NHS East Midlands Perspective Andy Gregory Assistant Director of Planning and Delivery (Primary Care) Andy.Gregory@eastmidlands.nhs.uk

Recap from April Website developed Service change template Analysis of PBC progress Innovation Fund Consortia Success

PBC Progress 52 consortia representing over 90% practices 18 single practice PBC units Organisational form variable – single practice to I.C.O Clinically led redesign of services is widespread Delays in implementation and evaluation Competition approaches are variable Pockets of PBC forming part of PCT Executive and influencing PCT strategy Work on understanding clinical variation in some areas Collaborative and consultative approaches to incentive schemes Earned autonomy and real budgets Variable input in to TCS and PCT strategy Information and analytical support Non GP input is limited

Does PBC still matter? Economic downturn – around 0% growth From 2011 - 5% efficiency year on year for the NHS until 2014 80% resource committers Reducing clinical variation – productivity opportunities Commissioning appropriate alternatives to traditional care Sharing and adopting best practice Clinicians commissioning is here to stay

Raising the profile of PBC World Class Commissioning 09/10 New surveys PBC Focus Refresh of PCT strategy Commissioning Intentions – clinical / PBC involvement SHA/PCT Quarterly Reviews SHA visits to consortia A vision/strategy for PBC regionally and within health communities that maximises the impact of PBC / Clinical Commissioning

Key Messages Actively share successes and challenges Adopt and mainstream successes Increase clinical influence in PCT strategy and decision making Focus on high impact initiatives

Questions? What can the SHA do to develop PBC further?