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June Pathfinder Learning Network event breakout session: collaborative multi-professional clinical commissioning
 

June Pathfinder Learning Network event breakout session: collaborative multi-professional clinical commissioning

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    June Pathfinder Learning Network event breakout session: collaborative multi-professional clinical commissioning June Pathfinder Learning Network event breakout session: collaborative multi-professional clinical commissioning Presentation Transcript

    • Collaborative multi-professional clinical commissioning Breakout session from Pathfinder Learning Network event – 7 June 2011
    • Overview Breakout session from Pathfinder Learning Network event – 7 June 2011 Collaborative multi-professional clinical commissioning Clinical commissioning can be more effective when done collaboratively with multi-professional teams. In the breakout sessions, two groups of multi-professionals explored how we can make collaborative commissioning work with multi-professional teams, how integrated care can benefit, and the barriers and challenges that lie ahead.
    • Key discussion points
      • Discussed how GPs would be reliant on other professionals groups when it comes to commissioning as this gives a broader range of expertise and experience that they do not have themselves ,or indeed may not even know is available
      • Experiences of establishing consortia boards were shared and the variety of approaches available discussed. Some had concerns about ensuring locally that a board is functional and able to focus on the broader vision without getting bogged down in the detail. Financial constraint may limit the size of the board
      • Discussion about how the consortia board might delegate authority to multi-professional groups of clinicians and managers. Concept of Healthcare Design Teams with inclusive membership looking at care webs/pathways. This way of working could promote creativity and innovation
      • Making sure commissioning decisions are genuinely inclusive of other professionals was a key theme that came to front throughout discussions. The groups felt that clear processes and systems for multi-professional involvement in decision making were needed and that it must not become a tick box exercise. Currently, many feel they will not have a voice if they are not on the board
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Collaborative multi-professional clinical commissioning
      • Finding creative ways to involve many professionals in a multi-disciplinary approach could deliver reward. People are wary of duplicating work, as there is a cost to people taking time out to work on the board etc…Use of wider workforce as asset to improve productivity as we do in clinical primary care
      • Agreed that they would be happy to be part of a virtual network to take this work forward in the future
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Collaborative multi-professional clinical commissioning
    • Next steps - locally
      • Energise the creation of a consortia board and make sure it is of a size that can function while still maintaining the ability to represent and gain insight from a broad spectrum of professional groups. It needs to consist of individuals capable of corporate roles, taking responsibility for population, rather than being representative of their profession 
      • Broaden awareness of the whole health system, including understanding what is on offer already with regard to networking with professional groups 
      • Actively engage with a broad range of professional groups and stakeholders that can add value to the commissioning process 
      • Raise perceived status of transformational work outside board (also nationally): eg inverted triangle model with patients then professionals at top and board at bottom tip 
      • Explore how to value clinical involvement eg via appropriately resourced formal secondments (short term, task based), delegating specific responsibilities and authorities, demonstrating progress, acknowledging impact of those involved other than at board level
      • Need to explore value of collaboration between consortia 
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Collaborative multi-professional clinical commissioning
    • Next steps - nationally
      • Consider how the NHS Commissioning Board could establish some key ways of involving multi-professionals when commissioning and generate some top tips. This could include educating clinical groups about how best to communicate with consortia. Endorsing 10 High Impact Actions for Commissioning agreed by Healthcare Professionals Network and adopted by AHP and Nursing Networks area could form part of this action 
      • Utilise existing facilities, such as the pathfinder network, to disseminate evidence of good practice collaborative commissioning that would be useful for developing consortia. Improving visibility of evidence, networks and other resources. Sharing innovative ways of involving range of professionals, governance structures and processes and examples of tackling the issues regarding culture, values and status which can be barriers to multi-professional involvement 
      • Consider how evidence of collaborative multi-professional commissioning can feed into the Commissioning Board’s authorisation process 
      • Authorisation process: to include how consortia involve range of professions?
      • Incentivise good behaviour e.g. FT duty to cooperate could be further explored
      Breakout session from Pathfinder Learning Network event – 7 June 2011 Collaborative multi-professional clinical commissioning