1. Presentation title: 32pt Arial Regular, black Recommended maximum length: 1 line Support for PBC Renegotiating the Relationship Prioritise Commissioning Opportunities 11 th March 2010 Gary Lucking Senior Associate

2. Our recent work indicates two key needs from PBC 1. Getting established and started How do we ‘re-negotiate’ the relationship with our partner organisations and leave the history behind? Renegotiating the Relationship2. Getting going and building momentum How do we function as an effective commissioning entity or organisation? Prioritise Commissioning Opportunities

3. This brief presentation will outline these two key needs and aligned products For each product we will discuss: A typical scenario we are asked to assist with What the product and process entails The typical outcomes and benefits

4. Presentation title: 32pt Arial Regular, black Recommended maximum length: 1 line Renegotiating the Relationship

5. The usual scenarios... 3 real cases but anonymised to protect the innocent The GPs in a locality can just about tolerate being in the same room as each other. There is great debate and perhaps some progress in what organisational form they should or want to take. The GPs have eventually formed a consortium largely to keep the PCT happy. Now they can go back to the day job. The GPs in the localities have a great relationship with PCT staff. Pleasant meetings stretching back years. Is that really all there is to it? Couldn’t we actually... get something worthwhile done?

6. Re-negotiating the Relationship – what it entails The approach is based on a 2.5 – 4 hour workshop event which includes: Understanding organisational cultures, personal and organisational change cycles, team formation and dynamics, and mental valleys thinking Establishing and managing peer-to-peer business relationships Going beyond the accountability agreement – The Compact Assembling our local vision for PBC – what are we here for? Using a Compact to create and set the agenda How to use visioning exercises to explore values and beliefs Practical plans to developing a Compact The workshop is highly participative and fast paced and can work with small groups from one locality or large groups across a number of localities

7. Re-negotiating the Relationship – benefits Outcomes and benefits have included: A new understanding within a PBC group of why it exists and how it might operate – increased trust levels within the team An understanding of what needs to happen to forge a new relationship with a partner organisation, and action plans to start the process Increased and visible focused action from PBC to stimulate further trust from senior PCT personnel A real sense of... “we’re here, we’re viable, we mean business.... now let’s get going”

8. Presentation title: 32pt Arial Regular, black Recommended maximum length: 1 line Prioritise Commissioning Opportunities

9. The usual scenarios... 4 real cases but again anonymised to protect the innocent The GPs have formed a consortium with much effort spent deciding organisational form and leadership. They might have registered as a legal entity and may now have a logo and an ‘identity’. Now what? A PBC locality is struggling to raise the debate above the level of immediate local problems. How do they ‘step up’ and get commissioning and engage with local stakeholders? A PBC is frustrated that the PCT won’t “let them play with the best toys” and feels marginalised. How do they raise the level of the agenda and increase credibility? A PCT is frustrated that the PBC won’t do anything beyond the PBC LES. How do they help PBC take more control for themselves?

10. Effective Prioritisation is an essential activity It has been shown to be a Key Success Factor for service change projects It is a key step of the Commissioning Cycle It is a competency in the WCC Assurance Framework It takes work to manage across broad stakeholder groups but we need to do it 6 HOW?

11. A proven Commissioning Prioritisation methodology Used with NHS organisations for over 3 years and newly updated Is designed for use both with PCT and PBC Signposted from the WCC website Includes: Opportunity Locator – to support evidence based commissioning Multi-disciplinary stakeholder engagement Practical approach to bringing innovation to commissioning Priority Selector - online decision support model to ensure powerful transparent decision making with robust governance

13. 3 Workshops + “homework”

15. Priority Selector What it does, how it works... Not NowSelect Carefully Must Do’sTough Plays Importance Do-Ability

16. ... answers each question by clicking on the stars When you have finished the 10 questions for the Initiative click ‘Save and continue’ to progress and securely save your scores. Move onto the next Initiative. Each scorer is sent a secure link to log-in The scorer reads about the Initiative in the ‘Key Information’ box and...

18. Prioritise Commissioning Opportunities – benefits Outcomes and benefits have included: A coherent and realistic plan for PBC activity to be agreed with the PCT A renewed willingness to tackle the more difficult areas and issues A tangible plan to refocus activity and resources An effective start to developing strategic alignment PBC/PCT A useful step towards integrated planning A real sense of... “we know what to focus on and we have folks with us... now let’s get on with it”

19. How would you use these resources? 1. Getting established and startedRenegotiating the Relationship2. Getting going and building momentumPrioritise Commissioning Opportunities

20. Presentation title: 32pt Arial Regular, black Recommended maximum length: 1 line Support for PBC Renegotiating the Relationship Prioritise Commissioning Opportunities 11 th March 2010