1. Provider services - the future …
Dr Lise Llewellyn

2. Context
CPLNHS
Operating framework
SHA expectations
vary

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

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

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

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

7. 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

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