Local Commissioning Groups (LCG)

The Health and Social Services Authority (Designate) together with the BMA (NI) held a series of evening roadshows for GPs and other independent practitioners in January 2007.

These slides are correct as at 21st January 2007

Local Commissioning Groups

The Health and Social Services Authority and the British Medical

Association Northern Ireland

David Sissling, Chief Executive Designate HSSA Mary Burrows, Director System Planning HSSA

Welcome and introductions

Purpose

Expectations

Questions and answers

Creating a New Health and Social Care System:

Objectives and Outcomes:

Improved performance and quality levels Enhanced user experience Improved health and well-being New integrated models of care Motivated, dynamic workforce Value for money

Creating a New Health and Social Care System:

New Systems:

Devolved commissioning Performance management Finance Public and social health development Workforce and staff development

Creating a New Health and Social Care System:

Enablers:

Service frameworks Strong information system Effective professional leadership New organisational arrangements Enhanced public, user and staff engagement Effective planning processes

Commissioning

General Principles:

Separate from provision Devolved Regional standards Strong professional engagement Community focus Effective governance and accountability arrangements Performance and outcome focussed Capability enabled

Commissioning

Organisational Arrangement:

HSSA Local Commissioning Groups (7) Community Commissioning Associations Functional support to LCGs and CCAs

Belfast

Inner East

North West

East

West

North East

South

A Local Commissioning Group is:

Committee of the Health and Social Services Authority (HSSA) with delegated power to commission services

Primary care led with 15 members, two of which are lay people from the local community

Leader and decision maker for commissioning health and social care services

Accountable to the HSSA Board

Functions

Engage and involve local people in the promotion and planning of services

Redesign and improve services Secure safe and responsive services Commission public health programmes with

partners to reduce health inequalities Deliver local, national and Ministerial health

and social care targets

Benefits

Involve local people in health and social care issues

Ability to influence and direct change Manage resources Improve performance Ability to define and develop new services

To achieve success

Involvement of GPs designing commissioning arrangements

Preparatory year to develop expertise Commissioner development programme Professional leadership development

programme Incentives

Specifics

Each LCG has 4 GP places Chairman position is open to GPs, pharmacists,

optometrists, dentists and lay applicants Chairman is the ‘responsible’ individual for the LCG Members 2 days per month; Chairman 6 days per

month Time commitment and remuneration to be reviewed

April 2008

Specifics

Recruitment and selection through Public Appointments Process

Application form to complete Interview will be competency based Interview panel will consist of 3 members to

be confirmed

Community Commissioning Associations

Locality based commissioning Alliance of GPs, other health and social care

practitioners, community and voluntary sector Commissioners for a distinct population within a LCG

area Sub-committee of an LCG with delegated powers

and devolved budgets Supported and incentivised to deliver real change Implementation guidance being developed for April

2007 Universal coverage

Functional Support to LCG and CCAs

Finance, information, contracting, public health, social care, modelling and analysis, performance monitoring

To be provided to LCGs and CCA from HSSA Will support not drive LCGs and CCAs Will respond to priorities, work programmes and

objectives of LCGs and CCAs Will not be delivered through discrete organisational

entities

Directors of Area Commissioning

Executive Directors with portfolio of expertise such as secondary care commissioning

Represent, with 5 other professional officers, the HSSA on LCGs

Ensure strong functional support to LCGs & CCAs Establish and navigate relationships with

stakeholders Support and work in partnership with Chairs of the

LCGs

Timetable

LCG recruitment and selection of independent contractors and lay members – January and February 2007

Appointments made March 2007 LCGs in place March - April 2007 Commissioner Development programme

begins April 2007

Thank you for listening

Comments & Questions?