Sussex by the sea: supporting
primary care commissioning
Erica Rae and Tom Roper
West Sussex Knowledge & Libraries
West Sussex Knowledge &
Libraries
• Two physical sites, at Chichester and Worthing
• Support all NHS staff, whether acute, primary,
mental health, local authority, hospice…
– Head of Library and Knowledge Services
– Deputy Head of Library and Knowledge Services
– Public Health & Commissioning Librarian and Primary
Care Librarian
– Clinical Librarian and Knowledge Systems Librarians
– Library managers and library assistants
A brief history of commissioning
• 1991: purchaser-provider split, GP fundholding,
GP & locality commissioning
• 1995: total commissioning
• 1997: Labour elected, committed to end
fundholding
• 1999: fundholding abolished, PCGs (later PCTs)
established
• 2010: coalition elected
• 2011: CCGs
• 2012: Health and Social Care Act passed
Continuum of commissioning before the election of the current government7
Smith J A , Mays N BMJ 2012;344:bmj.e980
©2012 by British Medical Journal Publishing Group
The commissioning cycle
Attribution: Bdailey86 from
Wikimedia Commons
Sussex
Coastal West Sussex:
Locality areas and practices
• Adur
– 9 GP surgeries in Lancing, Shoreham-by-Sea, Sompting and
Southwick
• ARCH
– 22 GP surgeries in Arundel, Bognor Regis, Chichester, East
Wittering, Loxwood, Midhurst, Petworth, Pulborough, Selsey,
Southbourne, Tangmere and Yapton,
• Arun
– 6 GP surgeries in East Preston, Littlehampton and Rustington
• Cissbury
– 13 GP surgeries in Ferring, Goring-by-Sea and Worthing
• Chanctonbury
– 5 practices in Billingshurst, Henfield, Steyning & Storrington
Coastal West Sussex
• GP Practices
• One acute NHS hospital trust, two main
sites
• Six NHS community hospitals
• Over two hundred community nurses
• A wide range of community teams
• Over fifty NHS dental surgeries
• Around ninety-five community pharmacies
Some salient features
• Higher than average proportion of elderly people (20% over 65,
England 16%)
• Considerable health inequalities
• Poorer life expectancy in deprived areas
• Rising numbers of people with disabilities
• Rising numbers of people living longer with long term conditions.
• Alcohol-related hospital admission rates have continued to increase.
• Obesity affects all ages within the population
• c.180,000 adults obese, at increased risk of
–
–
–
–
–
Diabetes
Hypertension
Coronary vascular disease
Stroke
Cancer
Key relationships for the CCG
• NHS Commissioning Board
• NHS Sussex and NHS South of England
• Providers
– Western Sussex Hospitals NHS Trust
– Sussex Community NHS Trust
• West Sussex County Council
– Joint Commissioning Unit
– Health and Wellbeing Board
• Patients and public
Public Health & Commissioning
Librarian
• Role of the PHCL Librarian
• Public Health and Commissioning –
What’s the difference?
• Service changes
• Commissioning Cycle/Intelligence Model
• Example searches
• Current Awareness
•
•
•
•
•
•
The PCT – we’ve always been there!
A change of service
A change of customer base
A new role for me
The remit
The practicalities
• Different teams, different approaches
• Major changes!
• Public Health will merge with Local
Government
• CCG developing their role
• Joined up services
• A culture shift
• Branching out into Local Government
• A new client base?
• Requiring new tools and methods
• So what do we do?
• And why do we do it?
• A couple of illustrations…
The Commissioning Cycle
Copyright © 2011, Re-used with the permission of The Health and Social Care Information Centre. All rights reserved
• Traditional resources –
– NHS Evidence
– HDAS
– Cochrane
• Who’s already done it?
• Thinking ‘out of the box’
• No Results?
Find more! using msk hub "service specification" site:nhs.uk
• Google –
For Public Health –
examples of other PCT’s health and wellbeing strategies
"alcohol strategy" pct or primary care trust
For the JCU –
information on the "Troubled Families Initiative”
"troubled families initiative" site:gov.uk
• New databases –
For Social Care information
Applied Social Sciences Index & Abstracts (ASSIA )
• Other resources –
Local Government Association website
National Centre for Social Research
• Help is at hand!
The Commissioning Handbook
Quality:MK
www.qualitymk.nhs.uk
• And finally...
• Marketing and Promotion –
Don’t wait for them to come to you
Current Awareness helps
Keep up to date yourself
Learn to speak their language
Netvibes/PubComm
Useful websites
•
Commissioning Handbook for Librarians http://commissioning.pbworks.com
•
Local Government Association http://www.local.gov.uk/
•
National Centre for Social Research http://www.natcen.ac.uk/
•
NHS Commissioning Board Special Health Authority
http://www.commissioningboard.nhs.uk/
•
NHS Information Centre for Health and Social Care
http://www.ic.nhs.uk/commissioning
•
NHS Networks Commissioning Zone http://www.networks.nhs.uk/commissioning
•
NHS Primary Care Commissioning http://www.pcc.nhs.uk/
•
Quality:MK http://www.qualitymk.nhs.uk/