1. Commissioning end of life care in Bradford and Airedale Pat Featherstone Deputy Director for Vulnerable Groups

2. World Class Commissioning Has developed a framework for commissioning Consists of 11 Commissioning Competencies Link to commissioning cycle tPCT is performance managed on these competencies Demonstrate how EOL is meeting competencies Where EOL is in relation to commissioning cycle

3. DH commissioning cycle Assessing needs and priorities

4. Key outcomes (1) 1.Improved access and equity. Emphasis on reducing health inequalities and ensuring dignity and respect 2.Patients will experience consistent and equitable services enabling preferred place of care 3.Patients and carers are able to access care to meet their individual needs. Right staff, right place, right time. 4.Patients and carers health and well being will improve by having a skilled workforce to deliver care and treatment

5. Key Outcomes (2) 5.People from BME communities and under represented groups can identify and access services that are appropriate to their needs 6.Patients can access timely and responsive transport which meets their need 7.Carers are supported during the end of life care period 8.Bereavement services meet the needs of families and carers

6. Where are we now? Clarified that work streams are in line with strategy Developed a commissioning plan Identified potential ‘champions’ to lead on the 8 work streams Identified actions & investment to achieve the outcomes Identified performance measures/ benefits against activity To be presented to Palliative Care Strategy Group (16 th October 08)

7. Next steps 1.Present to CEX for agreement. 2.Present to the Joint Commissioning Exec to gain political sign-up. 3.Convene champions/work stream leads to refine action areas/projects. 4.tPCT Programme management infrastructure in place. (Links all commissioning plans) 5.Manage the implementation process in a pro- active way through Palliative Care Steering Group