Dr Peter von Eichstorff
City Locality Lead
Oxfordshire Clinical Commissioning Group

A system focused on improving outcomes
Economic regulation and quality inspection
Enhanced local voice
Clinically-led commissioning & payment by results
Empowered professionals working in autonomous providers
Informed patients exercising choice
Summary of NHS reforms

Parliament
Funding
Accountability
Reformed NHS
Department of
Health
NHS
Commissioning
Board contract
Monitor
(economic regulator) licensing
Care Quality
Commission
Providers
Local
Authorities local partnership
GP
Commissioning
Consortia
Local Health
Watch accountability for results
Patients and Public

(per patient)
• GP services
• Community health services
• Mental health services
• All drugs/medicines provided
• All hospital services
• All NHS dentistry
Hip replacement £5500 Heart Bypass £7400

per Patient
• 7 th lowest in Country out of 154 PCTs
• Lowest 5% funding
• This applies to all hospital departments
• All providers..

• Take 4% per year out of secondary care
• 20% over 5 years
• £200 million locally

• £200 million reinvested more effectively
• In primary care
• Community care
• Voluntary Third Sector
• Private Sector

• Debts £20 million+ predicted
• Primary Care, Dentistry, Public Health make yearly surpluses
• These budgets move to National
Commissioning Board

• We have never needed voluntary sector more
• There has never been less money
• There has never been more opportunity for the voluntary sector to contribute

Difficult Planning
A huge number of voluntary organisations are currently delivering health related outcomes that are funded from within the health system – mainly through PCTs.
Many of these organisations are looking to deliver more services but are currently struggling to come to terms with what clinical commissioning will mean for them.
Planning in the sector is proving incredibly difficult in the current environment with so many uncertainties and organisations are struggling to make sense of how clinical commissioning will evolve.

Emerging Themes
New landscape is confusing for voluntary sector and we
might lose really valuable assets if we’re not careful –
NHS and DH need to help voluntary sector interpret new landscape and make sense of it
GPs don’t necessarily understand distinct contribution
of voluntary sector – hearts and minds awareness raising needed based on GP reality, not moral high ground
How might voluntary organisations work together and with other sectors to make themselves easier to commission

Any Qualified Provider
EU law
Level playing field – out to tender
Complexity requires certain size

Any Qualified Provider
How will the Government make sure smaller providers are not disadvantaged?

Any Qualified Provider
• Smaller providers, including charities, social enterprises and other not for profit and for profit organisations are central to our vision for
Any Qualified Provider.

Any Qualified Provider
• The standards to be an Any Qualified Provider will be proportionate and appropriate to the market for a particular service. …
• we know that there is considerable interest amongst smaller providers in offering their services through patient choice of provider –
• our process is simpler for all providers and as such should be more accessible for smaller providers.

Any Qualified Provider
• Smaller providers (both not for profit and for profit) often better understand the needs of their local population and can deliver specialised, tailored and innovative service models. This means they should be well placed to secure patients under Any Qualified Provider.

L
I
N
k
LINk

1974 2003 2008 2012……?
Community
Health Councils
PPI forums
LINks
Health
Watch

 Patients
 Faith Groups
 Older People
 Frontline staff
 Tenants' Groups
 Community Groups
 User groups
 Black and minority ethnic communities
 Carers' networks
 Patient groups
 Patient Participation Groups
 Individuals
 Voluntary Groups
 Rural communities
 Neighbourhood groups
 Children's groups
 Transitory populations
….. etc….
“A network of networks”

Clinical
Commissioning
Consortia
Local
HealthWatch
Health &
Wellbeing
Boards
PPGs Voluntary
/ user-led groups
Carers’ groups
Third
Sector
Patients

Build on existing LINk functions :
 Be volunteer-led
 Gather views of local people
 Identifying problems and gaps in services
 Work with third sector, volunteer and userled organisations

• Encourage your members to use service responsibly
• Encourage self care
• Manage expectations
• Representation
• Avoid duplication
• Combine resources
• Measure outcomes

• Identifying need
• Feeding into HWB board
• Devising the JSNA
• Remembering JSNA priorities – inequalities…
• Deprivation / Ethnicity and many more

• Identify waste
• Move from secondary care Eg
• Redesign patient pathways
• Avoid admissions
• Treatment at home
• Planning in advance
• Bid for contracts

• There is no more money
• There are opportunities
• The NHS is shrinking
• The other sectors must expand
• But we need to prevent fragmentation
• We need to work together

• There is no more money
• There are opportunities
• The NHS is shrinking
• The other sectors must expand
• We need to work together

• There is no more money
• There are opportunities
• The NHS is shrinking
• The other sectors must expand
• We need to work together