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Commissioning an integrated and efficient health system
Dr Martin McShane
Director of Commissioning Development & QIPP NHS Lincolnshire
Health • Partnerships
• Prevention
Planned Care
• Choice
• Competition
Long Term conditions
• Integrated
• Personalised
ACCESS
National
Local
Simple Complex
Need for integration
NHSCB
CCGs
Care
Commissioning
Public Providers
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
Louth Pictre
Horizontal integration within a CCG
Planned Care
pathways
LTC
care plans
Navigator
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