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Issue 6 www.commissioningshow.co.uk
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Page 4 - What Francis means for CCGs Page 6 - Eleven conference streams and an unrivalled panel of speakers.
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Page 12 - Federate or be Damned, says FDA Chairman
“ThIs Is a real oPPorTunITy To lIberaTe The nhs and gIve IT clInIcal leadershIP”
Thanks to our partners & sponsors
With less than a month to go until the NHS Commissioning Board (NHS CB) takes up its full statutory duties, the new body’s Chair Professor Malcolm Grant says he is full of optimism that they will be able to achieve their mandate of improving the nation’s health.
But he admits that the challenge ahead is daunting. ‘The sheer scale of what we are doing is breathtaking,’ he says.
The way the NHS CB has been set up by the Health and Social Care Act, he believes, will give them a real chance to fundamentally reform commissioning in the NHS.
For a start instituting the NHS CB as a separate body at arm’s length from the Government is novel and will free the NHS from direct political interference by the Health Secretary. Gone is the target-driven top-down approach. Now they will have a period of stability to commission services against high level outcomes.
As Chair, Professor Grant provides strategic leadership and his role is to ensure proper governance for the Board. He is also the President and Provost of University College London. He is a qualified barrister and academic lawyer with wide experience of public service, including roles in the Local Government Commission, Higher Education Funding Council for England and as a UK Business Ambassador.
Since December the NHS CB has authorised 163 clinical commissioning groups (CCGs) and the remaining 48 will be approved this month. Some CCGs have been authorised with conditions but Professor Grant says many of these are bureaucratic issues requiring only conTInued on Page 2
10 ThIngs To be done as soon as you gaIn PoWer on aPrIl 1
1 Identify the support you need: ‘While CCGs will be at different places on their journey and will have different development needs it is for the CCG to identify the support they need to rectify any concerns identified,’ Michael dixon, President, nhs clinical commissioners (nhscc).
2 Be clear about the true state of the finances your CCG has inherited: Michael dixon.
3 Share good practice: ‘While there will be many challenges ahead by sharing best practice, working together and driving forward change, CCGs with NHSCC should be well placed to transform and modernise patient care,’ Michael dixon.
4 Read the Francis report and identify what it means for your CCG: nhs commissioning board (nhscb) chief executive, sir david nicholson.
5 Plan your development goals: dame barbara hakin, national director for commissioning.
6 Join the NHS CB’s CCG Development Working Group: dame barbara hakin.
7 Prioritise: ‘It is inevitable that the resources at our command will not fund all we aspire to. This means that some things will not get done. Challenging yes, impossible to manage, no,’ charles alessi, chair nhscc.
8 Engage with your members: ‘CCGs are membership organisations and the unit of currency is the general practice. Thus it is essential that the CCGs reflect the wishes and aspirations of the practices,’ charles alessi.
9 Prepare for NHS trust reconfiguration: ‘The new world is a very different one in that CCGs have a duty to manage the sources they have been entrusted with for the benefit of their populations,’ charles alessi.
10 Book your ticket for the Commissioning Show where you will be able to hear talks by key commissioning leaders and network with and gain inspiration from your colleagues.
KeynoTe sPeaKers confIrMed The Commissioning Event: Where the biggest names choose to speak! Commissioning is your only opportunity to hear from the most influential people in the sector in one place.
Keynote speakers at the largest national event for clinical commissioning include:
Prof. MalcolM granT
confirm your complimentary delegate passes for you and your
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Prof MalcolM granT, nhs coMMIssIonIng board chaIr
Prof. MalcolM
granT WIll be sPeaKIng
aT The coMMIssIonIng shoW
sToP Press
paperwork to be signed off. Only a handful will have more onerous conditions by April 1 and will require a greater involvement of the Board in their early days.
The entire NHS budget of £95.6 billion for 2013/14 transfers to the board on April 1 and CCGS will be responsible for spending £65 billion of this sum. With such a significant sum of public money going to new organisations Professor Grant says there is an element of risk.
But he considers that commissioners are already rising to the challenge and he anticipates there is going to be quite a lot of experimentation in different ways of working. ‘Already a number of GPs have relayed back to us their real delight for the first time at being able to grapple with some of the issues they have been frustrated about for years. I really believe that the leadership of CCGs are up for change and innovation.’
rT hon norMan laMb MP
rT hon Paul bursToW MP
rT hon andy burnhaM MP
rT hon sTePhen dorrell MP
from his provost’s office at prestigious ucl, the chair of the nhs commissioning board speaks candidly to The commissioning show
vIeW The PrograMMe and KeynoTes InsIde
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Commissioning Newspaper_Feb 13_12.indd 1 04/03/2013 16:58
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ToP TWeeTsdr andrew clements @DrAClements Reading through the Francis report. Interesting that it seems to suggest nurses should be keeping a portfolio. Was this required before?
Jan sobieraj @JanSobieraj #francis @ KF today says honesty, openness & transparency key to addressing difficult issues including balance of safety with other duties.
The King’s fund @TheKingsFund @JanSobieraj: we must engage staff more. Last staff survey suggested only around 26-27% felt they were involved in big decisions #kffrancis
julie pearce @julie_pearce1 #Francis @TheKingsFund we can all act now in order to facilitate the necessary change - we don’t have to wait for the DH response to report
sa Mathieson @samathieson Mid-Staffs #Francis report shows we need GPs to keep #NHS hospitals honest, says Patient from Hell: guardian.co.uk/healthcare-net… @GdnHealthcare
richardvize @RichardVize #Francis on whether Nicholson should resign: judge your leaders by how they respond to the recommendations in his report
alastair Mclellan @HSJEditor @NHSCB chair Malcolm Grant says whole of #NHSCB leadership backs David Nicholson
roy lilley @RoyLilley #nhscb the pressure will now be for the Board to quit. This was a poor move from the Chair
for live sector and conference news follow us on @commshow
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“ThIs Is a real oPPorTunITy To lIberaTe The nhs and gIve IT clInIcal leadershIP”
coMMIssIonIng 2013 To helP ccgs geT ready for an excITIng JourneyThe date for the new system for commissioning for health to go live is upon us. So what can we expect to see once we move from shadow form to really having the power to make the difference we have all been waiting to deliver?
Paradoxically I hope we will not see revolution, but I hope we will see managed change. Change that will proceed at differing paces depending on the local environments and the challenges we face.
The world in April 2013 is a very different one to the world in 2011 when the latest iteration of this debate started. It is a much more fiscally challenged environment for a start and also one where some commentators have said , the chickens have come home to roost. The analogy of the CCGs having as their first task the Herculean cleaning of the Stygian stables is one which I have heard and this Greek myth has a certain resonance given the rash of reconfigurations facing CCGs.
Our populations are impatient. They are impatient for change and impatient for a more humane and personalised care from the NHS. We too as CCGs are impatient and also need to have the ability to grow and develop new skills which will help us navigate through the difficult environments we face.
So what will the new world feel like? My aspiration is that it is very noisy. Healthcare delivery is very emotive as we all know, and if we couple the new rules around substitution not addition and the implications of this being prioritisation from amongst competing demand, it is going to get very noisy indeed. We should not be afraid of noise as it is our protection. I think it is more important to have a difficult debate in an open forum, despite the sensitivities, rather than have this debate behind closed doors as only by being open and honest about why we are proposing change and what the alternatives really are , can we hope to take the population with us.
In shadow form Professor Grant says CCGs have already been using their powers to mould provision to meet the needs of their local populations and are developing closer relationships with social care and local government. ‘There is a shared sense of strategic purpose across social care and health care and this is an important step forward. I get a sense of a number of CCGs where GPs coming together like this across a number of different practices are finding a collective interest in working together which the system has probably not enabled in the past,’ he says.
While the NHS CB will not be telling CCGs what to do they will still be working very closely with them through 27 area teams. ‘We won’t be giving CCGs directions so it’s a very different mentality but our area teams will be working closely with them in a supportive and facilitative role. In addition CCGs will have access to professional support from commissioning support units.’
Professor Grant is confident that aligning funding with clinical leadership will create opportunities to develop new ways of doing things. In future everything will be done for the benefit of patients – already there are examples of consultants coming out of hospitals to treat patients with long term conditions.
‘The focal point of the board is obsessive concentration on patients and health outcomes. Outcomes are what matter and in two years’ time and beyond we will have to account to the Secretary of State for Health for what we are doing,’ he says.
Other big challenges for the board include moving to a paperless NHS by 2015 and giving patients access to their medical records and promoting innovation which is occurring in the NHS but not yet being shared and replicated widely enough.
Professor Grant says one reason why he is so optimistic that the health reforms will succeed is the uniqueness of his board which has a majority of non-executive directors from outside the NHS. There is an eclectic mix of people with expertise from many different walks of life, such as, Margaret Casely-Hayford, Director of Legal Services and Company Secretary at John Lewis, Naguib Kheraj, Vice Chairman of Barclays Bank, Lord Victor Adebowale, Chief Executive of Turning Point and a cross bench peer and Moira Gibb former Chief Executive of Camden Council.
As the new system beds in Professor Grant says one of their key concerns will be to make sure staff and CCGs are well supported and trained in a whole new way of working that will bring about a complete transformation of commissioning.
‘We’ve got to do two things - one is to ensure there is a smooth transition to the new model and we are constantly on the outlook for anything that may stumble during that difficult period. But secondly into the medium term, we must ensure that what we do is completely different from what has happened before.
‘I feel this is a real opportunity to liberate the NHS from political uncertainty and political
control into something which will give it clinical leadership and that’s the big prize. If we can deliver that and produce benefits for patients – that will be fabulous.’
factfile
• From April 1 the NHS CB takes control of the £95billion NHS budget for England.
• The main aim of the NHS CB is to improve health outcomes for people in England.
• CCGs and the NHS CB will be supported by new commissioning support units whose role will be to carry out transformational commissioning functions such as service redesign and transactional commissioning functions.
• Clinical networks and clinical senates will feed expertise from secondary care clinicians into the commissioning process.
• Academic health science networks will align education, clinical research, informatics, innovation, training and education and healthcare delivery at a local level
• The NHS CB will have a staff of 4,000 plus another 1,800 involved in family health services work. It has 4 regional offices and 27 area teams supporting CCGs around the country.
conTInued froM Page 1
dr. charles alessI
confirm your complimentary delegate passes for you and your colleagues today at www.commissioningshow.co.uk/newspaper2
email: [email protected] or call: 0207 348 4906*Complimentary passes are reserved for qualifying healthcare and public sector professionals.
The population is the key determinant of success. We can only succeed in an environment of population health where we are honest about what we do and honest about why we are doing this. It is going to be an exciting journey. See you at the show.
by guesT edITor dr chaIr alessI, chaIr, naPc and nhs cc dr. charles alessI
WIll be sPeaKIng aT
The coMMIssIonIng shoW
Commissioning Newspaper_Feb 13_12.indd 2 04/03/2013 16:58
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gaTeWay referral ManageMenT scheMe Is reducIng ouTPaTIenT aPPoInTMenTs An innovative primary care federation which manages all GP referrals across Brighton and Hove is reducing hospital outpatient appointments, saving money, and improving efficiency.
The Brighton and Hove Integrated Care Service (BICS) runs a referral management gateway through which 60,000 referrals a year from 47 practices are triaged by peers – such as GPs with a special interest, nurse specialists, or physiotherapists who are experts in the services to which the referrals are being made.
The service provides real time feedback and education to GPs which is reducing variation of referral rates between GPs and addressing individual doctors’ learning needs.
Only around 6 per cent of referrals are sent back to the referring doctor, usually for some further action which may be for additional management by the GP in line with locally agreed pathways, for an administrative reason or may include an upgrade of the referral for example to a two week cancer referral. Between 6 and 10 per cent of referrals will trigger a conversation between the triager and the referring GP.
Dr Peter Devlin, one of the founders and Clinical Directors of BICS, who will be talking about the achievements of the service at the Commissioning Show, says he has some impressive graphs to show delegates illustrating the reduction
dr. PeTer devlIn
in outpatient demand across a number of specialities.
Money has been saved although specific figures are harder to calculate because much of the saving comes from the learning that is embedded with GPs, especially GPs new to practice, from the conversations they have with triagers and from seeing the ways their referrals are managed.
BICs has also been involved in developing new clinical pathways, developed in consensus with local GPs and specialists, which are very specific about what primary care should be doing.
‘We have some specific pathways for conditions
such as rhinitis, epistaxis, acne, eczema and dyspepsia management where we can demonstrate dramatic reductions in the number of referrals coming in. That’s not because we are turning them back but because referral feedback conversations help GPs to understand when they are not following the pathway and that leads to learning and dramatic reductions in demand. The referring doctors know and respect the peers who are looking at their referrals and providing the feedback,’ says Dr Devlin.
The BICS referral management model is already being used in Croydon and Dr Devlin says they would be happy to work with any other areas interested in taking it up.
dr. PeTer devlIn
WIll be sPeaKIng aT
The coMMIssIonIng shoW
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Indication: Sachets: Complementary symptomatic treatment of acute diarrhoea in infants (older than 3 months) and in children together with oral rehydration and the usual support measures, when these measures alone are insufficient to control the clinical condition, and when causal treatment is not possible. If causal treatment is possible, racecadotril can be administered as complementary treatment.
Capsules: Hidrasec is indicated for the symptomatic treatment of acute diarrhoea in adults when causal treatment is not possible. If causal treatment is possible, racecadotril can be administered as a complementary treatment.
Dosage and Administration:Paediatrics (from 3 months): Hidrasec granules are administered via the oral route, together with oral rehydration. The recommended dose is determined according to body weight: 1.5 mg/kg per administration, three times daily. Infant less than 9kg: one 10 mg sachet 3 times daily. In infants from 9 kg to 13 kg: two 10 mg sachets 3 times daily. In children from 13 kg to 27 kg: one 30mg sachet 3 times daily. In children of more than 27 kg: two 30mg sachet 3 times daily. The duration of treatment in the clinical trials with children was 5 days. Treatment should be continued until two normal stools are recorded. Treatment duration should not exceed 7 days. Hidrasec should not be used in patients younger than 3 months of age as there is no data available.
Adults: One capsule initially, regardless of the time of day. Then one capsule three times daily preferably before the main meals. Treatment duration should not exceed 7 days.
Contraindications: Hypersensitivity to racecadotril, or to any of the excipients.Due to the presence of sucrose, Hidrasec Infants and Hidrasec Children are contraindicated in patients with fructose intolerance, glucose malabsorption syndrome, and saccharase-isomaltase deficiency.Precautions and Warnings: The administration of Hidrasec does not modify the usual rehydration regimens. It is essential for the child to drink abundant liquids.The presence of bloody, or purulent stools, and fever may indicate the presence of invasive bacteria as a reason for diarrhoea, or the presence of other severe disease. Also racecadotril has not been tested in antibiotic-associated diarrhoea and should therefore, not be administered under these conditions.Chronic diarrhoea has not been sufficiently studied with Hidrasec. In patients with diabetes, it should be taken into account that each sachet of Hidrasec Infants contains 0.966 g of sucrose and each sachet of Hidrasec Children contains 2.899g of sucrose. The product must not be administered to children with renal or liver impairment, whatever the degree of severity, due to a lack of information on these patient populations and caution should be shown in adult patients due to limited data. Do not administer in cases of prolonged or uncontrolled vomiting due to the possible reduced bioavailability.Hidrasec hard capsules contain lactose. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency, or glucose-galactose malabsorption should not take Hidrasec capsules.Interactions: No interactions with other active substances have been described in humans to date. In humans, joint treatment with racecadotril and loperamide, or nifuroxazide does not modify the kinetics of racecadotril.
Side-effects: Headache (100mg capsules only), erythema multiforme, tongue oedema, face oedema, lip oedema, urticaria, tonsillitis, papular rash, prurigo, pruritus, eyelid oedema, angioedema, erythema nodosum and toxic skin eruption. In paediatric patients the nature of the safety profile is similar to that seen in adults.
Prescribers should consult the summary of product characteristics for further information on side effects.
Pregnancy and lactation: Due to a lack of clinical data, racecadotril should not be administered to pregnant or breastfeeding women.
Legal category: POM
Marketing Authorisation Holder: Bioprojet Europe Ltd. 29 Earlsfort Terrace, Dublin 2, Ireland.
Marketing Authorisation numbers/presentations:Hidrasec Infants 10mg granules for oral suspension (each box contains 20 sachets) PL 39418/0001 Cost: £8.42.Hidrasec Children 30mg granules for oral suspension (each box contains 20 sachets) PL 39418/0002 Cost: £8.42.Hidrasec 100mg Hard Capsules (each box contains 20 capsules) PL 39418/0003 Cost: £8.42.
Further information is available from Abbott Healthcare Products Ltd, Mansbridge Road, West End, Southampton, SO18 3JD.
Date of revision of PI: January 2013 PI/Hidrasec/006
1. Hodges K. Gut Microbes 2010;1:4-21. 2. Cezard JP et al. Gastroenterology 2001;120:799-805. 3. Hidrasec UK SmPC 10mg (January 2013). 4. Hidrasec UK SmPC 30mg (January 2013). 5. Hidrasec UK SmPC 100mg (January 2013).
AHHID120460e. Date of preparation: February 2013.
Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Abbott by phone: 0800 121 8267.
HGFX0069.AHHID120460e Abbott Advert Hidrasec.indd 1 22/2/13 17:03:01
Achieving reduction in hospital referrals, and admissions is high on the NHS agenda.1,2
The forthcoming Abbott sponsored symposium at the Commissioning Show will turn attention to the effective management of acute diarrhoea and a novel treatment in the UK for this as an adjunct to ORS for patients > 3months of age, thereby enhancing the potential to achieve reduced referrals, admissions, and infection spread thereby delivering cost savings for the NHS in both primary and secondary care and above all benefiting patients.
Acute diarrhoea is especially common in children with many having more than one episode per year.3 Infants and young children with severe symptoms may quickly develop dehydration, which is potentially life threatening.3 Each year approx 10% children under 5 years (620 children per 100,000) present to healthcare services with gastroenteritis. Up to a quarter of cases may result in unplanned hospital admissions and these infants may remain in hospital for several days.4
A recent study found that children under 12 months being taken to hospital rose by 52 per cent, while the figure for one to four year olds increased by 25 percent.5 Children admitted with gastroenteritis can expose other vulnerable inpatients to infection from diarrhoea-causing pathogens3, resulting in ward closure and loss of bed days.6
References1. NHS Outcomes Framework 2012/13 Department of Health. Dec. 2011. Domain 3a: emergency admissions for acute conditions that should not usually require hospital admission2. NHS Scotland Performance Targets, Treatment targets 2013/14 http://www.scotland.gov.uk/Topics/Health/Quality-Improvement-Performance/NHS-Performance-Targets3. National Institute for Health and Clinical Excellence CG84 Diarrhoea and vomiting in children: Diarrhoea and vomiting caused by gastroenteritis: diagnosis, assessment and management in children younger than 5 years April 2009 (full guideline)4. National Institute for Health and Clinical Excellence CG84 Costing statement (figures based on Hospital Episode Statistics 2007/2008) costing statement available at http://guidance.nice.org.uk/CG84/CostingReport/pdf/English5. Gill PJ, Goldacre MJ, Mant D et al. Arch Dis Child Published Online First: February 22nd 2013. doi:10.1136/archdischild-2012-3023836. Lopman BA, Reacher MH, Vipond IB, et al. Emerg Infect Dis 2004;10:1827-1834
February 2013, AHHID130080
conTrol dIarrhoea, conTrol cosT
BICS is now interested in applying its methodologies to unscheduled care to address the wide variation between GPs and GP practices and the impact that has on out of hours consultations and also the variation in acute hospital episodes where there has been a missed opportunity to prevent hospital admission.
Commissioning Newspaper_Feb 13_12.indd 3 04/03/2013 16:58
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As the scandal-hit Mid Staffordshire NHS trust prepares to be put in administration, the rest of the NHS wakes up to the full implications of the Francis inquiry. The report into the failings at Mid Staffordshire recommended that commissioning needs to be ‘rebalanced and refocused’ on fundamental standards of service for patients.
The report by Robert Francis QC, which detailed years of abuses and hundreds of avoidable deaths at two Stafford Hospitals, also says that in the wake of the scandal commissioners must effectively monitor local services and engage with an ‘informed’ public.
It recommends that commissioners set standards for services over and above the minimum levels of quality required and must set out how non-compliance will be dealt with. They must also take responsibility for driving improvement in the quality of services through their commissioning arrangements and must intervene when services fall short of contractually agreed standards.
Another of the 290 recommendations geared towards making the NHS more patient-focused is that commissioners should intercede when they feel individual patient complaints are not being dealt with satisfactorily.
‘The commissioning landscape has now changed, with the introduction of the national NHS Commissioning Board, its regional offices and CCGs. However, the essential tenets
required of the commissioning process may not have changed. The experience of Stafford shows an urgent need to rebalance and refocus commissioning into an exercise designed to procure fundamental and enhanced standards of service for patients as well as to identify the nature of the service to be provided,’ says Francis.
The report also urges GPs to undertake a monitoring role on behalf of patients who receive acute hospital and other specialist services.
It says GPs have a role as an independent, professionally qualified check on the quality of service, in particular in relation to an assessment of outcomes. They need to have internal systems enabling them to be aware of patterns of concern, so that they do not merely treat each case on its individual merits.
They have a responsibility to all their patients to keep themselves informed of the standard of service available at various providers in order to make patient choice a reality. A GP’s duty to a patient does not end on referral to hospital, but is a continuing relationship.
‘They will need to take this continuing partnership with their patients seriously if they are to be successful commissioners of services. They should exploit to the full this new role in ensuring their patients get safe and effective care’, says the report.
francIs TasKs ccgs WITh PolIcIng qualITy of servIces for PaTIenTs
Key recoMMendaTIons for ccgs:commissioners have a responsibility for monitoring the delivery of standards and quality on behalf of and in partnership with patients
commissioners should agree a method for measuring compliance and redress for non-compliance for standards
When selecting indicators and the means for measuring compliance commissioners must closely engage with patients to ensure their expectations and concerns are addressed
commissioners must have the capacity to monitor the performance of every commissioning contract on a continuing basis and must require the provider to provide quality information
commissioners must have the capacity to undertake their own or independent audits, inspections and investigations
commissioners should be entitled to intervene in the management of a complaint on behalf of a patient where it appears it is not being managed satisfactorily
commissioners should be accountable to the public for the scope and quality of the services they commission and fully involve and engage the public in their work
commissioners should have powers of intervention where substandard or unsafe services are being provided
Keep abreast of the latest opinions and outcomes of the francis report at commissioning 2013 with conference sessions such as:
ccgs post-francis: how to avoid another Mid staffs and make quality the priority in 2013. • How CCGs should respond post-Francis - Do they have the capability to avoid another Mid Staffs? • Tips on winning the full quality premium • How to set local quality priorities
Commissioning Newspaper_Feb 13_12.indd 4 04/03/2013 16:58
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to meet the tobacco control challenge?
References:1. Healthy Lives, Healthy People. A tobacco control plan for England. Department of Health, March 2011.2. Quality and Outcomes Framework for 2012/2013. Guidance for PCOs and practices. British Medical Association and NHS Employers 2012.
ADVERTORIAL
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“Changes to the Public Health system and services and to the NHS mean we need to think smarter about allocating public health resources. Smoking cessation is a key means of preventing ill health, that’s why VISION is an invaluable tool to help us get this right locally” – Russ Moody, Senior Public Health Manager, Public Health Plymouth and Emma Croghan, Director, Public Health and Lifestyle Services, North 51 Ltd
What nhs leaders said about the lessons to be learned from the francis report:
confirm your complimentary
delegate passes for you and your colleagues
today at www.commissioningshow.
co.uk/newspaper2email:
[email protected] or call:
0207 348 4906*Complimentary passes are reserved for public sector and qualified health care professionals.
una o’brien, department of health Permanent secretary:
‘On behalf of the Department of Health, I would like to apologise wholeheartedly or the part the Department played in the failings at Mid Staffs and the terrible impact it had on patients, their families and the standards of care.’
‘We will take action on the recommendations from Robert Francis QC. We are committed to a renewed focus on putting patients at the centre of everything we do.’
dame barbara hakin, national director for commissioning:‘This is a time for the NHS to reflect fully on the harrowing experiences of those personally affected by the failures at Mid Staffordshire NHS Foundation Trust and to ensure that the NHS fundamentally changes. The NHS Commissioning Board takes on a key leadership role in the NHS in England from April 2013 and is absolutely committed, working with all other organisations in the health system, to addressing the failings that allowed these events to develop unchecked.’
nhs clinical commissioners:‘We will use the levers available to CCGs through the commissioning process, clinical engagement and public involvement to drive up quality. We will also use our relationship through that process with providers to ensure and be assured about quality and outcomes. We will also explore and address unwarranted variation. We will respond positively to the challenges in the report and we will use our position to play a central role in shaping and using the new more local commissioning system to be one that places patients at the centre of our decision-making and keeps them there in monitoring the quality and outcomes of care we commission.’
dr clare gerada, chair of the royal college of general Practitioners:‘While the Francis report focuses on failings in secondary care, it has implications for the whole of the NHS, including general practice. At a time when the NHS is under greater than ever financial pressure, it is imperative that the needs of patients are put first, and that cuts are not made which could jeopardise the safety of patient care.’
Monitor:‘We accept without hesitation our share of responsibility for failures in regulation during the period in question. We authorised a trust which in retrospect should not have been authorised and could have used our formal intervention
powers sooner once problems had been uncovered. We have learnt from the mistakes we made and have already made significant changes to the way we work as a result of what happened at Mid Staffordshire.’
Mark Porter, chair of bMa council:‘It is not enough to say that lessons must be learnt. It is essential that we all - politicians, NHS organisations, doctors, managers, nurses, and patient groups - work together to develop a different kind of health service where the system will not tolerate poor quality of care.’
dr Jennifer dixon, chief executive, nuffield Trust:‘Fundamentally, we must not ignore the central implication of this report – namely, that within
parts of the NHS dignity, care and compassion are routinely absent from the care of patients. The temptation may otherwise be to convince ourselves that the key lessons have already been learnt and improvements made.’
dr brian fisher, nhs alliance Patient and Public Involvement lead:‘A focus on finance compromises safety. Patient experience must be made as important as the financial bottom line. We welcome the Francis report with its focus on patient and public involvement. This is rightly seen as one key route to improved safety.’
david behan, chief executive, care quality commission:‘Robert Francis’s report is defining for everyone
involved in healthcare. People were badly let down by the NHS and those responsible for healthcare regulation and supervision. This kind of long term failure must not happen again.’
stephen foster, director, Pierremont healthcare limited and national association of Primary care executive Member‘We need to assure Robert Francis and those in charge at the Department of Health and the NHS Commissioning Board that we are supportive of the report, and hope to be able to offer some of the solutions to the issues that he has so capably raised. Working together and using our people as a resource for strategic thinking, we can turn this disaster into something with positive outcomes for our patient populations.’
Commissioning Newspaper_Feb 13_12.indd 5 04/03/2013 16:58
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2013 coMMIssIonIng shoW hIghlIghTs
Information was correct at time of press. CloserStill reserves the right to amend content without prior warning.
confirm your complimentary delegate passes for you and your colleagues today at www.commissioningshow.co.uk/newspaper2
email: [email protected] or call: 0207 348 4906*Complimentary passes are reserved for qualifying healthcare and public sector professionals.
The seminars at Commissioning have been brought to you by CloserStill Medical in association with our partners and sponsors. The views and opinions of the speakers are not necessarily those of CloserStill Medical or of our partners and sponsors. Commissioning’s association partners have helped develop the programme. Sponsors have not had any input into the programme except where an individual session states it is sponsored. In this instance. Only the session topic and speaker have been developed by the named sponsoring company.
The Commissioning Show agenda has been designed with expert input from leading primary care organisations, CSUs and the NHS Commissioning Board to bring you up-to-date information, practical advice and case studies to support you to commission cost-effective, high quality, patient-centred care.
Pick and mix sessions from the following five Commissioning Streams: CCG Business - covering key priorities for CCGs in their first year; Long-term conditions – looking at a collaborative and patient-centred approaches to tackling the long-term condition crisis; Productivity through Technology – focussing on the obstacles and solutions to a technology revolution in the NHS; Clinical Commissioning Support – on how to build proactive, business-savvy CSUs and finally, Your Practice – Adapting to Survive - a vital update on practice business and finance to ensure you protect the interests of your own practice in the rapidly evolving primary care landscape.
eleven conference streams in total, visit www.healthpluscare.
co.uk to view the Integrated care, home and residential
care show conference programme.
Wednesday 12Th June
ccg busIness long-TerM condITIons clInIcal coMMIssIonIng suPPorT ProducTIvITy Through Technology your PracTIce -adaPTIng To survIveMorning plenary sessions: opening and welcome from dr charles alessi, chair of naPc and nhs clinical commissioners
Keynote address: rt hon Jeremy hunt, secretary of state for health (invited)Making Zero harm a reality in the nhs: donald berwick, former administrator of the centers for Medicare and Medicaid services and former health care advisor to President barack obama (invited).
from authorisation to transformation - the new focus for ccgs in 2013.
dame barbara hakin, national Managing director commissioning development of
nhs commissioning board
challenges to implementing the government’s long-Term conditions strategy dr Martin Mcshane, director
domain 2 - Improving the quality of life for people with long-term conditions
nhs commissioning board
an overview of the £400 million commissioning support
industry and the challenges and opportunities it presents.Prof Malcolm grant, chair nhs commissioning board
opening address: The Technological revolution In The nhs
dr Tim Kelsey, national director for Patients and Information nhs commissioning board
damage limitation - how to mitigate the impact of changes to the gMs contract - two practices share the drastic steps they are taking.
dr richard vautrey, deputy chair bMa’s gP’s committee
additional speakers Tbc
qof and the new des - tips on clawing back the £31,000 shortfall(Invited) dr brian balmer, chief exective,
essex lMc
Key challenges for ccgs in Public health
richard gleave, chief operating officer Public health england
commissioning high-quality health care for people with long-term conditionsdr Judith smith, director
nuffield Trustdebate: emerging dynamics within the nhs marketplace
(Invited) dr david bennett, chair MonitorProf Julian legrand
richard Titmuss Professor of social Policy
london school of economics(Invited) dr Peter Taylor, clinical director, virgin care
Technology - transformation of intergrated health and social care - overcoming the obsticles
Panel Tbc
Key challenges facing your practice from 2013-2015.
Panel chair dr charles alessi, chair naPc and nhs cc
Paneldr Peter swinyard, chair Person,
family doctor associationdr sam everington, chair, Tower hamlets ccg
Karen Taylor, director , deloitte centre for health solutions and author of report on Primary care
commissioning support dr bruce Websdale, gP and Medical advisor
south london csu
high speed, whole-system transformation in croydon – a lesson in achieving the seemingly impossible
dr agnelo fernandes, assistant clinical chair, national lead urgent and emergency care
croydon ccg, rcgP
sharing information across boundaries to deliver value-based health care -
a clinical and technical perspective Wayne Parslow, vP eMea, harris healthcare
how to make a success of the critical relationships: 1. ccgs and the nhs commissioning board 2. ccgs and
member practicesJulie Wood, Interim commissioning development director, nhscc
dr Minesh Patel, chair, vice chair horsham and Mid-sussex ccg, West sussex health and
Wellbeing board
big conversation: how do we design patient-centred not desease-centred services?dr clare gerada, chair rcgP
Prof Paul Knight, President british geriatrics society
dr rowan hillson, national clinical director for diabetes
Meeting the nicholson challenge - balancing the nhs books
Paul baumann, chief financial officer nhs commissioning board
John Wilderspin, ccg finance director central southern csu
how better use of IT can save the nhs £4.4bn a year
(Invited) Ian Wootton, uK healthcare leader, Price Waterhouse coopers
Matthew shaw, consultant spinal surgeon and lead on their ‘health unlocked’ trial of i-Pads for spinal
surgery patients royal national orthopaedic hospital
best Practice in empowering patients: liverpool - reveals what great patient-centred care look
like and how primary care can meet the challenge by
doing things differently.Prof Mike chester, founder and former director nhs
national refractory angina centre, liverpooldr nav chana, vice chair, gP, naPccoPd case study: high-impact services for patients with
long term conditionsJulie Morris, Professional nurse development, coPd
Managing hospital activitydr Keith douglas, Managing director,
nhs south csudr Peter devlin, clinical director
brighton and hove Intergrated care service
Map of Medicine
ccgs post-francis: how to avoid another Mid- staffs and make quality the priority in 2013
dr david Paynton, national clinical lead, rcgP centre fo commissioning
Working collaboratively to design community-based services for long term conditions
dr James Kingsland, national clinical lead nhs clinical commissioning community
vision for a patient-centred nhs Tim Kelsey, national director for
Patients and Information nhs commissioning board
update on new national patient portal
british heart foundationfear of failure - advice for ccgs on achieving financial
balance in the first year.
Paul baumann, chief financial officer nhs commissioning board
3 Million lives - update on the telehealth solution to long term conditions crisis
angela single, 3 Million lives Tele-health and Tele-care Working group, bT health
how to identify and engage with hard-to-reach patients
Ian smyth, chief brand officer nuffield health
(Invited) Ming Tang, director, data and Information Management systems, nhs commissioning board
firstdatabank
Keynote address: rt hon andy burnham, shadow secretary of state for health.
Wednesday 12Th June
ccg busIness long-TerM condITIons clInIcal coMMIssIonIng suPPorT ProducTIvITy Through Technology your PracTIce -adaPTIng To survIve
Morning plenary sessions: Welcome by conference chair dr Mike dixon, chair, nhs allianceKeynote address: norman lamb MP, Minister for care and support
debaTe: hsJ head-to-head debate: ‘can ccgs solve the urgent and emergency care crisis?
dr James Kingsland, national clinical lead nhs clinical commissioning community
Prof Tim evans, Medical director, lead fellow royal brompton and harefield nhs foundation
Trust, future hospital, rcP debate chair alastair Mclellan, editor hsJ
Tackling mental ill health in people with long-term conditions.
stephen dalton, ceo Mental health network big conversation: What do ccgs really want from csus?
Panel of ccg leads including: dr steve Kell, chair, bassetlaw ccg
and vice chair nottinghamshire health and Wellbeing board
a paperless nhs by 2018 - how to make david cameron’s vision a reality
neil darvil, director of Informatics, st helens and Knowsley hospitals Trust and belfast health and
social care Trust (Invited) Mike bracken, executive director, digital, cabinet office
Maximising the benefits of being part of a ccg
dr amit bhargarva, chief clinical officer, nhs crawley ccg
end of life care - what does good look like?
dr Jane collins, ceo, Marie curieand other speaker Tbc
Winning the qIPP challenge through technology - focus on clinical decision suport
systems(Invited) r rhidan bramley, chief clinical Information officer and director of
Technology at The christie foundation Trust, Manchester and national lead for
nhs connecting for health(Invited) Matthew swindells, vice chair, bcs health and senior vice President, Population health and global strategy, cerner
a Tale of Two Tenders: ccgs who have overseen two large tenders are interviewed about their experiences by dr Phil Moore and we also hear from a winning bidder.
dr Phil Moore, deputy chair (clinical) , Joint associate Medical director, Kingston ccg how to survive and thrive in the csu marketplace:
lessons from the ceo of a comparable b2b/c industryroger hymas, ceo, healthWorks css
finding a lucrative niche for your practice. a case-based look at the practicalities and potential profits in pursuing
alternative income streams dr david holwell, Partner,
Park surgery horshamdr simon gilbert, Partner, cricket green Medical Practice, Merton
debaTe: The big conversation: What are the key priorities for ccgs post-authorisation?
dr stephen richards, chief clinical officer oxfordshire ccgdr andrew coward, chair , birmingham south central ccg and
dr helen Tattersfield, chair, lewisham ccg
how do you commission for cancer in the new nhs?
charles o’hanlon, assistant director of delivery newham ccg and hodgkins lymphoma survivor
(Invited) ciaran devane, ceo MacMillan
Technology that got the health secretary Tweeting: Jeremy hunt
visited airedale general hospital recently and tweeted - ‘seen some of best tech anywhere in the nhs’
a speaker from the hospital will reveal how their cutting-edge telehealth hub is saving money and supporting compassionate care of patients with dementia and
other lTcs.
What does real clinical and patient engagement look like? case study from bassetlaw ccg
dr steve Kell, chair, bassetlaw ccg andvice chair nottinghamshire health and Wellbeing board
Panel debate: how can csus impact on service transformation?
derek Kitchen, Managing director, nhs staffordshire csu
Tim andrews, Managing director, nhs cheshire, Warrington and Wirral csu
andrew ridley, Managing director, north and east london csu
how to become a successful bidder: case studies looking at different ways practices have entered the provider market - and who they
are up againstspeakers Tbc
2016 and beyond: the direction of travel for csus and plans for externalisation
bob ricketts, director of commissioning support strategy and Market development nhs commissioning board
ask the expert: q&a session on legal, hr and financial dilemmas for practices.
bob senior, chair, aisma, and head of Medical services, Tenon
amanda chadwick, hr expert, Peninsula business services oliver Pritchard, lawyer, head of
commercial health, browne Jacobson llP
Keynote debate on the key challenges facing the nhs and social care confirmed panel members: rt hon stephen dorrell MP, chair of the house of commons health select committee, Professor david haslam, chair, nIce duncan selbie, chief executive, Public health england
also invited: david behan, chief executive, care quality commission, Professor sir bruce Keogh, nhs Medical director
Commissioning Newspaper_Feb 13_12.indd 6 04/03/2013 16:58
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KeynoTe sPeaKers
Diabetes is one of the biggest health challenges in the UK today. It affects approximately 2.9 million people – around four times more than for all cancers combined1. This figure is projected to rise to 5 million by 20251.
In the UK, diabetes is the leading cause of blindness in working age people and a main contributor to kidney failure, amputations and cardiovascular disease, including heart attack and stroke1. Without effective management of the condition, a person with diabetes faces a reduced life expectancy of between 6 to 20 years1.
As the prevalence of diabetes and rate of complications increase, so does the cost to the NHS. Complications account for 79% of overall NHS expenditure on diabetes, which is today estimated at £9.8 billion per year (£1bn for type 1 diabetes and £8.8bn for type 2 diabetes)2.
Factoring in loss of working days, early death and informal care costs, the cost of the condition to the UK will rise from £23.7 billion to £39.8 billion by 20352.
Addressing the challenges and reducing variations
Action is needed at both a national and local level to address the challenges of diabetes. Significant numbers of people with diabetes do not have access to the best possible treatment, care and outcomes.
Novo Nordisk has a heritage of 90 years of innovation and leadership in diabetes care. We are continually looking into ways to defeat diabetes at all stages of its progression and have maintained a global research and development leadership position within the area of diabetes. Novo Nordisk offers one of the
broadest portfolios of diabetes products in the industry.
Novo Nordisk reinvests a significant part of annual sales into the research and development of new products that can support the daily management of diabetes. The goal is to offer people
with diabetes, as well as their families and healthcare providers, a wide range of treatment options and services. Responding to the existing and future needs of people with diabetes, Novo Nordisk scientists work diligently to discover new chemical compounds and therapeutic agents.
Novo Nordisk and diabetes
Tackling diabetes – one of the biggest health challenges facing the UK
UK Public Affairs UK/DB/0213/0098 Date of preparation: February 2013
References:1. Diabetes UK. State of the Nation 2012. Available at URL: http://www.diabetes.org.uk/Documents/Reports/Stateof-the-Nation-2012.pdf. Last accessed: October 2012.2. Hex N et al. Estimating the current and future costs of type 1 and type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs.
Diabet Med. 2012 29(7):855-62
Sue Heywood, UKhas type 2 diabetes
you can vIeW The full PrograMMe and sPeaKer lIne uP aT WWW.coMMIssIonIngshoW.co.uK/educaTIon
but here are some of the who’s-who highlights
dr charles alessI daMe barbara haKIn dr PeTer sWInyard dr MIKe dIxon
Duncan Selbie, Chief Executive, Public health englandStephen Dalton, Chair, Mental health networkDavid Behan, Chief Executive, care quality commissionSir Bruce Keogh, NHS Medical Director
Dr Rowan Hillson, National Clinical Director for Diabetes
Professor David Haslam, Chair, nIceDr Bruce Websdale, GP and Medical Advisor, south london csuDr Richard Vautrey, Deputy Chair, bMa’s gPs’ committeePaul Baumann, Chief Financial Officer, commissioning boardDr Steve Kell, Chair, bassetlaw ccg Vice Chair, nottinghamshire health and Wellbeing boardDr James Kingsland, National Clinical Lead, nhs clinical commissioning communityTim Kelsey, National Director for Patients and Information
Dr Agnelo Fernandes, Assistant Clinical Chair, croydon ccgDr Amit Bhargarva, Chief Clinical Officer, nhs crawley ccgCharles O’Hanlon, Associate Director for Delivery, newham ccgDr Judith Smith, CEO, nuffield TrustDr Jane Collins, CEO, Marie curieIan Dalton, Head of Global Health, bTDr Amit Bhargarva, Chief Clinical Officer, nhs crawley ccgDr Nav Chana, Deputy Chair, naPcJohn Wilderspin, Managing Director, nhs central southern csuBob Ricketts, Director of Commissioning Support Strategy and Market Development, nhs commissioning boardProfessor Paul Knight, President, british geriatrics societyDr Martin McShane, Long-Term Conditions Lead, national commissioning boardsome speakers are at invite status
Commissioning Newspaper_Feb 13_12.indd 7 04/03/2013 16:58
8
exhIbITIon floorPlanexhIbITor lIsT
• Clinical Commissioning Group Board Members
• Commissioning Support Units• National Commissioning Board
representatives• Regional Commissioners• Health and Wellbeing Board Members• Directors of Adult Social Care
• Councillors• Government bodies and associations• Clinicians• Directors of provider organisations• Third sector providers• Procurement Leads• GPs• Practice Managers
• Government bodies and associations• Health sector charities• Secondary care directors• Residential care provider CEOs & CFOs• Local Authority Care commissioners &
Social care directors• Senior domiciliary care managers
The evenT WIll delIver a hIgh ProfIle audIence of ProfessIonals
> A & D Instruments Ltd > Abbott Healthcare Products Ltd > Accountants on Demand Ltd > Acumag Ltd > Advanced Health & Care Ltd > Advance > Aerocrine > Age UK > Air Products Healthcare > Alk Abelló Ltd > Alliance Pharmaceuticals Ltd > Almirall Limited > Alzheimer’s Society > Apollo Medical Systems Ltd > Appello > Ascribe Ltd > Astra Zeneca > Attain Commissioning Services
Ltd > AutoPharma Ltd > Aventis Pharma Ltd > AVIA Health Informatics Plc > Bayer Healthcare > BDO LLP > BHR Pharmaceuticals Ltd > Biogen Idec Ltd > Black Pear Software Ltd > BOC Ltd > Boehringer Ingelheim Ltd > Bosch Healthcare GmbH > Brain Disabilities Trust > Bristol-Myer Squibb UK > British Heart Foundation > British Red Cross > Broome of Wellington > Brother (UK) Ltd > Browne Jacobson LLP > BUPA Home Healthcare > CACI > Capita Group Plc > Carbon Colour Co Ltd > Carehome.co.uk > Care Monitoring 2000 Ltd > Care Quality Commission > Care Works > Chiesi Ltd > Caring UK > Clarity Informatics > CMM > Codegate Ltd > Community Eyecare (UK) Ltd > Connect 2 Care > CRB Disclosure Services > Crescendo Systems Ltd > DAC Beachcroft > Dallas Burston Ashbourne Ltd > dbg Ltd > Dr Foster > DNUK > English Community Care
Association > Egton Medical Information
Systems > Elephant Kiosks Ltd > ELLE Training Solutions > Essex Cares Ltd > Experian Plc > Family Doctor Association > FDA > First DataBank Europe Ltd > Gluco RX > Gorden Ellis > GP Care UK Ltd > GP Magazine > GP Supplies > GPteamnet Limited > GreyMatters Healthcare > Harris Healthcare Ltd
> Haven Health Properties > Health & Social eCare Solutions
(UK) LLP > Health and Care Professions
Council > Health Connections > Health Diagnostics Ltd > Health Protection Agency > Healthcare At Home Ltd > Healthcare Commissioning
Services > Healthcare Financial
Management Association > Healthcare Monitors UK > HealthStats Technologies (UK)
Limited > Henry Schein Medical > Hill Dickinson > Homecare.co.uk > HSJ > IE Design Consultancy Ltd > Institute for Innovation > INPS Ltd > Ipsen Ltd > IQ Medical > i-Spy Digital Ltd > Jayex Technology Limited > Johnson & Johnson > Keeler Ltd > Kent and Medway Health
Informatics Service > Laing & Buisson > Lundbeck Ltd > Map of Medicine > Marie Curie Cancer Care > Marie Stopes International > McKesson UK Holdings Ltd > MCCH > MDDUS > Mead Johnson Nutrition Ltd > Mears Group > MedeAnalytics International Ltd > Medequip Assistive Technology > Medicines Management
Solutions Ltd > Mednet Consult Ltd > Membership Engagement
Services > MGP > Microtest Ltd > MiP > Mode Medical Recruitment LLP > Mount International Ultrasound
Services > Multimedia International
Services > MyTime Active > NAPC > National Institue for Health &
Clinical Excellence > National Services for Health
Improvement > NECS - North of England
Commissioning Support > Nelsons & Co Ltd > Network Europe Group > NHiS > NHS Alliance > NHS Benchmarking Network > NHSCC > NHS Protect > NHS Somerset > Niko Projects N.V. > Nottingham Rehab Supplies > Novacor (UK) Ltd > Novo Nordisk Ltd > Oakhouse Foods Ltd > Omtia-Med Ltd > Optalis Ltd > Opus Business Systems
> Ordnance Survey > Pain Management Solutions Ltd > Panztel UK Ltd > Parkinson’s UK > Partnership Ltd > Pathways2Wellbeing Ltd > Patient Access Ltd > Patient Opinion Ltd > Paul Hartmann Ltd > PCC > PCTI (Docman) > Performance Finance Ltd > Pfizer > Physiological Measurements Ltd > Pivotell Ltd > Practice Services UK Ltd > Primary Care Today > Primary Care Training Centre Ltd > Procure Health Ltd > Prostrakan Ltd > Pulse Informatics Ltd > Radian Support Ltd > Red Embedded Systems Ltd > Roche Diagnostics > Royal College of Psychiatrists > Royal College of Speech &
Language Therapists > Royal Mencap Society > Servier Ltd > Shahul Ayden & Co Ltd > Share Care Ltd > Simplicare > Sitekit Commissioning > Slimming World > Sollis Ltd > Speaker Processing Solutions
UK Limited > Standex Systems Ltd > Strata Health UK Ltd > Stroke Association > Sullivan Cuff Software Limited > Supporting Public Health > Systagenix > TAG Medical Ltd > Tanita Europe B.V > TBC Specialist Conversions > Telehealth Solutions Ltd > Terrence Higgins Trust > Teva UK Ltd > The Association of Speech
and Language Therapits in Independent Practice
> The Care Professionals Benevolent Fund
> The Clinical Practice Research Datalink Group
> The Community Gateway CIC > The-Grey-Matter.co.uk Ltd > The Open University > THI > Thornton and Ross Derma > Tillotts Pharma UK Ltd > Timesco Healthcare Ltd > TPP > Tunstall Healthcare (UK) Ltd > UKHCA > United Health > University Hospital of Leicester
NHS Trust > Vantage Diagnostics Ltd > Weight Concern > Weight Watchers Ltd > Wesleyan > WG Consulting (Healthcare) Ltd > Wiggly-Amps Ltd > WRVS > X-Genics Ltd > YPSOMED UK > Yecco
The evenT WIll delIver a hIgh ProfIle audIence of ProfessIonals
CATERING
VIPLOUNGE
CATERING
CATERING CATERING
DevelopmentLab
CATERING
GPTeamNet PerformanceFinance Ltd
D1
D2
D11
D21
D25
D27
D31
D33
D35
D41
D51
D55
D57
D56
D68
D69
G70 H70 H72 I70 I78 J70 K70 K71 L70 L74 M72
M76
M80
M84
Q62
Q60
Q58
Q56Q57
Q54
Q52
Q50
Q48
Q46
Q44
Q42
Q40
Q38
Q32 Q30
Q28
Q24
Q20
Q10
Q14 Q15
P10N2
N4
M10L10
J8
J4
J2J10I10H9G13
G15
G17
G10F11
F15
G20 H20 J20
K20 M22 M24 N20
N24
N26
N25
P20
P24
P28
N30N31M32M34 M36
L30K30J30 J35I26H30F34
G40 I40 I41 J40 J42 L40 L41
L42
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M46
N45N40 P40
P50
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M52L50J50 J52
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I50 I52
H51 I58
H50G50
H60
H61 H64
I60
I61
I62 J60 J63
J65K60
L60
L62
L61 M62 M61
M64 M65
N60 N62 P60
N76 N78
P62
P64P66
N66
M68 M70L63
I68
H62
G61
F52 G51
H52
H51 H58 L52 L53
L51
M56 M58
P45
I42 I43
F38G30
I30
I32
I31 I28J31 J38 L32
M38 M40N32
P25
P26
M28
M30
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F22
F23
G26
G21
G11H12
I11 I18J15
P14
P16
P15
Q33
Q35
3
4
2
2
5
4
6
12
6
3
3
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2 4
6
4
3
3 3
5
2 2
2
3
4
2 43 3
6
6
6
5
4
4
5
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6
6
63 3
3
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2
4
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6
6
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2
2
2
6
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6
2
5
4
4
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2
4.5
4.5
6
9
6
4
4
6
6
9
6
6
3
6
3
3
5 1
3 3
5
3
3 3
3
2
2
3
4
4
3
4
3
7
3 3
2
4 6 4 2
2
4
54 4
4
5
5
4
5
5
32
2
2 2
4
2
2
2
4
4 2
2 31 52
2
2
2
2
2
2
2
3 3
3
3
4
4
8
22
2
2
3
3
3
3
3
3
3
3
33
5 2
3
3
3
3 3
6
6
3 3 3 2
3 2
5
6 32
5
5 5
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5
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9
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33
6
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20
16
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9
8
8
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24
912
36
912
15
12
30
18
6
158
4
9
15
10
1212
9
6
6
8
25
CCGBusiness
Long TermConditions
Your Practice:Adapting
to survive CommissioningSupport Services
ProductivityThrough
Technology
TelecareUnleashing the
Potential
Home CareSeizing the
Opportunity
Progress inPersonalisation
Rising to theDementiaChallenge
SEATING
CA
TE
RIN
G
Residential CareTaking Careof Business
Health+CareConference
Integrated CareInsights
TPP
Chiesi
Novo Nordisk
GP Care UK Ltd
Bobath
MylifeDiabetes
Bayer
Strata Health
HealthConnection
Parkinsons
ELLETraining
The CommunityGateway CIC
Careworks
VisionCall
UKHCA
OLM
ECCA
HUR
Carehome
ShareCare
Radian
LundbeckHOLD
CMMTheGuardian
MDC Medequip AssistiveTechnology
TB Conversions
CaringUK
NikoProjects
Athena
LT Training
CareProfessionalsBenevolentFund
CGW
Robotic Technology
Paying for Care
MCCH
The Skills Network
Connect2 Care
McKessonCARE
PROVIDERVILLAGE
Simplicare
HOLD
CM2000
Browne Jacobson
HealthcareMonitors
Mead JohnsonNutrition
Grey MatterGroup
GordonEllis
Codegate
PrimaryCare
Today
British Red Cross
Tanita NICEM48
Hartmann
HCPC
The OpenUniversity
Health &Fitness Equip
N34
Fullcross
iSpyDigital
PersonalDiagnostics Systagenix
NHS North ofTyne InformationServices
TimescoHealthcareLtd
Biogen Idec
PSUK
RCSLTAlliancePhamaceuticals Carbon ColourMode Medical
Recruitment LLP
RocheDiagnostics
BoehringerIngelhelm
NHiSJayexPainManagementSolutions
NHS BenchmarkingAlliance
HenrySchein
Medical
CQC
Ascribe
KeelerALK
Abello
NHSCC
TMI
Pivotell
OpusSurgery
SolutionsNRS
Solutions
Acumag
Bosch
Johnson and Johnson
Novacor
TheCommunity
Network
UnitedHealth
AirProducts
CrescendoSystems
Bupa
Healthcareat Home
Astra Zeneca
Bristol-MyersSquibb
WRVSCapita
HealthDiagnostics
StrokeAssociation
DaisySurgery
Line
X Genics
Experian MedicalSupermarket
MednetConsult
MedicineManagement
Solutions
WeightWatchers
Brother
MedeAnalytics
TillottsPharma
MATCH
NHSSolutions
DACBeachcroft
Black PearSoftware
Alzheimer’sSociety
FinegreenAssociates
ElephantKiosks
MyTimeActive
T+RDermaServier
WG Group
Aerocrine
HavenHealthProperties
MembershipEngagement Services& Electoral Reform
INRstar DABBeachcroft
Ipsen
MarieCurie
Tunstall
BHRPharmaceuticals
HillDickinson
Wesleyan
Appello GreyMattersHealthcare
SlimmingWorldNHS CB
Brain InjuryRehabilitation Trust
Dallas BurstonAshbourne
NHSI
GPSupplies
ProstrakanPrimaryCareTrainingCentre
BOC
PatientAccess
HealthcareCommissioningServices
The CommissioningCommunity
IQMedical
ApolloMedicalSystems
Red EmbeddedSolutions
Pathways2wellbeing
Dr locums
Omnia-Med
Docman
Menarini
MicrotestThe NHS InformationCentre for Health andSocial Care
Wiggly-Amps
Broomwell Healthcare FinancialManagement Association
Mount InternationalUltrasound Services
PhysiologicalMeasurements Ltd
3
3
E10 E11
E12
E20
E30 E34
E33
E31
E40 E42
E50
E58
E38
E26 E28
6
3 3
6
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3
3
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3 33
3
2
3
5
4
3 3
3
4 2
3
1818
E253
9
E24
9
EMIS
Sanofi
A&D Medical VantageDiagnostics
TAGmedical
NHS Protect
DesmondNHS CPRD
HealthProtection
Agency
AbbottHealthcare
Products
The FamilyDoctor
Association
CityUniversity
Avia
GlucoRxHealthstatsTechnologies (UK)
MDDUS
TerrenceHiggins Trust
Teva UK Sollis
British HeartFoundation
ClarityInformatics
Patient Opinion
ENTRANCE ®ISTRATION
ENTRANCE ®ISTRATION
INT
EG
RA
TE
DC
AR
ER
ESI
DE
NT
IAL
CA
RE
CO
MM
ISSI
ON
ING
HO
ME
CA
RE
TelehealthSolutions
ASLTIP Health&Socialecare solutions
Circle
Homecare
ADH&S
Advance
CACI
Optalis
Ezi-Tracker/Panztel
Mears Group
Essex Cares
N6Age UK
OakhouseFoods
K10 K12 N10
F31
F33
F35
F40 F42
F50
F53 F52
3 3
E55
F46
K54 K56
3 3
3
3
F44
H8
H11 H10
ThePartnerships
Loungesponsored by
CommissioningSupport South
Map ofMedicine
AdvancedHealth &
Care
K50 K52
12
N80 N85 N85StandexSystems
CSUPAVILION
Includes:• Stands
• Theatre• Networking Lounge
• Meeting rooms
Dr FosterIE Design
MGP
3
3
3
3
F12
F14
F13
F62F63
F64
2
2
2
2
2
Royal Collegeof Psychiatrists
Marie Stopes
Pulse Informatics
Weight Concern
BDO LLP
RailexProjects Ltd
G65
G66Speech ProcessingSolutions
G63
G60
9Venn
Group
N70Yecco
E29
8
BHTAPAVILION
PRO
CU
REM
ENT
PAV
ILIO
N
CATERING
12
AttainCommissioningServices
TheRegional
NetworkingZone
sponsored by
F6
F7Menarin
Diagnostics
Sales contacts: James Hall – 0207 348 5254, [email protected]; Lee Davies – 0207 348 5278, [email protected]
For 2013, Commissioning, the national exhibitionand conferencefor healthcare commissioners connects with 3 new shows - Integrated Care, Home Care and Residential Care- to become part of Health+Care.
There is a pressing need for health and care professionals to integrate their services and align their thinking to provide more for patients with less money. For the first time, Health+Care will bring all the stakeholders together from all around the country to network, share practical advice, uncover real solutions and engage with the providers who will help them deliver change. For more information please contact the sales team on 0207 348 5254.
Commissioning Integrated Care Home Care Show Residential Care Show Stand position available
part of
Space: £409 +vat (per sqm) / Shell: £429 +vat (per sqm)
Commissioning Newspaper_Feb 13_12.indd 8 04/03/2013 16:58
9
InTeresTed In exhIbITIng?
stands are available for less than £1600 with free additional promotional activity included for stands booked in March and april
call the team on +44 (0) 207348 5261 or reserve a stand by emailing [email protected]
CATERING
VIPLOUNGE
CATERING
CATERING CATERING
DevelopmentLab
CATERING
GPTeamNet PerformanceFinance Ltd
D1
D2
D11
D21
D25
D27
D31
D33
D35
D41
D51
D55
D57
D56
D68
D69
G70 H70 H72 I70 I78 J70 K70 K71 L70 L74 M72
M76
M80
M84
Q62
Q60
Q58
Q56Q57
Q54
Q52
Q50
Q48
Q46
Q44
Q42
Q40
Q38
Q32 Q30
Q28
Q24
Q20
Q10
Q14 Q15
P10N2
N4
M10L10
J8
J4
J2J10I10H9G13
G15
G17
G10F11
F15
G20 H20 J20
K20 M22 M24 N20
N24
N26
N25
P20
P24
P28
N30N31M32M34 M36
L30K30J30 J35I26H30F34
G40 I40 I41 J40 J42 L40 L41
L42
M42
M46
N45N40 P40
P50
P55
M52L50J50 J52
J51 J58
I50 I52
H51 I58
H50G50
H60
H61 H64
I60
I61
I62 J60 J63
J65K60
L60
L62
L61 M62 M61
M64 M65
N60 N62 P60
N76 N78
P62
P64P66
N66
M68 M70L63
I68
H62
G61
F52 G51
H52
H51 H58 L52 L53
L51
M56 M58
P45
I42 I43
F38G30
I30
I32
I31 I28J31 J38 L32
M38 M40N32
P25
P26
M28
M30
M29J28H25
F22
F23
G26
G21
G11H12
I11 I18J15
P14
P16
P15
Q33
Q35
3
4
2
2
5
4
6
12
6
3
3
2 4
2 4
6
4
3
3 3
5
2 2
2
3
4
2 43 3
6
6
6
5
4
4
5
4
9
6
6
63 3
3
3
3 3
2
4
2 2
2
2
1
2
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4
7
5
6
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3 3
3 3
3 33 3
3
3
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3 3
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20
16
6
9
8
8
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24
912
36
912
15
12
30
18
6
158
4
9
15
10
1212
9
6
6
8
25
CCGBusiness
Long TermConditions
Your Practice:Adapting
to survive CommissioningSupport Services
ProductivityThrough
Technology
TelecareUnleashing the
Potential
Home CareSeizing the
Opportunity
Progress inPersonalisation
Rising to theDementiaChallenge
SEATING
CA
TE
RIN
G
Residential CareTaking Careof Business
Health+CareConference
Integrated CareInsights
TPP
Chiesi
Novo Nordisk
GP Care UK Ltd
Bobath
MylifeDiabetes
Bayer
Strata Health
HealthConnection
Parkinsons
ELLETraining
The CommunityGateway CIC
Careworks
VisionCall
UKHCA
OLM
ECCA
HUR
Carehome
ShareCare
Radian
LundbeckHOLD
CMMTheGuardian
MDC Medequip AssistiveTechnology
TB Conversions
CaringUK
NikoProjects
Athena
LT Training
CareProfessionalsBenevolentFund
CGW
Robotic Technology
Paying for Care
MCCH
The Skills Network
Connect2 Care
McKessonCARE
PROVIDERVILLAGE
Simplicare
HOLD
CM2000
Browne Jacobson
HealthcareMonitors
Mead JohnsonNutrition
Grey MatterGroup
GordonEllis
Codegate
PrimaryCare
Today
British Red Cross
Tanita NICEM48
Hartmann
HCPC
The OpenUniversity
Health &Fitness Equip
N34
Fullcross
iSpyDigital
PersonalDiagnostics Systagenix
NHS North ofTyne InformationServices
TimescoHealthcareLtd
Biogen Idec
PSUK
RCSLTAlliancePhamaceuticals Carbon ColourMode Medical
Recruitment LLP
RocheDiagnostics
BoehringerIngelhelm
NHiSJayexPainManagementSolutions
NHS BenchmarkingAlliance
HenrySchein
Medical
CQC
Ascribe
KeelerALK
Abello
NHSCC
TMI
Pivotell
OpusSurgery
SolutionsNRS
Solutions
Acumag
Bosch
Johnson and Johnson
Novacor
TheCommunity
Network
UnitedHealth
AirProducts
CrescendoSystems
Bupa
Healthcareat Home
Astra Zeneca
Bristol-MyersSquibb
WRVSCapita
HealthDiagnostics
StrokeAssociation
DaisySurgery
Line
X Genics
Experian MedicalSupermarket
MednetConsult
MedicineManagement
Solutions
WeightWatchers
Brother
MedeAnalytics
TillottsPharma
MATCH
NHSSolutions
DACBeachcroft
Black PearSoftware
Alzheimer’sSociety
FinegreenAssociates
ElephantKiosks
MyTimeActive
T+RDermaServier
WG Group
Aerocrine
HavenHealthProperties
MembershipEngagement Services& Electoral Reform
INRstar DABBeachcroft
Ipsen
MarieCurie
Tunstall
BHRPharmaceuticals
HillDickinson
Wesleyan
Appello GreyMattersHealthcare
SlimmingWorldNHS CB
Brain InjuryRehabilitation Trust
Dallas BurstonAshbourne
NHSI
GPSupplies
ProstrakanPrimaryCareTrainingCentre
BOC
PatientAccess
HealthcareCommissioningServices
The CommissioningCommunity
IQMedical
ApolloMedicalSystems
Red EmbeddedSolutions
Pathways2wellbeing
Dr locums
Omnia-Med
Docman
Menarini
MicrotestThe NHS InformationCentre for Health andSocial Care
Wiggly-Amps
Broomwell Healthcare FinancialManagement Association
Mount InternationalUltrasound Services
PhysiologicalMeasurements Ltd
3
3
E10 E11
E12
E20
E30 E34
E33
E31
E40 E42
E50
E58
E38
E26 E28
6
3 3
6
3
3
3
66
3 33
3
2
3
5
4
3 3
3
4 2
3
1818
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Sanofi
A&D Medical VantageDiagnostics
TAGmedical
NHS Protect
DesmondNHS CPRD
HealthProtection
Agency
AbbottHealthcare
Products
The FamilyDoctor
Association
CityUniversity
Avia
GlucoRxHealthstatsTechnologies (UK)
MDDUS
TerrenceHiggins Trust
Teva UK Sollis
British HeartFoundation
ClarityInformatics
Patient Opinion
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TelehealthSolutions
ASLTIP Health&Socialecare solutions
Circle
Homecare
ADH&S
Advance
CACI
Optalis
Ezi-Tracker/Panztel
Mears Group
Essex Cares
N6Age UK
OakhouseFoods
K10 K12 N10
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F50
F53 F52
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ThePartnerships
Loungesponsored by
CommissioningSupport South
Map ofMedicine
AdvancedHealth &
Care
K50 K52
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CSUPAVILION
Includes:• Stands
• Theatre• Networking Lounge
• Meeting rooms
Dr FosterIE Design
MGP
3
3
3
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F12
F14
F13
F62F63
F64
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Royal Collegeof Psychiatrists
Marie Stopes
Pulse Informatics
Weight Concern
BDO LLP
RailexProjects Ltd
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sponsored by
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F7Menarin
Diagnostics
Sales contacts: James Hall – 0207 348 5254, [email protected]; Lee Davies – 0207 348 5278, [email protected]
For 2013, Commissioning, the national exhibitionand conferencefor healthcare commissioners connects with 3 new shows - Integrated Care, Home Care and Residential Care- to become part of Health+Care.
There is a pressing need for health and care professionals to integrate their services and align their thinking to provide more for patients with less money. For the first time, Health+Care will bring all the stakeholders together from all around the country to network, share practical advice, uncover real solutions and engage with the providers who will help them deliver change. For more information please contact the sales team on 0207 348 5254.
Commissioning Integrated Care Home Care Show Residential Care Show Stand position available
part of
Space: £409 +vat (per sqm) / Shell: £429 +vat (per sqm)
Commissioning Newspaper_Feb 13_12.indd 9 04/03/2013 16:58
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MddusThe MDDUS is a mutual organisation that has been providing indemnity, advice and guidance on medico-legal matters to members, throughout the UK, who encounter professional difficulties for over 100 years. With a team of highly qualified and experienced professionals, and offices in London and Glasgow, the MDDUS prides itself on providing members with a quality, personalised service at competitive rates. Visit our stand for a quote.www.mddus.com
strata healthIntegration [of health and social care must establish a seamless delivery of high quality provision across all organizations; primary, secondary, local authorities, volunteer, independent and the 3rd sector.
Strata Health connects this entire network of providers, ensuring the patient’s journey is planned & monitored; creating a truly shared approach. Sophisticated matching and e-Referrals based on patient need; and in accordance with agreed commissioning criteria, aids clinicians in identifying and mobilising the optimal transitional plan.
Capacity across Intermediate Care, Step-up/Step-down, Hospice, Nursing Homes, and Residential Homes; as well as throughput of Community-based teams; facilitates access to the right care, quickly. Meaningful analytics on acceptance/rejection; response times; threshold breaches, unmatched service requests (service gaps) and even service costs provide a real-time operational MO.
Strata Health. Delivered paperlessly. Configured bespoke to local best practice. Built to reduce front-line clinicians non-clinical workload. Optimising patient outcomes. Currently managing over 1.8m lives across the UK & Canada.
desMondDESMOND is a portfolio of nationally recognised diabetes education programmes for those with, and at risk of, Type 2 diabetes. We offer patient education courses suitable for a wide range of people, including Newly Diagnosed, Foundation (for established diabetes) and Walking Away from Diabetes, our prevention module. We have versions for Gujarati, Urdu, Bengali and Punjabi speakers, and our specialist A Safer Ramadan toolkit. 2013 sees the release of our Lay Educator training and an education toolkit on Injectable Therapies.
By commissioning DESMOND, you will be providing patients with top-of-the-range self-management education. To ensure patients receive the same quality of care evidenced in our research, all DESMOND Educators benefit from our unique Quality Development framework. You can support your diabetes patients to achieve reductions in HbA1c, weight, smoking and depression and increase their physical activity, for as little as £21.63 per patient.
To find out more please visit stand F44 or our website www.desmond-project.org.uk
lundbeckIntegrated care
Working in Partnership in cns and Mental health
The NHS landscape is changing. New healthcare decision-makers are emerging, old structures are set to disappear and all this is against a backdrop of financial constraints meaning the NHS needs to do more with less.
The quest for efficiencies is driving a greater need for partnership and, as such, the willingness to work together with Industry. This is reflected in the recent Innovation Health and Wealth1 report:
Where can lundbeck help ?Lundbeck are proud of the fact that we are the UK’s leading pharmaceutical company specialising in central nervous system (CNS) disorders.
Lundbeck are already successfully contributing to the redesign of care pathways and provision of education for HCPs to improve patient outcomes and help deliver the QIPP agenda. To see what we have to offer and discuss areas we can help you with, please come and see us at the event.
Tag Medical/dbgvisit our stand at commissioning live!
TAG Medical is pleased to be showing at Commissioning Live this year, we’ll be at stand XXX. Pop over and speak to us about our calibration, training or compliance services.
calibration, Testing, repairsTAG Medical has always had a reputation for professionalism and reliability when it comes to testing and calibration. We work to the highest standards including ISO9001 and our equipment is UKAS accredited. Additionally, TAG are Safe Contractor approved; the only company in our field currently accredited to this standard.
Our friendly team of engineers are spread throughout the UK, and will always go above and beyond to help you maintain the smooth running of your practice.And don’t forget, annual equipment calibration enables you to claim 3 QOF points 3 QOF points as per the nGMS contract management point 7.
Training and complianceAll TAG Medical customers now receive dbg membership which gives you access to our free online Compliance Software and member’s prices on our range of essential training courses.We have courses conducted at your practice that can support you in your preparation for a CQC inspection, fulfil your Life Support Training (and gain 4 QOF points), or help you manage Legionella risk – all at member’s prices if you’re already a TAG calibration customer!
call us on 0845 070 7800, email [email protected], or visit our stand number xxx
bupaThere’s no question that 2013 will see continued pressure on both NHS and private healthcare providers to find innovative ways to combat the rising cost of healthcare and improve the patient experience.
Increasing the scale of out-of hospital care has already been widely acknowledged as a means of making up to £1.7 billion in savings for the NHS, as well as improving patient choice and patient experience. It can be part of the solution to the increasing demands that come with an ageing population and a way to truly put the patient at the centre of care delivery.
Bupa is developing a series of innovative, integrated care models to help the health sector to reduce hospital admissions and delayed discharge aswell as support long term conditions. We, provide care for people with complex or continuing care needs in a variety of out of hospital settings, including their own homes and care homes.
To find out more please visit the Bupa session at 12.30pm on 12th June in the CCG Business Stream or visit bupa.com
eMIsusing data to deliverbetter care
the initiative is to be rolled out across 12 other practices with a total of 100,000 patients
EMIS – a leading provider of clinical healthcare systems – explains how CCGs can use data to deliver change within the NHS.
Data on its own is of very little use. For GPs and CCGs to act on it, it must be translated into knowledge and integrated into clinical workflows if it is to initiate real change. A great example of how data can be integrated into clinical workflows is the algorithm embedded in EMIS systems which enables clinicians to identify patients with undiagnosed medical conditions. a tool for changeQDiabetes, one of the risk calculators available in EMIS Web, was developed by doctors and academics working across the UK and uses routinely collected data from thousands of GPs who freely contribute data for medical research. Falkland Surgery in Berkshire, a 14,500-patient GP practice, is already using QDiabetes to put data extraction to use and is experiencing real benefits.
The stratified risk predictor is set within the Falkland Surgery’s EMIS system to alert them to patients with a one-in-five risk of developing diabetes in the next ten years. The surgery used the calculator to highlight their
at-risk patients and used different types of preventative care to compare which strategy was the most effective.
Measurable resultsQDiabetes identified 52 patients who the GPs contacted to put in place healthy eating and exercise regimes, encouraging these patients to lose weight and increase activity to help prevent their predicted diabetes. The initial outcome showed positive and measurable results after 10 weeks with patients benefiting from weight loss, reduced waist circumference and psychological improvements.
Although not statistically measurable, by using the data to provide preventative measures for this disease, the results were significant enough for the initiative to be rolled out across 12 other practices with a total of 100,000 patients in the locality.
Stratified risk calculators, like QDiabetes, are just one way GPs can benefit from the launch of the GP Extraction Service, set to be launched in April this year, but only if the data collected is put to good use. As the alerts are integrated into the EMIS Web system, they become a seamless part of the way the GP does his or her job and helps them to effect change.
For more information about how CCGs can use data to deliver change, visit www.emis-online.com.
InPsInPs announces new qof solution for vision
INPS are the people behind Vision. INPS is a CEGEDIM company; a global organisation operating across 80 countries, specialising in CRM systems, strategic data, and technologies and services for the healthcare sector. INPS are delighted to announce an exciting new update to Vision, called Vision+, which includes real-time alerts for additional QOF points, practice-based protocols and a simple but powerful recall facility.
When a patient record is open in Consultation Manager, Vision+ shows missing or incorrect contract information and provides intelligent templates for fast data recording. There are also additional reporting facilities to help with QOF management. Practices can create their own protocols that alert users to missing information during consultations alongside the existing QOF related alerts.
Vision+ also includes a sophisticated, but simple to use, recall facility. Lists of patients with certain diseases or specific indicators are used to add contract information, or to run a mail merge for recall letters. Vision+ keeps track of the number of letters sent to patients so practices can add exception codes against patients who have reached the maximum number of allowed letters. Vision+ will be available free of charge to all practices using Vision. For more information please call 020 7501 7440 or email [email protected].
TPPsystmone – supporting ccgs
TPP have been providing their clinical software SystmOne to the NHS for over 15 years. They are pioneering in linking up health and social care with a vision of “one patient, one record”.
TPP are fully interoperable and currently work with over 60 integration partners to ensure your CCG can work flexibly and efficiently. All integrations are free of charge, meaning there is no extra cost to your CCG.
how can systmone support your ccg?• Share templates and forms across all providers. • Monitor trends across organisations through
reporting.• Work on the move with TPP’s mobile working
solutions.• Share workload across organisations with Shared
Administration.• Allow patients to take control of their health
through SystmOnline.For more information, or to book your demo, please visit www.tpp-uk.com. Alternatively, contact our Account Team on 0113 20 500 83, or email [email protected].
Joint commissioning Panel for Mental healthThe Joint Commissioning Panel for Mental Health (www.
jcpmh.info) is comprised of 17 leading organisations who are aiming to inform high-quality mental health and learning disability commissioning in England.
Co-chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists, it has already published a range of guides for CCGs and specialist commissioners, and has also developed tools such as service specifications, contract inserts, and costing resources. The guides produced so far cover the commissioning of primary mental health care services, dementia services, liaison mental health services to acute hospitals, transition services, perinatal mental health services, public mental health interventions, and rehabilitation services. Forthcoming guides will include the commissioning of drug and alcohol services, forensic mental health services, autistic spectrum disorders, community mental health services, acute mental health care, eating disorder services, child and adolescent mental health services, mental health services for people with a learning disability, values based commissioning, and neuropsychiatry services.
venn groupSupplying NHS Specialist staff for over a decade. Venn Group have long since established themselves as the premier supplier of specialist members of contract staff within Information, Commissioning, IT, Finance, Procurement, Communications and Estates & Facilities. Enjoying established relationships with every NHS organisation, UK wide, Venn Group could not be better placed to augment your team with temporary, specialist skills, as and when the need arises. At a time where change and cost saving are top of the agenda, Venn Group understand the unique pressures that are placed on each department. We recognise how investment in short-term and expert help can deliver value-for-money by helping you achieve your longer term goals. Call one of our NHS Specialist Consultants on 020 7557 7667 or email [email protected], to discuss how Venn Group can help your team realise its full potential.
clinical Practice research datalinkhow cPrd is unlocking the potential of patient data for research
The new Clinical Practice Research Datalink (CPRD) is set to revolutionise medical research in this country by giving the research community access to anonymised healthcare data.
Launched in 2012, CPRD aims to maximise the use of anonymised NHS data for observational and interventional research. For the first time, CPRD will link datasets from primary and secondary care and national data registries offering research opportunities on an unprecedented scale.
A major advantage is the level of access to health datasets. The NHS holds cradle-to-grave data on England’s 52 million population. No other country in the world has this size of population together with the capabilities, data quality and other benefits accruing from the NHS to make such research possible. Dr. John Parkinson, CPRD Director said “Having access to data on a very large population is vital as it enables research into rare diseases and rare outcomes. CPRD will enable research into almost any condition, identify more effective treatments and improve drug safety. We are delighted to make this unique national resource available to researchers under the CPRD governance system. Security of patient data is our top priority. We are also working with many groups both inside and outside the NHS including medical research charities to better articulate the benefits of using patient data for research and the safeguards we have in place.”
first data banksafety, quality and Patient centric Prescribing support from fdb
First Databank (FDB™) drug knowledge forms a critical part of primary and secondary care patient
feaTured coMPany ProfIles
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An expert-led panel discussion at the Commissioning Show 2013 will provide delegates with an opportunity to understand and discuss the clinical benefits of interagency information sharing across primary and secondary healthcare, social care, mental health and emergency services and how to overcome some of the obstacles in achieving it.
The session, sponsored by Harris Healthcare, will look at how health secretary Jeremy Hunt’s vision of a paperless NHS by 2018 can be achieved but will also look beyond that to examine how information can be shared ‘inter-agency’ - across primary, acute, community and mental health, social care and emergency services to provide a joined up approach to a patient’s health and well-being.
Newly appointed medical director of Harris Healthcare EMEA, Dr Jenny Dean, said: “Many healthcare professionals experience huge frustration in being able to access relevant, accurate and complete information when they need it, without creating a distraction from clinical care.
“We need flexible systems that support the rapidly changing healthcare environment and
that integrate the different systems we use and this session will help to provide us with insight into how that can be achieved.”The panel will be part of the ‘Productivity through Technology’ stream at the show held at London’s Excel on 12-13th June. Among the issues discussed will be the ownership of data, the sharing of real-time information ‘inter-agency’ across health economies, as well as safe electronic record keeping. Panelists will discuss barriers and solutions to these topics and invite the audience to share their experiences.
Following the panel discussion, Wayne Parslow, VP EMEA Harris Healthcare, will deliver a presentation and Q&A session on how technology such as electronic patient record systems and clinical integration platforms have the potential to improve patient outcomes across boundaries and also to provide efficiency gains through ‘value-based healthcare.’
Parslow, said: “Harris Healthcare is supporting these sessions as part of its ongoing commitment to demonstrate how technology can be implemented to support the exchange of information across health and social care and beyond to ensure that professionals have the correct information to provide the best care and support for a patient, no matter where they enter and touch the healthcare system.
“We look forward to an exciting, diverse and lively discussion and debate.”
about harris Harris is an international communications and information technology company serving government and commercial markets in more than 150 countries. Headquartered in Melbourne, Florida, the company has approximately £3.7 billion of annual revenue and about 17,000 employees - including nearly 7,000 engineers and scientists. Harris is dedicated to developing best-in-class assured communications® products, systems, and services.
visit http://healthcare.harris.com/ and follow harris healthcare on Twitter.
for further information about harris healthcare contact:Sarah BruceHighland Marketingon behalf of Harris [email protected] Tel +44(0)1877 332710
To discuss the harris healthcare integration portal contact:Helen Parslow,Director of marketing and business development (EMEA) Harris [email protected] +44 (0) 7880 170972
confirm your complimentary delegate passes for you and your colleagues today at www.commissioningshow.co.uk/newspaper2
email: [email protected] or call: 0207 348 4906*Complimentary passes are reserved for qualifying healthcare and public sector professionals.
administration systems across the UK.
FDB has two exciting new solutions now available in market covering Medicines Optimisation at the clinical Point of Care, and also Retrospective Analytics providing CCGs with critical business intelligence on prescribing activities.
These solutions are underpinned by an innovative rules engine that can deliver Commissioning Services Units and Clinical Commissioning Group wide prescribing information in the context of the clinical profile of the patient. The breadth and depth of the patient level information extracted and used for medications related intelligence is unique to FDB.
FDB has worked with Medicines Management teams and CCG prescribing leads to ensure that Medicines Optimisation from FDB provides:
• Improved prescribing practice• Better patient outcomes• Medication cost savings• Medicines use analytics
With thousands of customers worldwide, FDB works with information system developer partners to deliver a wide range of valuable, useful, and differentiated solutions.
We offer more than thirty years of experience in transforming drug knowledge into trusted, purposeful and effective solutions that improve patient safety and healthcare outcomes. FDB provides active clinical drug knowledge that helps healthcare professionals make precise medication-related decisions.
FDB is the only provider of clinical decision support to receive NHS Evidence accredited provider status from NICE.
Visit us on stand at The Commissioning Show, or for further information please visit fdbhealth.co.uk or email us [email protected]
connect with delegates at commissioningThe commissioning connect platform is live for commissioning show delegates.* unique to the healthcare event sector, connect allows delegates to set their own agenda for the show, ensuring they get to talk about what matters most to them.
From fast paced team updates to lively debates, delegates can set a topic, reserve an area in the networking space and search for attendees to invite. It will also bring social networking to the show, allowing delegates to share their discussion groups through Twitter, Facebook and LinkedIn - even inviting their networks and colleagues to join the debate!
find out more at www.commissioningshow.co.uk*Connect is for our NHS and public sector delegates, expert partners, associations and media partners.
real-TIMe InforMaTIon aT your fIngerTIPs: Technology-TransforMaTIon of InTegraTed healTh and socIal care – overcoMIng The obsTacles
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federaTe or be daMned!Times are tough and with partner incomes dropping steadily many practices are turning their thoughts to federating to prevent themselves going under, according to Dr Peter Swinyard, chair of the Family Doctor Association (FDA).
‘With the incredible pressures currently facing us in general practice I think that we have almost got to the stage where some practices are going to have to share their resources or just pack up and go home,’ he says.
First devised by the Royal College of General Practitioners in 2007, the federated model sees GP practices joining together in partnerships to share resources and skills and offer more choice and services to local patients.
Dr Swinyard says the FDA has been receiving increasing inquiries about federating and have now commissioned Andrew Lockhart-Mirams of Lockhart Solicitors in London to write a set of fact sheets explaining the legal aspects and different models of federation.
The fact sheets will cover issues such as making staff redundant, how to avoid constructive dismissal claims and how to avoid falling foul of the Partnership Act.
A car enthusiast, Dr Swinyard uses the analogy of the motor industry to explain what federation means: ‘The VW Audi group spin a lot of cars off same platform, you’ve got the SEAT Leon, Skoda Octavia and Audi A3 and they all look and feel quite different but they’re all effectively built on the same chassis. In the same way in general
practice there is a quite a reasonable possibility for doing some of the backroom stuff more smartly than we do at the moment.’
Federation could range from just sharing a few functions with suitable financial arrangements through to a model where practices amalgamate, share all their backroom functions, employ staff jointly and share clinical services. All sizes of practices could benefit from federating, says Dr Swinyard. ‘A number of practices are federating quietly at the moment. They don’t always call it that they call it working together or sharing resources but these are all forms of federation.’
Worries that practices have about federating
include losing their identity or losing patients to other practices. But Dr Swinyard believes that most practices can federate without damaging their style or individuality.
‘As an organisation the FDA is looking to facilitate those who want to federate. General practice is in for a really bad time in the next year or two. We have to find ways to survive and make sure there is a service for our patients,’ says Dr Swinyard.
If the idea of federation appeals, come and hear Dr Swinyard speak on the subject at the Commissioning Show as part of the Your Practice - Adapting to Survive stream.
It’s time to take IBS seriously
Irritable Bowel Syndrome
Painful, distressing, exhausting
Irritable Bowel Syndrome is a physical disorder associated with multiple symptoms that include chronic abdominal pain, bloating and either constipation (IBS-C), diarrhoea (IBS-D) or mixed symptoms of diarrhoea and constipation (IBS-M).
In other words, IBS has a much more serious effect on patients’ lives than you might think.
UKLIN1616 January 2013
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confirm your complimentary delegate passes for you and
your colleagues today at
www.commissioningshow.co.uk/newspaper2
email: [email protected]
or call:
0207 348 4906
*Complimentary passes are reserved for public sector and qualified health care professionals.
coMMIssIonIng shoW Moves To neW hoMe The move to London Excel will create more learning opportunities for primary care professionals as well as local authorities and third sectors. The show floor will be on one level, allowing delegates to build their own programme as their needs become more diverse and providing a better layout for delegates and exhibitors alike.
The new site will be conveniently located with excellent transport links, ideally positioned close to the Olympic Park and Westfield Stratford where delegates have the choice to dine and shop.
Visit www.excel-london.co.uk for more information about the venue.
The Commissioning Show will be returning on the 12th and 13th June 2013 at London Excel
Commissioning Newspaper_Feb 13_12.indd 12 04/03/2013 16:58
