to protect and promote the interests of patients by ensuring
that the whole sector works for their benefit
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Make sure public
providers are well-led
Make sure essential
services are maintained
Make sure NHS payment
system promotes quality
and efficiency
Provider Appraisal
Provider Regulation
Pricing
Make sure choice
and competition
operate in the best
interests of patients
Co-operation and
competition
Procurement, Patient Choice and Competition
Regulations (section 75)
The objective that commissioners must pursue:
Commissioners must
secure the needs of
patients who use services
and improve the quality
and efficiency of those
services
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Choice, competition and integration
How do you go about improving services?
What can you do to
ensure services are
provided in an
integrated way?
Do or should patients
have a choice of
provider for any of
these services?
Can you achieve a
better outcome by
enabling providers to
compete?
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The rules are a framework to drive change
Commissioners have a
key role to play in
achieving the vision of
the Forward View
The regulatory
framework provides a
framework for change
and we want to help
commissioners
overcome the barriers
they face
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Commissioners &
patients selecting
provider(s) that
best meet their
need
Well-run providers responding to the
needs of
commissioners &
patients
Payment system
links provider
revenue with
performance
How do the regulations fit together?
There are currently three different regimes that commissioners need to take into
consideration when procuring health care services for the purposes of the NHS:
NHS (Procurement,
Patient Choice and
Competition)
Regulations 2013
Public Contract
Regulations 2006
Treaty on the
Functioning of the
European Union
(where there is a
cross-border interest)
the new European Procurement Directive (2014/24/EU) will apply to NHS health
services from April 2016
The regulations do not impose any one way to procure services
and commissioners need to consider a range of options
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Innovation is presenting new challenges for us all
to address
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How do we value and safeguard patient choices in
more integrated models of care?
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How do we get the right balance between stability
in longer contracts and building improvement into
the system?
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How do we achieve effective joint commissioning?
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We are working with commissioners to resolve issues like these and will
make our advice available to all
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Contact us for advice
Visit our website: https://www.gov.uk/monitor
Write to:
Cooperation and Competition Directorate
Monitor
3rd Floor
Wellington House
133-155 Waterloo Road
London
SE1 8UG
Email:
cooperationandcompetition@monitor.gov.uk
Telephone:
Luke Dealtry on 020 3747 0228
Our publications:
https://www.gov.uk/government/collections/procurement-choice-and-competition-in-thenhs-documents-and-guidance
Questions and discussion