1. COMMISSIONING DEVELOPMENT PROGRAMME NHS CB Establishment Programme – Primary Care Commissioning Sam Illingworth – Dental, Pharmacy and Optometry Lead NHSCB Establishment Team BDA 7 th September 2011 COMMISSIONING DEVELOPMENT PROGRAMME

2. Context of the Primary Care Commissioning Design The primary care commissioning work stream has been working to:  Design a new system of commissioning primary care as part of the development of the single operating model of the NHS Commissioning Board  Have a process of convergence to the new system that ensures a safe and proper transfer of responsibilities in 2013  Ensure that the new system has the capability to transform the provision of primary care through better commissioning

3. COMMISSIONING DEVELOPMENT PROGRAMME To describe how the NHS Commissioning Board could discharge its direct commissioning responsibilities for primary care through: A central team. A network of field force teams that includes local professional networks working with commissioning teams 4 Commissioning Sectors and a number of Local Field Force Teams Clinical Commissioning Groups. To describe the team configurations and staffing resources needed to deliver those functions Purpose of the PCC work 2

4. COMMISSIONING DEVELOPMENT PROGRAMME Designing the NHS Commissioning Board Matrix working Chief Executive Medical Director Nursing Director Finance, Performance & Operations Commissioning Development Patient engagement, insight & informatics Improvement & transformation Policy, corporate development & partnership Chief of staff Reducing mortality Long-term conditions Acute episodes Patient safety Patient experience

5. COMMISSIONING DEVELOPMENT PROGRAMME Designing the NHS Commissioning Board Primary care in the new system Chief Executive Finance, Performance & Operations Commissioning Development This portfolio would cover broad operation and performance monitoring of the Board in its role as direct commissioner of services as well as clinical commissioning groups The responsibility of the overall commissioning architecture within this portfolio would also cover the design of national primary care contracts and the development of commissioning tools and commissioning guidance. The nature of this portfolio is likely to change once the new commissioning arrangements mature but is particularly important during the initial stages of development.

6. COMMISSIONING DEVELOPMENT PROGRAMME Core Commissioning Team (commissioning managers, clinical quality and network leaders, public health) Local Professional Networks (clinical expertise for ‘task and finish’ projects, quality improvement, pathway re-design, strategic development and planning) All primary care providers – influence, communications, roll out) Dental Commissioning Local Team Operating Model

7. COMMISSIONING DEVELOPMENT PROGRAMME Next 6 months to April 2012  PCT Clusters charged with commencing convergence to the single operating model  Stock take of current to transfer to future Contract transition control programme Expenditure baseline return  Review of data, information and intelligence requirements (e.g. BSA, NHSIC etc)  Testing and refining single operating model  Developing standard and consistent operating procedures for the NHSCB Contractual Performance improvement processes and frameworks  Ideally from April 2012 onwards clusters focussed on convergence

8. COMMISSIONING DEVELOPMENT PROGRAMME