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  • 1. Local Commissioning Advocates Commissioning in context Commissioning essentials Supported by UCB Pharma through an educational grant. UCB has no editorial control on the contents. © Copyright Epilepsy Action 2012
  • 2. Thecommissioning cycle
  • 3. Choice Need Want StrategyWorkforce ? OutcomesParticipation Budget Existing Quality & providers value Alternative providers
  • 4. Population needs assessment Usually produced by Public Health Need department (based in local Want NEED authority). WANT Choice CHOICE Should include:Estimated need - prevalence dataService map with gap analysisEvidence of best practice AnalysisAnalysis of what people want
  • 5. Commissioning strategy Usually produced by the Strategy commissioning team (could be Outcomes NEED WANT Budget joint between CCG and LA). CHOICE It is the plan of:What outcomes need to be deliveredBy what sorts of servicesWithin a specified budget Planning
  • 6. Allocating resources Commissioners may continue to Quality fund existing providers, with a Value NEED service specification. WANT Providers CHOICEThey may also commission new or alternativeproviders by:Tendering SourcingProcurement
  • 7. Checking quality and value Contracts reviewed by activity Workforce and outcome reports from the NEED Participation WANT provider workforce. CHOICE Outcomes and quality (experience of service) are sought by:Public and patient involvement (PPI)Service user participation Monitoring and review
  • 8. The commissioner’s role...is to bring resources and strategic direction tothe commissioning process, designing andimplementing the range of services required,rather than only purchasing from servicescurrently available.
  • 9. Who will the commissioners be• Clinical commissioning groups (GPs and other primary care professionals)• Local Authority commissioners• With support from those with more commissioning experience (for example ex- PCT commissioners)
  • 10. Joint commissioning...is the process whereby partners who haveresponsibility for specifying, securing andmonitoring services work together to makejoint decisions about the needs of theirpopulation, and how they should be met.
  • 11. Effective commissioning...has the potential to help in the improvement ofservices because it places the primary focus onthe needs and aspirations of patients and theirfamilies, unclouded by other considerations.
  • 12. How is that achieved?By finding out:• What people need (population needs assessment)• What people want (public and patient involvement, advocacy)• Then acting upon it
  • 13. A key aspect...of the commissioning agenda is to focus on earlyintervention and prevention wherever possible,rather than waiting for a crisis presentationneeding acute or restorative services.
  • 14. How does that relate to epilepsy?• Public information and challenging stigma• Educating that there is a role for early intervention and preventative work in epilepsy.• Pre-conception and maternity services• Accurate diagnosis• NICE CG 20 standards
  • 15. Local Commissioning Advocates Commissioning in context Commissioning essentials Supported by UCB Pharma through an educational grant. UCB has no editorial control on the contents. © Copyright Epilepsy Action 2012