World Class Commissioningfor

Improved Healthcare

Gary BelfieldDirector of Commissioning

Department of Health

Commonwealth Fund – Mirror, mirror on the wall

    AUSTRALIA CANADA GERMANYNEW

ZEALANDUNITED

KINGDOMUNITEDSTATES

OVERALL RANKING (2007) 3.5 5 2 3.5 1 6

Quality Care 4 6 2.5 2.5 1 5

Right Care 5 6 3 4 2 1

Safe Care 4 5 1 3 2 6

Coordinated Care 3 6 4 2 1 5

Patient-Centered Care 3 6 2 1 4 5

Access 3 5 1 2 4 6

Efficiency 4 5 3 2 1 6

Equity 2 5 4 3 1 6

Long, Healthy, and Productive Lives 1 3 2 4.5 4.5 6

Health Expenditures per Capita, 2004 $2,876* $3,165 $3,005* $2,083 $2,546 $6,102

1.0-2.662.67-4.334.34-6.0

Country Rankings

* 2003 data - Source: Calculated by Commonwealth Fund based on the Commonwealth Fund 2004 International Health Policy Survey, the Commonwealth Fund 2005 International Health Policy Survey of Sicker Adults, the 2006 Commonwealth Fund International Health Policy Survey of Primary Care Physicians, and the Commonwealth Fund Commission on a High Performance Health System National Scorecard.

Infant mortality England, EU countries and selected averages, latest data (2004*), ranked

3.0

3.7

3.8

4.3

5.96.4

6.66.86.8

7.99.0

9.411.7

16.8

3.23.33.5

3.93.9

4.04.14.1

4.44.54.6

4.64.95.0

5.65.3

Cyprus Sweden

Finland Luxembourg

Slovenia Czech Republic

France Portugal Spain

Greece GermanyEU-15 average Netherlands

AustriaDenmark*

Italy* Ireland

EnglandEU average

Belgium* Malta

Estonia Hungary Slovakia Poland Lithuania

EU-12new average Latvia

Bulgaria Romania

EU weighted averages

EU-12 new (member countries from 2004)

EU-15 (member countries before 2004)

England

Rate per 1,000 Live births

* Denmark, Italy – 2001; Belgium - 1997

Health Profile of England 2007

What is commissioning?

“Commissioning is using the available resources to achieve the best outcomes by securing the best possible health and care services for local people”

Vision Better health and well being for all

People stay healthier for longer – “adding life to years.” People live longer and health inequalities are dramatically reduced

– ”…and years to life” Better care for all

Services are of the best clinical quality and evidence based People exercise choice and control over the services that they

access so they become more personalised. Better value for all

Informed investment decisions PCTs work across organisational boundaries to maximise effective

care.

Assess needs

Review current service provision

Decide priorities

Strategic planningDesign service

Shape structure of supply

Specify outcomes &procure services

Manage demand and ensure appropriate access to care

Clinical decision making

Managing performance (quality, performance, outcomes)

Managing demand and performance

VISION AND COMPETENCIES

ASSURANCE SYSTEM

SUPPORT ANDDEVELOPMENT MODEL

Learning from others

10-15Indicators

e.g. Chronic Heart Disease

Vital Signs

Popn ‘x’NHSUpper Quartile

BestNHS

WorldLeading

Determined by:PCTPBCsLocal population

Stretch target

Clinical staff, IS and Vol Sector drive innovation to deliver

11 Competencies

1. Locally lead the NHS

2. Work with community partners

3. Engage with public and patients

4. Collaborate with clinicians

5. Manage knowledge and assess needs

6. Prioritise investment

7. Stimulate the market

8. Promote improvement and innovation

9. Secure procurement skills

10. Manage the local health system

11. Make sound financial investments

NHS Input

NHS Input

Review of board controls and processes , strategy, and long term financial controls

Measures quality in health care and ability to deliver key health outcomes and services

A commissioner assurance systemAssessment against three domains:

Measures whether the organisation possess the competencies associated with world class commissioning

Competencies

Health outcomes andquality

Governance

What will success look like?• Vibrant, effective partnerships• Population actively engaged• Clear local priorities and long term strategy, to tackle local

health issues• Innovative practice based commissioners working to an agreed

PCT wide strategy . . . But leaving room for very local initiatives• People are staying healthier for longer • People are living longer• The inequalities gap is narrowing

NHS Next Stage review – areas under consideration

Strengthening the focus on staying healthy

Supporting people to manage their long term condition

Integrated health and social care services

Tackling health inequalities

Quality of care

What next?Provider armPersonalisationHealth & Social care

Learn, share & buyGreater IS input

ConstitutionNext stage reviewPrimary & Community focus

Events

The Goldilocks Circle

Envisioning in a Box- What is it?

Peter AskewBusiness Development Manager

Envisioning in a Box- Demonstration

Nick Umney and Tim Gee

Strategy for Customer and Partner success

Presented byTim Gee Healthcare Business ManagerNick Umney Lead Account Technology Strategist

A clear simple message

That is easy to find and

That resonates with NHS

managers and Clinicians

In a “language” that they

understand

That adds value to what they need to

do

Linked to MS Partners that understand the issues

That they can profitably

carry out the work

That enables further

incremental development

Relationships

Revenue

Readiness

Segmentation for Success

Strategic

Growth

Breadth

Relationships

Revenue

Readiness

Strategy

Deployment

Services (Resource)

Procurement

InfrastructureExtend

Protect & Secure

Deploy & Manage

Windows Server Virtualization

Connected and Extended

Knowledge Driven Health

NHS Needs?DOH Local Information Management &Technology PlansThe objectives for 2008/2009

“Individual organisations will work collaboratively within country wide governance arrangements to produce a inclusive IM&T

plan that effectively supports the delivery of high quality service for patients and provide frontline staff with the tools

and information they need to provide these services;”“Progress towards the achievement of the mature IM&T

Environment required to support integrated care across health settings;” – Longer term plans 2010/11

“It is vital that to meet the NHS commitment to maintain appropriate confidentiality of patient data, Information

Governance (IG) policy and practice reflects the increases in the potential to share information afforded by the programme. “

“NHS providers will need to include in their plans the substantial business transformation and infrastructure readiness required

to exploit these technologies”“....drive improvements in data quality”

Knowledge Driven Health•Quick and easy access to data and information via enhanced analytical tools, dashboards and business intelligence•Share citizen records as appropriate to speed services and avoid duplication, using security-enhanced technologies•Improved access to information and services including Search•View data from multiple agencies in a single repository•Improve Patient outcomes with more informed decision-making.

•Improved decision-making through increased real-time collaboration, using data from across multi- disciplinary or distributed teams•Improved content and data management reducing the time spent searching for info•Maximize Enterprise Search capabilities that help people find and share information•Integrated collaboration capabilities such as automated workflow•Enable care givers to collaborate seamlessly virtually anywhere on any device.

•Create electronic client records, providing a single unified view of the client•Pull records from multiple agencies into one client record via common client ID•Create interoperability within IT infrastructure, to tie into older systems, and to move data between old and new systems•Share and integrate data appropriately with security-enhanced technologies•Connect via a Healthcare service-oriented architecture.

ENTERPRISEAGREEMENT

Envisioning Session

License & Partner ServicesRevenue

Specific to the

Customer

Programmatic &

Repeatable

Manageable

Measurable

Outcomes

QUESTIONS

TIMGEE@MICROSOFT.COMNICKU@MICROSOFT.COM

Marketing in the NHS for Partners

Mark TreleavenNHS Marketing Manager

Microsoft NHS Resource Centre

Arif GovaniOnline Business Manager