1. A New Commissioning Environment Tim Drowley, Commissioning Manager, Trafford PCT

2. The new environment Increased meaningful patient involvement-bottom up New skills to be fit for purpose Business accumen reflected in improved commissioning and contracting Readiness to embrace new partnerships

3. Commissioning to meet local needs 1.Strategic Needs Assessment 2.Planning and modelling of responses to local priorities 3.Procurement of services or other interventions 4.Performance management and market management of delivery of services

4. Commissioning outcomes Define what outcome we want to achieve-what are the needs of our population? Risk wasting public resources Putting clients at risk of interventions which may do no good or do harm Critical engagement of patients and public

5. What will PBC deliver? A greater variety of services Services delivered by a greater number of providers in settings that are closer to home and more convenient More efficient use of services Integration of health and social care Outcomes Value!!!

6. Engaging local stakeholders Practice based commissioning not an end in itself-actually a device for engaging clinicians Engaging patients and the public Who are local stakeholders? Third sector, independent sector, social enterprise organisations

7. DO ORGANISATIONS HAVE THE SKILLS TO CARRY FORWARD THE NEW AGENDA ?