Consortia authorisation  Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011
Overview Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation A gener...
Proposed topics for authorisation domains Clinical focus and added value Engagement with patients and communities A clear ...
Key discussion points: authorisation   <ul><li>Initial Q&A, including geographical coverage, interdependence between conso...
Key discussion points: clinical focus <ul><li>Assess process for how consortia does this work – multi-professional involve...
Key discussion points: collaboration <ul><li>Working with Local Authority and Local Service Provider(s):  Active membershi...
Key discussion points: patient engagement  <ul><li>Need to be doing things differently </li></ul><ul><li>Needs to be based...
<ul><li>Key discussion points: public involvement </li></ul><ul><li>Concern about how best to manage relationships with vo...
Key discussion points: clear and credible plan (1) <ul><li>The plan needs to be local with limited top down prescription, ...
<ul><li>Key discussion points: Clear and credible plan (2): </li></ul><ul><li>Outcomes need to be realistic; Consortia mus...
Next steps - locally <ul><li>Think through how clinical focus adds value to patients and community </li></ul><ul><li>Engag...
Upcoming SlideShare
Loading in …5
×

May Pathfinder Listening and Learning event breakout session: Consortia authorisation

867 views

Published on

A summary of the outputs from the breakout session on consortia authorisation at the Pathfinder Listening and Learning Network event on 24 May 2011

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
867
On SlideShare
0
From Embeds
0
Number of Embeds
191
Actions
Shares
0
Downloads
55
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

May Pathfinder Listening and Learning event breakout session: Consortia authorisation

  1. 1. Consortia authorisation Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011
  2. 2. Overview Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation A general question and answer session on authorisation was followed by round table discussions on possible tests and topics for specific authorisation domains.
  3. 3. Proposed topics for authorisation domains Clinical focus and added value Engagement with patients and communities A clear and credible plan to deliver quality improvement within the allotted financial resource Capacity and capability to deliver all their responsibilities, including delivery of financial control Collaborative arrangements for commissioning with other consortia, Local Authorities and the NHS CB Leadership capacity and capability Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  4. 4. Key discussion points: authorisation <ul><li>Initial Q&A, including geographical coverage, interdependence between consortia, documentation and visits, repeat applications, engaging all practices that don’t play ball and what happens once authorised, </li></ul><ul><li>There is anxiety about balance – need to hold consortia to account for outcomes not internal processes </li></ul><ul><li>Comments that it sounds like world class commissioning – and should do. A good commissioner is the same whether PCT or consortia, although skill mix may vary in the periphery depending on local challenges and issues </li></ul><ul><li>Highlighted variation in delegation and involvement in commissioning thro’ PCT clusters. Need clarity on developmental delegation; and on finance: £2/head, running cost envelope and new resource allocation formula </li></ul><ul><li>Recognised the tension in 2012/13: need to establish consortia and deliver now + long term plan. Cluster relationships key yet variable. </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  5. 5. Key discussion points: clinical focus <ul><li>Assess process for how consortia does this work – multi-professional involvement, but not everyone on the Board </li></ul><ul><li>Don’t want authorisation to distract from work needed on culture/ behaviour – a culture focused on clinical improvement and tackling outliers </li></ul><ul><li>Need to look at track record – there is a history </li></ul><ul><li>Good information systems needed – peer review of data to drive change </li></ul><ul><li>Outcome focus is essential and SMART patient outcome measures are needed (lack of validated tools though) </li></ul><ul><li>Consortia to demonstrate that they are redirecting resources to top priorities e.g. not operating on “healthy” knees </li></ul><ul><li>Needs to look at primary care clinical focus as well as commissioned services, engaging all practices </li></ul><ul><li>Ownership by GPs is key to this </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  6. 6. Key discussion points: collaboration <ul><li>Working with Local Authority and Local Service Provider(s): Active membership of Health and Wellbeing Board, examples of joint commissioning, good engagement with elected members, closer delivery relationships (aspiration at time of authorisation, and plan to deliver it) </li></ul><ul><li>Working with other consortia : Demonstrate joint commissioning arrangements, sharing commissioning support, how to keep benefits of existing countywide arrangements and increasing localisation. Pace is key - will we have to wait for “slower” consortia to decide whether and how they want to collaborate (will this affect authorisation)? </li></ul><ul><li>Links with clinical networks : share membership? Demonstrate how implementing advice. </li></ul><ul><li>Working with the NHS Commissioning Board . Varying views as to role consortia should have in improving primary medical services </li></ul><ul><li>Commissioning support . Need clarity about what is needed at the time of authorisation </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  7. 7. Key discussion points: patient engagement <ul><li>Need to be doing things differently </li></ul><ul><li>Needs to be based on shared local outcomes (via Health and Wellbeing Board), and draw on local government expertise & capacity. </li></ul><ul><li>Need to treat patients as intelligent – need to involve them early, and discuss </li></ul><ul><li>controversial decisions </li></ul><ul><li>Draw on patient reference groups from practices / clusters / consortium feeding views in, but poor track record with patient participation groups </li></ul><ul><li>Statutory responsibilities – concern about how much time this takes eg in terms of consultations/ delays. Need reduce time, cannot put patients at risk. </li></ul><ul><li>Need to give patients message about the ‘NHS offer’. Nationally – expectations raised, difficult to manage locally </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  8. 8. <ul><li>Key discussion points: public involvement </li></ul><ul><li>Concern about how best to manage relationships with voluntary and third sector (i.e. managing the large numbers of these groups); build on pilot studies in areas about how Employment works </li></ul><ul><li>Recognise that smaller local charities need support (can’t engage in large procurements etc) </li></ul><ul><li>Need to share best practice – not reinvent wheel </li></ul><ul><li>Need implementation support (pump priming), Pathfinder Learning Network is a place to give examples </li></ul><ul><li>Can’t expect clinicians to do everything – need experienced managers / facilitators to take this forward. This needs to be addressed </li></ul><ul><li>Communications support is needed early, and must be cost-effective </li></ul><ul><li>Need to be proactive not reactive as commissioners. Use schools and education influence at early stage </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  9. 9. Key discussion points: clear and credible plan (1) <ul><li>The plan needs to be local with limited top down prescription, however there does need to be a structure </li></ul><ul><li>Ownership - the plan needs to affect and influence local GPs. </li></ul><ul><li>Engagement is important </li></ul><ul><li>The plan should be written in an appropriate language, not jargon </li></ul><ul><li>Values are important in shaping priorities </li></ul><ul><li>The plan should fundamentally be based on need </li></ul><ul><li>Objectives and goals should not change too often, and if they were important and meaningful should stand the test of time. What should be the time period covered by the plan? </li></ul><ul><li>Should the plan be a strategic document or a detailed plan? Perhaps there needs to be two documents, one a more detailed internal document, and the second a shortened version developed for wider engagement </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  10. 10. <ul><li>Key discussion points: Clear and credible plan (2): </li></ul><ul><li>Outcomes need to be realistic; Consortia must add value and this must speak clearly in the plan </li></ul><ul><li>Concern about planning with partners when registered populations were not necessarily coterminous with Local Authorities. </li></ul><ul><li>Need to understand what will be different this time, and take the best of what went before. </li></ul><ul><li>More information is needed to set the context before developing the plan, including fair shares budget and an indication of how the consortium is performing (against budget, need and performance information) </li></ul><ul><li>The plan needs to be meaningful and relevant, and translated into contracts to ensure that service improvements are implemented and QIPP / Risk Management is delivered </li></ul><ul><li>The plan should be a health economy plan and owned by providers and external stakeholders as well as the consortium </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation
  11. 11. Next steps - locally <ul><li>Think through how clinical focus adds value to patients and community </li></ul><ul><li>Engage on decisions already made. Engage early on new decision processes Learn lessons from previous engagement failures </li></ul><ul><li>Share best practice and experiences to date </li></ul><ul><li>Next steps - nationally </li></ul><ul><li>Provide diagnostic tool, pass/fail examples and information on authorisation. We need the details </li></ul><ul><li>Manage the public expectations of the NHS deal </li></ul>Breakout session from Pathfinder Listening & Learning Network event – 24 May 2011 Consortia Authorisation

×