Integrated Ambulance Commissioning Mark Docherty Director – London Ambulance Service Commissioning Former Chair of NACG 2 nd April 2014.

Slides:



Advertisements
Similar presentations
Workshop A -Commissioning Finance Danny Storr – Head of Finance NHS Hull Clinical Commissioning Group.
Advertisements

Initial thinking on clinical commissioning group (CCG) authorisation
A Health and Wellbeing Board for Leicestershire Cheryl Davenport Programme Director.
Roles and responsibilities of elected members and senior officers in local safeguarding services Cllr Shireen Ritchie Cabinet Member for Family and Childrens.
The New Landscape - Transforming Commissioning. Agenda The likely impact of the White Paper on the commissioning landscape The NHS London Commissioning.
Mental Health Strategy Event Clinical Commissioning Groups Dr Chris Harris GP – The Ridge Chair – GPCE Clinical Director, Partnerships & Health Inequalities,
Healthwatch Leicester & Healthwatch Leicestershire.
Engaging with the NHS Commissioning Board and the impact of the changes in the wider LHE Simon Weldon, NHS Commissioning Board London Regional Team London.
Croydon Clinical Commissioning Group An introduction.
West Sussex Health and Wellbeing Board
Health Inequalities: An NHS England Perspective
Local Education and Training Boards Adam C Wardle Managing Director, Yorkshire and the Humber Local Education and Training Board.
South West London Collaborative Commissioning Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England.
Well Connected: History A reminder - previous presentation in December 2013: Arose out of Acute Services Review Formal collaboration between WCC, all.
Monday 17 September (Materials presented to the Mayoral Team on 28 August 2012)
Transforming health and social care in East Sussex East Sussex Better Together.
NHS Services, Seven Days a Week Professor Sir Bruce Keogh National Medical Director NHS England.
Middlesbrough, Redcar and Cleveland Community Services Excellent care close to home Presentation to the Joint Scrutiny Committee - Middlesbrough Council.
CCG assurance & development
Health and wellbeing boards and Police and Crime Commissioners.
The NHS White Paper A system not structure Outcomes focused Robust Quality & Economic regulation Empowered professionals in autonomous providers.
North East Leading Improvement for Health and Wellbeing Programme Masterclass 19 April 2012 Ginny Edwards, Head of Learning Network for health and wellbeing.
Understanding how commissioners work, and the ways in which HITs can influence their decisions Louise Rickitt & Mel Green June 2015.
Patient Advice and Liaison Service NHS Devon, Plymouth and Torbay The work of PALS Patient transport Health and Wellbeing Boards.
Safeguarding Adults at Risk in the new commissioning landscape Stephan Brusch Professional Safeguarding Adult Advisor.
Update from the Clinical Commissioning Group Dr Katie Coleman Joint (Clinical) Vice Chair ICCG.
Clinical Commissioning June Introduction Major shift in government policy, transferring responsibility for commissioning care to GPs Ongoing political.
Safeguarding Adults Board 6 th Annual Conference Adult Safeguarding and the NHS Alison Knowles Commissioning Director NHS England, West Yorkshire.
NHS | Presentation to [XXXX Company] | [Type Date]1 Emergency Preparedness Resilience and Response (EPRR) 31 October 2012 New Arrangements for Health NB.
Haringey Clinical Commissioning Group (CCG)
‘Commissioning for patient safety’ Dr Liz Herring Director of nursing, quality & development April 2015.
SHAPING FUTURE SERVICE Dr Sarah Schofield GP Chairman West Hampshire Clinical Commissioning Group.
Workforce for London – A Strategic Framework Implications for NHS/HE Partnership.
October 2011 COMMISSIONING DEVELOPMENT PROGRAMME – WORK IN PROGRESS Health and well being boards Clinical Commissioning Groups Strategy, policy, contract,
Having your say within the new NHS health structures.
Read and delete this slide In the April 2013 edition of CPN and on the PSNC website, a short contractor briefing on the new healthcare system was published.contractor.
Reverse Commissioning An Effective Process to Engage BME Communities Dr Vivienne Lyfar-Cissé MBA Chair NHS BME Network.
The financial challenge to Hertfordshire health services Alan Pond Director of Finance NHS Hertfordshire Interim Chief Executive Herts Valley CCG.
Penny Emerit Acting Director of London Programmes May 2010 Polysystems: how do they support tackling health inequalities in Sectors and PCTs?
Health, Wellbeing and Social Care Scrutiny Committee.
A guide for those of us who aren’t in Parliament.
Integration of Adult Health and Social Care. What is the problem we are trying to solve? Too much variability of health and social care in different parts.
BACKGROUND TO THE HEALTH AND WELLBEING STRATEGY Neil Revely.
Presentation heading Presented by / Sub-heading Commissioning Explained Sarah Freeman Local Service Specialist – West Midlands Team.
Shaping the Future of Care Together 4 th November 2009 David Behan Director General for Social Care, Local Government and Care Partnerships.
Engaging with Clinical Commissioning Groups (CCGs)
Commissioning High Quality Stroke Services
John Wilderspin – National Director Health and Wellbeing Board Implementation How are Health and Wellbeing Boards shaping up? How they can improve commissioning.
Role of NHS England in protecting and maintaining patient/service user dignity Arden, Herefordshire & Worcestershire Area Team.
Norfolk’s Shadow Health and Wellbeing Board & Clinical Commissioning Groups 25 April 2012.
Version 7 | Internal Use Only© Ipsos MORI 1 Version 1| Internal Use Only Barnsley CCG CCG 360 o stakeholder survey 2014 Main report.
Version 7 | Internal Use Only© Ipsos MORI 1 Version 1| Internal Use Only Knowsley CCG CCG 360 o stakeholder survey 2014 Main report.
NHS Gloucestershire Clinical Commissioning Group Patient Participation Group Presentation.
Healthwatch North Somerset A strong voice for local people to shape and challenge how health and social care services are provided in North Somerset.
Induction toolkit 2. WHAT DOES MY TRUST LOOK LIKE? © GovernWell
Transforming Care Learning Disabilities Governance and Roles November 2015.
NHS Reform Update October Context Health Reform Agenda Significant pace of change Clear focus on supporting the Transition Process At the same time.
NHS Blackpool Update 1 st March 2012 Health Committee Helen Skerritt Ian Treasure.
1 NHS Southwark CCG: Establishment & Emerging Strategy Southwark Shadow Health & Wellbeing Board 10 th July 2012.
Integration of Adult Health and Social Care. Social Work Services 11 'Stand Alone‘ departments 5 Social Work and Education 4 Social Work and Housing 2.
Why does commissioning matter? Dr Kev Smith FFPH Deputy Director Healthcare, Public Health England Centre, Yorkshire and the Humber.
Local Education and Training Boards Tim Gilpin Director of Workforce and Education NHS North of England.
Policy Update Cath Randall Corporate Parenting Board September 2011 NHS Future Forum and Government response Development of the cluster PCT PCT support.
System Changes Update for Partnership Board May 2016.
North Somerset Partnership Priorities & Opportunities 2 December 2015.
The Health and wellbeing board, local healthwatch, and health scrutiny
Summary.
for the Surrey Heartlands CCGs
The NHS.
D1 How agencies work.
Presentation transcript:

Integrated Ambulance Commissioning Mark Docherty Director – London Ambulance Service Commissioning Former Chair of NACG 2 nd April 2014

What I am going to cover Getting ambulance commissioning right Collaborative commissioning: the implications for the Independent Service An update from the National Ambulance Commissioners Group (NACG)

THE EXTRAORDINARY ADVENTURES OF AN AMBULANCE COMMISSIONER

What is Commissioning? 1988 – 12 mentions in parliament 1997 – 248 mentions 2007 – over 1,000 mentions 2011-,000s of mentions in both chambers In 20 years it is a concept that has come from nowhere….and is now everywhere

What is commissioning really? Conscience – stewardship, quality assurance, public protection Brain – resource allocation, service design, planning Eyes and Ears – patient experience, receiving and analysing information back to brain and conscience (Smith & Mays, 2005) Not Arms and Legs – doing and delivering

CCGs? 211 CCGs and average 226,000 population replace – 151 PCTs with average population of 284, Commissioning Support Units (At April 2013) Why? Because commissioners are the local NHS and local Social Care – there is no one else Because somebody needs to decide what’s needed locally and how best to get it Because someone needs to challenge existing vested interests and unresponsive services Because one day I’ll need services too….

*NHS Commissioning Board is now known as NHS England *

999 Call Activity - London

Category A (Red 1 & 2) Activity

Category A Performance - LAS

Ambulance Demand Challenges

The Financial Context

Emergency PreparednessHazardous ResponseMERIT / HEMS999 Life ThreateningUrgent Primary CarePatient Transport Services

Collaboration

Types of CCG Collaboration e.g.

A collaborative model

National and Sub-National

CCG and Local

The National Ambulance Commissioners Group A forum for the lead commissioners, hosted by NHS Clinical Commissioners (NHSCC) A national expert group No statutory or legal status Undertakes high quality national work-streams Contributes to National Publications e.g. “Tackling Demand Together” & the “Good Practice Guide for Ambulance Commissioning (RCGP)” Invited to give evidence to the 2013 Health Committee on Urgent Care

The National Ambulance Commissioners Group Produces national models – e.g. national ambulance contract, PbR, Clinical Indicators, HART Specification Develops shared strategic direction ‘Achieving Integrated Unscheduled Care’ and shares technical knowledge and skills to improve their local leadership and contract management Provides informal induction and ongoing peer support for members Discussions are underway to enhance the role of the NACG and to formalise it’s status, so that it formally becomes the organisation that influences national commissioning direction

Key Points CCGs are in the driving seat Massive challenges ahead NHS Ambulance Providers on their own unlikely to be able to solve all the urgent care challenges Partnerships are likely Relationships are key