Martin Russ Commissioning Lead AGM Presentation Martin Russ Commissioning Lead

Commissioning Changes – currently 200-plus CCGs

Reducing to 44 Sustainable Transformation Partnerships (STPs)

NHS Commissioning: ACOs/ACSs/ICOs What are they: Accountable Care Organisations and Accountable Care Systems. And now… Integrated Care Organisations Three names… Same thing! Originates in the US via health systems such as Kaiser Permanente Evolution of an STP to cover not just commissioning but also delivery Can be used to address the provider / commissioner split What does it look like….?

NHS Commissioning: ACOs / ACSs / ICOs Single contact with a fixed budget Acute Trust Local Authority CCG Primary Care Contracting Pharmacy Company Primary Eyecare Company GOS Voluntary Service PMS GMS Private Providers Pharma Community GP Federation GDC Charity Police Community Single set of health outcomes that ACO signs up to

What does it mean? ADVANTAGES: All providers and commissioners in an economy work together Ends the provider / commissioner split Opportunity to reform the transactional basis of NHS contracts Binds an economy to common aims and health outcomes Has potential to place patient in the centre of care delivery Can fix costs and ensure more money goes to delivery of care ISSUES: Accountability is currently less clear Structures not defined Unclear who controls the process How will this be delivered?

What could services look like? All providers in a position to deliver against defined health outcomes Discussion about primary care delivering services currently delivered in acute sector at a price differential less relevant Cross-tier services delivered in partnership – right service at the right time in the right environment May see co-location of services, especially primary care based services

What will provision look like? Extended primary care services and community monitoring services – PEC delivered must be within the ACO / ACS / ICO Not just about traditional ophthalmic care. What else can be delivered? E.G. Healthy Living Service in Dudley Need to define and understand where optometry fits in wider care pathways, i.e. The role in elderly care, falls, dementia, etc. Need to understand how services can be delivered in a new contract mechanism and in partnership. Need to define role of primary care contracting and where/if it fits with an ACO/S structure.

Flag up need for Partnerships? Local Representative Committees Pharmacy General Practice Primary Care partners

PEC Consolidation Reduce and improve consistency of PEC delivery continues PEC Southern updates PEC Northern updates and learning (model approach) Vision to mirror STPs so PEC is seen as a natural delivery service for eye care. Greater support for PECs: more uniformity = lower costs Greater support for CGPLs New Digital Support Learning Officer appointed Dedicated online Forum on Noddlepod Coaching and Mentoring for CGPLs

LOC Development Improved and updated induction LOC Recruitment for active and sustainable committees Intelligence-led talent-spotting for suitable recruits Reaching out to optometry courses to explain role and importance of LOC and potential career path to students LOC Officer Training (updating) Succession Planning (getting better at it) NOC attendance as a learning/development and recruitment tool Leadership Module Coaching & Mentoring help available Discussion about LOC mergers

LOC Communications Reminder of LOCSU move to “social media first” communication Request for individual members to sign up LOCSU Latest http://eepurl.com/cI77N1 LOCSU Facebook https://www.facebook.com/LOCSupportUnit/ LOCSU Twitter https://twitter.com/LOCSU @LOCSU YouTube https://www.youtube.com/channel/UC6CvFD7ui7Ur0IT7ADIZPaA NOC Facebook https://www.facebook.com/NOC-1156887147742442/?ref=bookmarks NOC Twitter https://twitter.com/noclocsu @noclocsu #nocloc

LOC Communications Free website template for each LOC on LOCNET. New detailed How-To guides (Forms, Practice Maps, Events, etc) New template on horizon Appointment of a dedicated Communication Officer for web and news Update of corporate LOCSU website Sign up/Database of current officers for LOC/PECs

PCSE PCSE update and pointer to help on PCSE site and LOCSU site PCSE page LOCSU page

Questions???????