Locality Based Commissioning

Locality Based Commissioning : 

Locality Based Commissioning By Pauline Stevenson Senior Project Manager And The Team

The Team : 

The Team Dedicated Project Manager Our GPs (87) Development Managers Commissioning & Finance Director Commissioning & Performance Manager HIS Project Manager Secretarial & Administrative Staff Family Health Director Referral Activity Management Centre

Mid Sussex Profile : 

Mid Sussex Profile 17 Practices 3 Localities Population of c.145,000 Wide Geographical Rural Area – Low Population Density Higher Elderly Population – 15.9% over 65 One Main Acute Provider One Foundation Trust Provider

Why Locality Based Commissioning : 

Why Locality Based Commissioning Historical growth trend in Secondary Care Activity To enable appropriate use of future growth on PCT resources Acute Hospital plus Foundation Hospital Payment by Results Environment Delivering patient Choice Service Re-design

Why Locality Based Commissioning – Cont’d : 

Not about reducing referrals, but ensuring patient is seen in the right place by the right person at the right time – Best Care, Best Place! New local services/reduction in admissions GPs are best placed to make decisions on referrals GPs will be able to: Why Locality Based Commissioning – Cont’d monitor and review referrals/activity ensure ‘we only pay for what we get’ identify local service opportunities provide choice on how budget is utilised

What we can include in 2005/06 : 

What we can include in 2005/06 Inpatient Elective Activity Day Case Activity Non-Elective Activity Outpatient Activity Exclusions for this year: Intensive Care High Cost Procedures

How did we get Clinical Engagement???? : 

How did we get Clinical Engagement???? Historical good/collaborative relationship between GPs and Mid Sussex PCT – motivated GPs not scared of change Good relationships between our practices GP commitment to the forming of our 3 localities (North, Central & South) GP lead for each locality Clinical Lead Group plus PEC GPs Overarching Steering Group PEC/Board involvement

Framework : 

Framework Rules of Engagement developed with visible GP input Ability to start to re-utilise commissioning budget to improve services for patients Commitment that released resources can be re-invested to improve patient care In time practices will be encouraged to take responsibility for total budget (flexibility to take responsibility for part budget at present)

A thought! : 

A thought! How do we get to the point where people have a genuine choice in all aspects of their health and healthcare? Remember: ‘Whatever you do will seem insignificant, but it is very important that you do it’ Mahatma Gandhi