Health and Wellbeing in the new NHS commissioning landscape 26 March 2012 Natasha Cooper Strategic Commissioning Development Manager

3. NHS Commissioning Board 4. Commissioning Support Services 2. Clinical Commissioning Groups 2 5. Conclusion 1. Introduction

Hillingdon Harrow Brent Ealing Great West Commissioning Consortium Hammersmi th & Fulham West London Commissioning Westminster Barnet Enfield Haringey Camden Islington Richmond Merton Croydon Wandsworth Kingston Bromley Bexley Greenwich Lewisham South- wark Lambeth Newham Tower Hamlets City & Hackney emerging CCG Havering Barking & Dagenham Redbridge Waltham Forest Sutton West London Commissioning covers the whole of K&C and 12 practices in Westminster City of London Local Authority City & Hackney CCG covers the boroughs of Hackney and the City of London Now London has 32 ‘emerging CCGs’ All are coterminous with their local authority except for: 3

Health and wellbeing for CCGs JSNA and JHWS – equal and explicit duty to prepare JSNA/JHWS with the local authority Commissioning plans must reflect the needs in the JSNA/JHWS Held to account for improving health and wellbeing - Commissioning outcomes framework - Annual report and assurance

The six key domains against which CCGs will be assessed prior to authorisation 1.A strong clinical and professional focus which brings real added value; 2. Meaningful engagement with patients, carers and their communities; 3. Clear and credible plans which continue to deliver the QIPP (quality, innovation, productivity and prevention) challenge within financial resources, in line with national outcome standards and local joint health and wellbeing strategies; 4. Proper constitutional and governance arrangements, with the capacity and capability to deliver all their duties and responsibilities including financial control as well as effectively commission all the services for which they are responsible; 5. Collaborative arrangements for commissioning with other CCGs, local authorities and the NHS Commissioning Board as well as the appropriate external commissioning support; 6. Great leaders who individually and collectively can make a real difference.

6 Summary of functions  Co-ordination and oversight of local offices  Management of delivery of specialised commissioning  Support and co-ordination of clinical senates and networks  Performance oversight, including intervention and failure regime  Involvement in large scale reconfigurations  Co-ordination and oversight of emergency preparedness  Stakeholder engagement, particularly with sub national presence of bodies such as CQC and Monitor Summary of functions  Managing the Board’s day-to-day relations with CCGs, including providing development support, and monitoring performance and outcomes  Direct commissioning, covering offender health; military health, specialised commissioning; and primary care, including management of family health service functions  Professional and clinical leadership  Partner and stakeholder engagement, including representation on Health and Wellbeing Boards NHS CB Sectors – North, Midlands and East, South and London c50 local offices of NHS CB reflecting current PCT clusters NHS Commissioning Board

Commissioning Support Services  Commissioning Support Services will enable CCGs to focus on areas where clinicians will have maximum impact on outcomes  CCGs will be able to choose their commissioning support service  Commissioning Support services can be provided by the NHS, local authority, voluntary sector or private sector  NHS CSSs are going through a process of developing business plans and supporting documents ahead of assurance based on customer focus, leadership, business plan and delivery models (including working with partners 7

Conclusion 8