Commissioner Development Update

Douglas BlairAssociate Director of Commissioner Development (West)

2 April 2012

Commissioner Development goals

1. Establish viable and effective Clinical Commissioning Groups (CCGs) that are ready for authorisation by the NHS Commissioning Board (NHSCB) from October 2012 wherever possible;

2. Ensure CCGs focus on sustaining financial and operational performance and deliver QIPP;

3. Ensure effective commissioning support arrangements are established with CCGs as intelligent customers; and

4. Working with the Chief Operating Officer’s team, ensure the safe transfer of appropriate functions to the NHSCB (primary care, offender health, military health, specialised commissioning), and continue to ensure these functions are well managed during the transition.

Department of HealthDepartment of Health

NHS Commissioning BoardNHS Commissioning Board

200 – 250 Clinical Commissioning Groups

200 – 250 Clinical Commissioning Groups

Approx. 24 Commissioning Support

Organisations

Approx. 24 Commissioning Support

Organisations

Primary care, military healthcare, offender healthcare, specialised treatments

The new NHS landscape

Planned and emergency hospital care, rehabilitation, most community services and mental health and learning disability services

• 12 CCGs in the West• Recent changes:

• Single CCG for Cornwall and Isles of

Scilly formed from 3 CCGs• Dorset, Bournemouth and Poole

forming a pan Dorset CCG• South Devon and Torbay CCG

formed from 2 CCGs;• North, East, West Devon formed

from 4 CCGs• 3 Wiltshire CCGs to form one CCG

• All CCGs in West now either

same size or bigger than

predecessor

Primary Care Trusts.

Clinical Commissioning Group Configuration

Establishing Clinical Commissioning Group as organisations

• Governance arrangements• Constitution, decision making processes, locality/federation

arrangements• Leadership

• National assessment process for accountable officers, Chairs and Chief Finance Officers – nominations from both CCGs and SHA/PCT Clusters: not a selection process

• Establishment: structures, decisions about make/do/buy/share, living within £25 running cost limit

• Building a track record of delivery:• Active involvement in the 2012/13 planning and contracting round;• Full shadow year of commissioning responsibility;• Subcommittees and accountability agreements in place; and• 100% of relevant commissioning budgets delegated from 1 April 2012.

Clinical Commissioning GroupsAuthorisation process

No formal assessment but covering most aspects of governance, organisational form and commissioning support arrangements.

Enabling the CCG to set out factual details relevant to its application, and to demonstrate compliance against a number of authorisation criteria.

Covering all aspects of authorisation including desktop review, 360 review and site visit.

Clinical Commissioning GroupsAuthorisation process

• Six domains:• A strong clinical and multi-professional focus which brings real added value• Meaningful engagement with patients, carers and their communities• Clear and credible plans• Proper constitutional and governance arrangements, with the capacity and capability to

deliver all their responsibilities• Collaborative arrangements for commissioning with other CCGs, local authorities and

the NHSCB as well as the appropriate commissioning support• Great leaders who individually and collectively make a real difference

• Strategic Health Authority pre-application stage:• Configuration, governance, establishment/leadership

• Process to include statements of compliance, desktop review & site visits

Clinical Commissioning Groups

UNDER DEVELOPMENT

CommissioningSupport Organisations

UNDER

DEVELOPMENT

Commissioning Support

Map not to scale and boundaries are subject to change

Commissioning support arrangementsEmerging offers

CSOCCG

CSOCCG

CCG

CCG CSO

CSO

CSO

Commissioning support arrangementsNational assurance process

Commissioning support arrangementsDevelopment

• Leadership and governance arrangements;• Business plan development;• Service level agreements with Clinical Commissioning

Groups for 2012/13; and• National service offers.

Commissioner Development Update

Douglas BlairAssociate Director of Commissioner Development (West)

2 April 2012