Provider services - the future … Dr Lise Llewellyn

Context CPLNHS Operating framework SHA expectations vary

Approach Commissioner driven Understand services aims outcomes efficiency Basically become the intelligent client

Efficiency Work in progress Clinical face to face time Changes nature of conversations internally Service line costings packages of care identifies the complexities

Governance Commissioner - provider separation Variation separate committees separate NED primary responsibilities Alters public conversations Still board has responsibility for both

Context Community Foundation trust Social enterprise models Privatisation Take over / merger another trust

Futures Characteristics of service Size Geography Complexity of services Local government Strategic commissioning goals What are you aiming to do What service configuration will enable the commissioning goals to be delivered most easily

Way forward No national consensus Local solutions Audit trail clinical engagement / public engagement