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The vision for World Class Commissioning

World Class Commissioning Agenda • • • • • •

Programme Vision Competencies Assurance system Support and development framework Next steps

The programme

Vision and competencies

The prog ram me

Assurance framework

Support and development framework


Why now? We have the foundations in place to dramatically Improve health outcomes

• Universal coverage • Efficiency • Equity/ Fairness • Financial balance

WCC will be the main vehicle for delivering world class services which meet locally determined health needs, and deliver wider policy objectives – for example Lord Darzi Review

Why world class? World-class commissioning is a statement of intent aimed at raising ambitions and dramatically transforming the way we work

What will it deliver? • Better health and well-being for all • Better care for all • Better value for all Adding life to years And years to life

How is it different? • • • • • • •

Strategic Long-term Outcome-driven Evidence-based Partnership-focused Clinically led Highly professional

How will it support the NHS vision? • It will deliver: •More focus on prevention and well-being •More personalised care •Greater choice •Greater safety •Better quality •Better value

How has it been developed? World class commissioning is a shared programme •Input from over 100 leading NHS thinkers •Questionnaires to seek broader views •Open working style •Close engagement with partners

How will it be delivered? •WCC will be delivered locally •PCTs will lead the program •Clinical engagement and innovation will drive improved outcomes •Partnership is key to success

What is the role of PBC? •Clinical engagement essential •Key role for PBC •Assessing local needs •Helping decide priorities •Helping shape outcomes •Designing care •Developing future services •Giving feedback on provider performance


What are competencies? Competencies are the skills, knowledge, behaviour and characteristics that underpin effective commissioning

What are the competencies for world class commissioners? World Class Commissioners: • Locally lead the NHS

What are the WCC competencies? World Class Commissioners: • Work closely with community partners • Engage with public and patients • Collaborate with clinicians

What are the WCC competencies? World Class Commissioners: • Manage knowledge and assess needs • Prioritise investment

What are the WCC competencies? World Class Commissioners: • Stimulate the market • Promote innovation and improvement

What are the WCC competencies? World Class Commissioners: • Secure procurement skills • Manage the local health system • Make sound financial investments

What will the competencies look like? Each competency will be broken down into •Skills •Processes and knowledge •Outputs

World class commissioning is NOT an end in itself. In order to be successful, commissioners will need to demonstrate better health outcomes; adding life to years and years to life

Commissioning assurance

What is commissioning assurance? • A system to drive and support performance • Key principles: • One national system • Developmental • SHA led

What will it look like? Health outcomes and quality Competencies


Example Vital signs

10-15 Indicators

Determined by: PCT, PBC, Local Population

e.g. Chronic Heart Disease Stretch target

NHS Population Upper Quartile ‘x’

Best NHS

World Leading

PBC’s drive innovation to deliver

How is it being developed? • Series of workshops involving NHS partners • Building the design and testing in North West area until end of January ‘08 • Further development of the system in all SHA areas in early ‘08 • Ready to be rolled out in 2008

Support and development framework

What is the Support and Development Framework? A framework to provide commissioners with the tools they need to progress towards world class

Support and development SHARE



Early adopters learning spread

Development assessment

Creation of a commissioning community

Development/ training


FESC Tools to support contracting

Next steps? • Vision launched • Work on assurance system and support and development framework progressing well • PCTs to lead programme locally • Review current performance • Set out programme for change • Communicate local vision