1. Jeannette Hudson Transformation Lead – Elective Care
NHS Coventry & Rugby Clinical Commissioning Group

2. Agenda Deciding what to Commission Prioritisation Process
Decision Making Process
Do we need to Tender Services?
Competition & Procurement Rules
GP Based Services

3. Deciding what to Commission
Commissioning Intentions
Directives from Department of Health
Public Health
Historical data
Local proposals

4. Prioritisation Process
Risks and Benefits
Quality
Patient
Social Value
Financial
Health Economy

5. Decision Making Process
Review priorities
Nominate a lead
2 page brief
Full business case
Present to Clinical Group
Financial Approval

6. Do we need to tender services?

7. Competition & Procurement Rules
E.U.Legislation
Lifetime value of contract
£172,514
Prior Information Notice (PIN)
Choice of procedures
Costly
Time consuming

8. To Tender or not to Tender…… that is the Question??
CCG decision
Service analysis
Market analysis
Risks of challenge
Benefits high
Audit trail
Monitor guidelines

9. GP Based Services Services Ophthalmology – 600k Dermatology – 500k
Gynae – 350k
Ambulatory ECG – 350k
GP Based Services

10. Thank You
Any Questions?