The document discusses commissioning an integrated and efficient health system in the UK. It outlines the need for integration across national, local, and provider levels to deliver coordinated care. The principles of commissioning include engaging clinical leadership, understanding public needs, using data to drive decisions, and integrating services both horizontally across different areas of care and vertically across national, local, and provider organizations.

1. Commissioning an integrated
and efficient health system
Dr Martin McShane
Director of Commissioning
Development & QIPP NHS Lincolnshire

2. • Partnerships
Health
• Prevention
Planned • Choice
ACCESS Care
• Competition
Long Term • Integrated
conditions
• Personalised

3. Need for integration
NHSCB
National
Local CCGs
Simple Care Complex

4. Commissioning
Providers Public

5. Principles
• Value clinical leadership and develop clinical
ownership
• Comprehensively engage with the public
• Understand the rules
• Use information
• Vertical and Horizontal Integration
• Programme and Project manage change

6. Louth Pictre

10. Horizontal integration within a
CCG
Planned
LTC
Care
care plans
pathways

13. Navigator