Who’s who in the new
commissioning landscape
Tim Barton, NHS North of England
28 February 2013
The 2013 health and care system
The 2013 health landscape
Area
Organisations
Commissioning •
•
NHS Commissioning Board (NHSCB) with national, regional
and area teams (ATs) operating within a single operating model.
NHSCB will be a non departmental public body and also host a range of
bodies including clinical networks and senates, NHS Leadership Academy
and CSUs. It will have responsibility for some direct commissioning
Clinical commissioning groups (CCGs)
•
Commissioning Support Units (CSUs)
Provision
• NHS Trusts and NHS Trust Development Authority (NTDA)
• Foundation Trusts (FTs)
Public Health
• Public Health England
• Public health teams to Local Authorities
LAs
• Health & Wellbeing Boards to produce needs assessment and health and
wellbeing strategy and promote integration
Information
and
Involvement
• Healthwatch (hosted by LAs)
• Ten-year framework for transforming information for the NHS, public
health and social care. Health and Social Care Information Centre
Workforce
• Health Education England
• Local Education and Training Boards
Nos. North
NHS CB
1 region
9 ATs
68CCGs
(23 YH)
8 CSUs
50
Commissioning (NHSCB)
NHS Commissioning Board
• Executive Non-Departmental Public Body with a mandate from
Department of Health to improve outcomes through the total £80bn
commissioning budget
• 1 National Support Centre, 4 Regional Teams and 27 Local Area Teams
Responsible for
• Oversight and development of the commissioning system
• Direct commissioning responsibility for primary care commissioning,
offender health, military health, specialised commissioning and some
screening programmes
• Sets key frameworks – outcomes, accountability, choice and emergency
preparedness
• One national single operating model
• Hosts some key bodies e.g. Clinical Senates
NHS CB Area Teams - 9 in the North, 27 nationally
The following area teams in the north will be
responsible for:
specialised commissioning
• Cumbria, Northumberland, Tyne and Wear
• South Yorkshire and Bassetlaw
• Cheshire, Warrington and Wirral
military health
• North Yorkshire & Humber
offender health
• West Yorkshire
• Lancashire
• Durham, Darlington and Tees
LAT roles and functions
• All ATs will have the same core functions around:
–
–
–
–
–
–
–
CCG development and assurance
emergency planning, resilience and response
quality and safety
partnerships
configuration
system oversight
commissioning primary care
• There will be variations around the scope of direct
commissioning responsibilities:
– 10 local area teams leading on specialised commissioning across England;
– smaller number of local areas teams carrying out the direct commissioning of other
services such as military and prison health;
– hosting clinical senates and networks.
Clinical Senates and networks
Clinical Senates will work with
clinical networks to provide clinical
advice at the strategic level
4 national strategic clinical networks:
• cancer
• children and maternity
• mental health
• CVD
Plus other operational networks
Health and well being boards (HWB)
• Each upper-tier authority in England is required to form a health and
wellbeing board as a local authority committee (15 in Y&H, 50 in north)
• The HWB aim is to improve integrated working between local health care,
social care, public health and other public services so that patients and
service users experience more joined-up care, particularly in the transition
between health and social care.
• Determine local priorities (JSNA and joint health and wellbeing strategy)
and have oversight of their delivery.
• Joint strategy will then inform the commissioning plans of Local
Authorities and CCGs. This shared strategic view should ensure
coordination of commissioning for local people.
Regional Team structure (x1 in north)
Regional
Director
Director of HR and
OD
(2 WTE staff)
Director for
Patients and
Information
Medical
Director’s
Team
Chief Nurse’s
Team
Finance
Director’s Team
Director of
Operations &
Delivery Team
Commissioning
Director’s Team
(8 WTE staff)
(8 WTE staff)
(8 WTE staff)
(11 WTE staff)
(9 WTE staff)
(13 WTE staff)
Embedded national support centre HR, P&I and analytics staff will support both local area and regional teams.
9
Area Team structure (x9 in north)
Area Director
Medical
Director’s
Team
(11-26 WTE
staff*)
Nurse
Director’s
Team
(9 WTE staff)
Finance
Director’s Team
(13-19 WTE
staff*)
Director of
Operations
and Delivery
Team
(9 WTE staff)
Commissioning
Director’s Team
(25-56 WTE
staff*)
• Team sizes are dependent on the direct commissioning responsibilities of the Local Area Team and whether they
host clinical senates/networks.
10
Commissioning (CCGs)
CCGs
• Power and responsibility for commissioning the majority of
services for local people £60bn nationally
• 68 in the North (23 in Y&H) and 212 nationally
• Clinically led
• Membership organisations made up of constituent GP practices
• £25 per head of population running cost allowance
• Buy in support from CSUs (provided by NHS or non-NHS)
• CCGs will be assessed against their progress on nationally set
clinical outcomes plus delivering constitution within budget
Commissioning (CSUs)
Commissioning Support Units (CSUs)
• Provide range of support services to CCGs
• 7 CSUs in the North, 23 nationally
• Customer supplier relationship for services such as:• Health needs assessment
• Service redesign
• Business intelligence
• Comms and Patient & Public Engagement
• Contracting and procurement
• Back office services such as payroll
• Some services at scale – comms, Business Intelligence, clinical
procurement and back office (meaning that some CSUs will provide to
others)
• Initial hosting by NHSCB until 2016 at the latest
• Commercially minded and customer focussed organisations required to cover
costs through income from customers (CCGs and NHSCB and potentially
others)
CSU and CCG configuration
North East & Cumbria
13 CCGs
Population 3.1m
North Yorkshire & the
Humber
8 CCGs
Population 1.75m
Lancashire
8 CCGs
Population 1.1m
West Yorkshire
10 CCGs
Population 2.4m
Cheshire, Wirral,
Warrington &
Merseyside
12 CCGs
Population 2.9m
South Yorkshire &
Bassetlaw
5 CCGs
Population 1.5m
Greater Manchester
12 CCGs
Population 2.6m
Clinical Commissioning Groups
68 CCGs in the North
(212 in the whole country)
13 in North East
23 in Yorks and Humber
32 in North West
Clinical Commissioning Groups – Yorkshire and the Humber
Who’s who in the regional and area teams
Team Director
Medical
Director
Director of
Nursing
Finance
Director
Dir of
Commissioning
Dir of Ops
and Delivery
North Regional Team
Richard Barker
Dr Mike
Bewick
Gill Harris
Tim Savage
Dr Julie Higgins
Jon Develing
West Yorkshire
Mike Potts (interim)
Dr Damian
Riley
Sue Cannon
Ian Currell
Alison Knowles
Elaine Wyllie
South Yorkshire &
Bassetlaw
Andy Buck
Dr David
Black
Margaret
Kitching
Steve
Hackett
Eleri de Gilbert
Brian Hughes
North Yorkshire &
Humber
Chris Long
Dr Paul
Twomey
Jo Coombs
Jon Swift
Julie Warren
Matt Neligan
Director of
HR and OD
Dir Patients
and Info.
Sally Baines
To be
appointed
Who’s who in clinical commissioning groups (CCGs) #1
Area Team
Cumbria, Northumberland, Tyne & Wear
CCG Name
Cumbria CCG
Newcastle North & East CCG
Newcastle West CCG
Gateshead CCG
North Tyneside CCG
Northumberland CCG
South Tyneside CCG
Sunderland CCG
Darlington CCG
Durham Dales, Easington & Sedgefield CCG
Durham, Darlington & Tees
West Yorkshire
North Yorkshire & Humber
Hartlepool & Stockton-on-Tees CCG
North Durham CCG
South Tees CCG
Leeds South and East CCG
Leeds West CCG
Leeds North CCG
Bradford City CCG
Bradford Districts CCG
Airedale, Wharfedale & Craven CCG
Calderdale CCG
Greater Huddersfield CCG
North Kirklees CCG
Wakefield CCG
Hull CCG
East Riding of Yorkshire CCG
North East Lincs CCG
North Lincolnshire CCG
Harrogate & Rural District CCG
Scarborough and Ryedale CCG
Hambleton, Richmondshire & Whitby CCG
Vale of York CCG
Website
http://www.cumbria.nhs.uk/ccg/
http://www.newcastlenorthandeastccg.nhs.uk/
http://www.newcastlewestccg.nhs.uk/
http://gatesheadccg.nhs.uk/
http://www.northtynesideccg.nhs.uk/
http://www.northumberlandccg.nhs.uk/
http://www.southtynesideccg.nhs.uk/
http://sunderlandccg.nhs.uk/
http://www.darlingtonccg.nhs.uk/
http://www.durhamdaleseasingtonsedgefieldccg.n
hs.uk/
http://www.hartlepoolandstocktonccg.nhs.uk/
http://www.northdurhamccg.nhs.uk/
http://www.southteesccg.nhs.uk/
www.leedssouthandeastccg.nhs.uk/
www.leedswestccg.nhs.uk
www.leedsnorthccg.nhs.uk/
www.bradfordcityccg.nhs.uk
http://www.bradford.nhs.uk/about-us/nhsbradford-districts-clinical-commissioning-group/
www.airedalewharfedalecravenccg.nhs.uk/
www.calderdale.nhs.uk/nhscalderdaleccg/home/
www.kirklees.nhs.uk/greaterhuddersfield/home/
www.kirklees.nhs.uk/nhs-north-kirklees-ccg/home/
www.wakefielddistrict.nhs.uk/nhswakefieldccg/
http://www.hullpct.nhs.uk/pages/nhs-hull-board--2
http://www.eastridingofyorkshire.nhs.uk/
www.nelctp.nhs.uk/
www.northlincolnshire.nhs.uk/ccg/
www.harrogateandruraldistrictccg.nhs.uk
http://www.scarboroughryedaleccg.nhs.uk/
www.hambletonrichmondshireandwhitbyccg.nhs.u
k/
www.valeofyorkccg.nhs.uk
Chair
Dr Hugh Reeve
Dr Relton Cummings
Dr Guy Pilkington
Dr Mark Dornan
Dr Jane Weatherstone
Dr Alistair Blair
Dr Matthew Walmsley
Dr Ian Pattison
Dr Andrea Jones
Accountable Officer
Nigel Maguire
Mark Adams
David Thorne
Mark Adams
Maurya Cushlow
Julie Ross
David Hambleton
David Gallagher
Martin Phillips
_
Dr Stewart Findlay
Dr Boleslaw Posmyk
Dr Neil O'Brien
Dr Henry Waters
Dr Andrew Harris
Dr Gordon Sinclair
Dr Jason Broch
Dr Akram Khan
Alison Wilson
Nicola Bailey
Amanda Hume
Matt Ward
Philomena Corrigan
Nigel Gray
Helen Hirst
Dr Andrew Withers
Helen Hirst
Dr Colin Renwick
Dr Alan Brook
Dr Steve Ollerton
Dr David Kelly
Dr Phillip Earnshaw
Dr Tony Banerjee
Dr Gina Palumbo
Mark Webb
Dr Margaret Sanderson
Dr Alistair Ingram
Dr Phil Garnett
Dr Philip Pue
Dr Matt Walsh
Carol McKenna
Chris Dowse
Jo Webster
Emma Latimer
Jane Hawkard (Designate)
_
Allison Cooke (Designate)
Amanda Bloor
Simon Cox
_
Dr Vicky Pleydell
_
Dr Mark Hayes
Who’s who in clinical commissioning groups (CCGs) #2
Barnsley CCG
Bassetlaw CCG
South Yorkshire &
Bassetlaw
NHS Salford CCG
http://www.barnsleyccg.nhs.uk/
Dr Nick Balac
http://www.bassetlawccg.nhs.uk/
Dr Steve Kell
http://www.doncaster.nhs.uk/about-us/doncaster-clinicalDr Nick Tupper
commissioning-group-dccg/
http://www.rotherham.nhs.uk/about/board/rotherhamDr David Tooth
clinical-commissioning-group.htm
www.sheffield.nhs.uk/about/sheffieldccg.php
Dr Tim Moorhead
www.ec3health.co.uk
Dr Paul Bowen
nhsvaleroyal.ccg@nhs.net
Dr Jonathan Griffiths
nhssouthcheshire.ccg@nhs.net
Dr Andrew Wilson
www.warringtonccg.nhs.uk
Dr Andrew Davies
www.westcheshireccg.nhs.uk
Dr Huw Charles-Jones
wwww.wirral.nhs.uk
Dr Phil Jennings
www.wiganboroughccg.nhs.uk
Dr Tim Dalton
http://www.bolton.nhs.uk/
Dr Wirin Bhatiani
bur-pct.enquiries@nhs.net
Dr Kiran Patel
www.hmr.nhs.uk
Dr Chris Duffy (Designate)
www.northmanchesterclinicalcommissioning.co.uk
Martin Whiting
www.manchester.nhs.uk/centralmnahcesterccg
Dr Mike Eeckelears (Designate)
http://www.manchester.nhs.uk/clinicalcommissioninggroup
Dr Bill Tamkin
s/southmanchesterccg/
http://www.oldham.nhs.uk/ccg/Home/Home/tabid/484/lan
Dr Ian Wilkinson
guage/en-US/Default.aspx
http://www.salford.nhs.uk/CCG/Index.aspx
Dr Hamish Stedman
NHS Stockport CCG
www.stockportccg.org
Jane Crombleholme
NHS Tameside and Glossop CCG
NHS Trafford CCG
http://www.tamesideandglossopccg.org/
http://www.traffordpct.nhs.uk/CCG/
Dr Raj Patel (Interim)
Dr Kath Sutton
NHS Blackburn with Darwen CCG
www.bwdgpnet.org.uk
Joe Slater (Lay Chair)
NHS Blackpool CCG
www.blackpoolccg.nhs.uk
NHS Greater Preston CCG
NHS Chorley and South Ribble CCG
NHS West Lancashire CCG
www.centrallancashire.nhs.uk
www.centrallancashire.nhs.uk
www.westlancashireccg.nhs.uk
NHS East Lancashire CCG
www.eastlancsccg.nhs.uk
NHS Lancashire North CCG
http://www.lancashirenorthccg.nhs.uk/
Doncaster CCG
Rotherham CCG
CWW
Gtr Mcr
Sheffield CCG
NHS Eastern Cheshire CCG
NHS Vale Royal CCG
NHS South Cheshire CCG
NHS Warrington CCG
NHS West Cheshire CCG
NHS Wirral CCG
NHS Wigan Borough CCG
NHS Bolton CCG
NHS Bury CCG
NHS Heywood, Middleton & Rochdale CCG
NHS North Manchester CCG
NHS Central Manchester CCG
NHS South Manchester CCG
NHS Oldham CCG
Lancs
NHS Fylde and Wyre CCG
Mersey
NHS St Helens CCG
NHS Halton CCG
NHS Knowsley CCG
NHS Liverpool CCG
NHS South Sefton CCG
NHS Southport and Formby CCG
Roy Fisher
Dr Ann Bowman
Dr Gora Bangi
Dr John Caine
Diane Van Ruitenbeek
Dr Alex Gaw
Mike Niland
www.sthelensccg.nhs.uk
www.haltonccg.nhs.uk
www.knowsleyccg.nhs.uk
William Guest
Dr Cliff Richards
Dr Andy Pryce
Dr Nadim Fazlani
Dr Clive Shaw
Dr Niall Leonard
Mark Wilkinson
Phil Mettam
Chris Stainforth
Chris Edwards
Ian Atkinson
Jerry Hawker
Simon Whitehouse
Simon Whitehouse
Dr Sarah Baker
Alison Lee
Dr Abhiganda Mantgani
Trish Anderson
Susan Long
Stuart North
Lesley Mort
Simon Wootton
Ian Williamson
Caroline Kurzeja
Denis Gizzi
Alan Campbell
Dr Ranjit Gill
CO Gaynor Mullins
Steve Allinson
Dr Nigel Guest (Interim)
Dr Chris Clayton
COO Debbie Nixon
Dr Amanda Doyle
COO David Bonson
Jan Ledward
Jan Ledward
Mike Maguire
Dr Mike Ions
COO Tim Mansfield
Andrew Bennett
Dr Tony Naughton
COO Peter Tinson
Dr Steve Cox Clinical AO
Simon Banks
Dianne Johnson
Katherine Sheerin
Fiona Clark
Fiona Clark
Thank you
Tim Barton
NHS North of England
tim.barton@yorksandhumber.nhs.uk