News

Bulletin for CCGs: Issue 49, 20 December 2013

Contents

Welcome from Dame Barbara Hakin and Paul Baumann

Planning Guidance and funding set out in full to support commissioners

Planning:

CCG Allocations
NHS England publishes Planning Guidance for commissioners
Premature mortality resource tool
NHS England’s Sir Bruce Keogh sets out plan to drive seven-day services across the NHS
Good practice guide to major service change
Standard Contract and draft Technical Guidance
Prime Minister’s Challenge Fund: Extending Access to General Practice

Operational issues:

Be Prepared – The system that manages NHS smartcards is changing!
Asset Transfers to NHS England – Property Transfer Schemes Assurance and Modification

Other news:

My Health Skills
Contribute to NHS England’s Research and Development Strategy consultation
The vital contribution of volunteers

Events and Campaigns:

Transforming Dementia Care – 27 January 2014, Durham

Letters:

Total allocation of winter monies to support urgent and emergency care systems in 2013/14

 

About this bulletin

Welcome from Dame Barbara Hakin and Paul Baumann

 

Planning Guidance and funding set out in full to support commissioners

As we approach the end of 2013 – nine months since NHS England took on its full powers – we have many positives to reflect on. Put simply, we have forged ahead with the vision set out in last December’s planning guidance to put improved outcomes for patients at the very heart of everything we do across the new health and care landscape.

Key to this achievement has been the work of commissioners, both CCGs and direct commissioners, who are actively involving and empowering local citizens to have a voice whilst helping to shape and develop the best possible clinically-led care for local communities.

We have been heartened to witness how commissioners have embraced the call to action and are leading local discussions about the challenges and opportunities facing the health and care system over the next five to ten years.  But, of course, we have much more to do to consider and crystallise plans for investing our NHS budget if we are to realise our vision for high quality care for all for now and future generations.

This is why, today, NHS England has set out its planning guidance for the next five years and also the funding structure within which the NHS must operate for the next two years in order to meet local needs.

Everyone Counts: Planning for Patients 2014/15 to 2018/19 describes our ambition for the NHS over the years ahead and our commitment to focus on better outcomes for patients.  It describes the vision for transformed, integrated and more convenient services, set within the context of significant financial challenge.  The guidance is supplemented by a suite of products intended to support the development of your local plans, and more will follow on our planning web pages in the coming days.

It is in this context of significant financial constraint, we are particularly pleased that earlier this week, and following an extensive review, the NHS England Board agreed a new funding formula for NHS commissioners that sees a rise from £96bn to £100bn over the next two years.

Despite wider public sector budget cuts, the NHS is being protected from inflation at a time of austerity – all CCGs will receive a funding increase matching inflation in the next two financial years while the most underfunded areas, and those with fast-growing populations, will receive even more.  The new funding formula more accurately reflects population changes and includes a specific deprivation measure to tackle health inequalities.

We are confident that both our planning guidance and our careful financial planning considerations set the right framework for the future against which you can deliver the very best for your local communities.

We thank you for all of your work this year to help secure the best outcomes for the citizens of England and wish you all a very merry Christmas.  We look forward to continuing to work closely together with you in 2014 as we all aspire to become even better commissioners providing vital health and care services to our communities.

 

Dame Barbara Hakin, Chief Operating Officer and Deputy Chief Executive (interim)

Paul Baumann,  Chief Financial Officer

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Planning

 

 

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NHS England publishes Planning Guidance for commissioners

NHS England has published a bold framework within which commissioners will need to work with providers and partners in local government to develop strong, robust and ambitious five year plans to secure the continuity of sustainable high quality care for all, now and for future generations.

Everyone Counts: Planning for Patients 2014/15 to 2018/19  describes NHS England’s ambition for the years ahead and its on-going commitment to focus on better outcomes for patients.  It describes the vision for transformed, integrated and more convenient services, set within the context of significant financial challenge.  The planning guidance is accompanied by a suite of support tools intended to assist commissioners with their planning considerations to maximise the best possible outcomes for their local communities.

 

CCG Allocations

NHS England has now published the funding allocations that Clinical Commissioning Groups (CCGs) will receive over the next two years (2014/15 and 2015/16). The allocations contain a new funding formula for local health commissioners that will more accurately reflect population changes and include a specific deprivation measure.

Funding for NHS commissioners will rise from £96bn to £100bn over the next two years so, despite wider public sector budget cuts, the NHS is being protected from inflation at a time of austerity. The changes follow an extensive review into funding allocations and all CCGs will receive a funding increase matching inflation in the next two years while the most underfunded areas, and those with fast-growing populations, will receive even more.

 

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Premature mortality resource tool

A resource to support NHS commissioners in setting a level of ambition on reducing potential years of life lost (PYLL) from causes amenable to healthcare is available as part of the planning round package of resources. The resource provides advice on the comparative benefits (and costs where known) of implementing a range of clinical interventions that would have a high impact on reducing premature morality.

The resource is currently in its first iteration as a PDF document, but the content and functionality (as a set of browseable web pages) will continue to evolve.

 

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NHS England’s Sir Bruce Keogh sets out plan to drive seven-day services across the NHS

Last year NHS England made five offers to help commissioners make progress in delivering key enablers of change. The first of these is NHS services, seven days a week, which will now be incorporated into the broader context of our strategic thinking as a fundamental planning principle.

The ambition is that by 2016 /17 all the clinical standards should be incorporated as national quality requirements in the NHS Standard Contract.

NHS England’s National Medical Director Sir Bruce Keogh published his plan to drive seven day services across the NHS over the next three years, starting with urgent care services and supporting diagnostics.

The plans are based on the findings of his Forum on NHS Services, Seven Days a Week, set up in February this year. The Forum points to significant variation in outcomes for patients admitted to hospitals at the weekend across the NHS in England – a problem affecting most healthcare systems around the world.

 

Good practice guide to major service change

NHS England has today published a good practice guide for commissioners, to assist CCGs should they choose to develop proposals for major service changes and reconfigurations, in order to secure improvements in the quality and sustainability of services for patients.

This guidance builds on earlier best practice guidance developed prior to the new commissioning system, but has been brought up to date, reflecting the roles and responsibilities of commissioners to deliver improvements in services for patients and local communities.

The guidance contains information on the development of business cases, explains how to assess proposals against the Government’s ‘four tests’ for reconfiguration encourages effective and on-going engagement with patient and the public. The guidance will be supplemented by an assurance toolkit setting out how NHS England will support and assure local commissioner service change proposals.

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Standard Contract and draft Technical Guidance

The NHS Standard Contract 2014/15 and the NHS Standard Contract 2014/15 draft Technical Guidance have now been published on the NHS England  website.
Where documents are for local population, they are published as PDFs and also as Word documents.

The 2014/15 CQUIN guidance has also been published with supporting documentation.

 

Prime Minister’s Challenge Fund: Extending Access to General Practice

On 1 October, the Prime Minister announced that there would be a new £50 million Challenge Fund to help extend access to general practice and stimulate innovative ways of providing primary care services. The Government has asked NHS England to lead the process of inviting expressions of interest and overseeing the pilots.

Today we have published details on how to apply to become a pilot site and the application criteria

 

Operational issues

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Be Prepared – The system that manages NHS smartcards is changing !

CCGs and IT/ICT managers are advised that as part of the transition to Spine2, the Health and Social Care Information Centre (HSCIC) is currently developing the next generation Identity and Access Management service (IAM) to replace the existing Calendra, User Identity Management (UIM) and Card Management Service (CMS) from Autumn 2014.

Organisations are advised to include provision for the business readiness of the new service in their business and ICT planning for 2014/15.

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Asset Transfers to NHS England – Property Transfer Schemes Assurance and Modification

Following the transfer of assets under SHA and PCT Property Transfer Schemes on 1 April 2013, NHS England is now undertaking assurance to identify assets wrongly assigned to NHS England (according to function), and modify the Transfer Schemes to re-assign to the correct legal body.

We are aware that CCGs have already completed this work and submitted corrections to the Department of Health in June, which have been used to produce ‘Modification Schemes’.

We hope correcting modifications will be minimal given the assurance work that has already been carried out across the commissioning system, but we want to make CCGs aware that this work is now in progress and that we may need to jointly engage on discussions to resolve any errors or queries. You will know from your involvement in this process that any modification to SHA/PCT Property Transfer Schemes requires formal agreement between all affected parties.

The review work is being carried out by a small team in NHS England Policy Directorate.

From the beginning of January the team will be contacting affected CCGs to discuss and agree modifications proposed by NHS England, before we submit them to the Department of Health. We appreciate your help and support to resolve and agree any outstanding errors in January in order to meet the statutory deadline for modifications to Transfer Schemes by 31 March 2014.

CCG teams may also have unresolved asset transfer issues with NHS England (‘The Board’ in Schemes), and this is an opportunity to address them.

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Other news

My Health Skills

My Health Skills is a free, online networking site specifically designed for the clinical and wider healthcare workforce (including Bands 1 – 4). Members come from a variety of healthcare organisations across the UK.  This tool aims to encourage those who are passionate about clinical workforce transformation, learning and skills to network, share good practice, expertise and resources. Current networks include; Dementia Skills, Apprenticeships and Learning Disability Health Networks.
My Health Skills offers those within CCGs responsible for workforce development, the opportunity to network with others about clinical staff development.

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Contribute to NHS England’s Research and Development Strategy consultation

NHS England has opened a 7 week research and development strategy consultation from Thursday 12 December until Thursday 30 January.

If you require the consultation documents in large print or in a language other than English, please contact us

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The vital contribution of volunteers

The health and wellbeing of communities can be improved by care and support from the Voluntary and Community Sector. The Department of Health’s Health and Social Care Volunteering Fund provides tailored support and funds to local and national projects.

An evaluation by Leeds Metropolitan University found the fund improved organisational capacity, helping projects build networks of skilled volunteers. Trained, supported volunteers bring an insider view to services, cascade information to communities and reach people who are socially isolated or not in touch with services.

 

 

Events and Campaigns

 

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Transforming Dementia Care – 27 January 2014, Durham

The National Housing Federation and Think Local Act Personal (TLAP) are jointly funding this free regional event.

Improving the quality of care for people with dementia is a national priority. Achieving effective integration between housing, health, and social care underpins this.

This free regional event translates that aspiration into practical action. It is aimed at dementia leads, health professionals and service commissioners and will share learning and good practice from across the region. It will show how housing interventions can support the delivery of national priorities and positive health and social care outcomes in the following key areas:

  • Early intervention and prevention – increasing awareness, early diagnosis and access to care
  • Transforming care pathways – improving the experience of hospital care and the transfer of care from hospital to home
  • Specialist accommodation and assistive technology – providing consistent, responsive services that manage dementia in the community
  •  For more information or to book your place, click here

 

Letters

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Total allocation of winter monies to support urgent and emergency care systems in 2013/14

As part of the funding allocations to support urgent and emergency care over winter, NHS England is pleased to announce that £15million is being provided to commissioners to work with their local ambulance trusts to secure resilient delivery of ambulance services to patients over winter. Another £7million will provide additional capacity for specialist beds, staffing and support, across adult, paediatric, neonatal intensive care, neuro- rehabilitation and cardiac care.

This letter from Dame Barbara Hakin provides more detail on the allocations as well as a breakdown of how the winter funding have been allocated to commissioners.

 

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