Bulletin for CCGs: Issue 69, 09 October 2014

Gateway reference number: 02369

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Commissioning Assembly News:

Strategic issues:

Operational issues – for action:

Other news – for information:

Events and campaigns:

Commissioning Assembly news

Commissioning leaders come together for third annual NHS Commissioning Assembly event

More than 260 commissioning leaders from CCGs and NHS England area and regional teams attended the third annual NHS Commissioning Assembly event which took place at The Oval, London on 30 September.

The focus of this year’s event was how leaders collectively mobilise for the next stage of the NHS’s journey, finding solutions to current challenges and looking ahead to the next steps in improving care and future proofing the NHS. A key element of the discussion was the development of the NHS Five Year Forward View.

A full report will be available on the NHS Commissioning Assembly website shortly.

Would you like to be part of the Commissioning for Person Centred Care Group?

At the NHS Commissioning Assembly last week, the Commissioning for Person Centred Care Group was launched. Dr Katie Coleman, chair of the group, talks about the group here. The group is looking for new members. If you are interested in sharing and testing ideas for commissioning person-centred care and reviewing national NHS England work programmes in this area, please email Sarah Mills.

Strategic issues:

Commissioning Support Lead Provider Framework (LPF) – User Guide

The framework goes live from February 2015 with some excellent providers for CCGs to buy any combination of support services from. This step-by-step guide describes how to use the framework and explains the timescales involved and the free procurement and legal support on offer. We have already heard from a number of CCGs who want to use the framework when it goes live and who want support over the coming weeks to develop their tenders. If you would like support and to join one of the early waves of CCGs, let us know by emailing the LPF team mailbox.

For more information visit the LPF webpage.

Next steps towards primary care co-commissioning

Last week Ian Dodge and Amanda Doyle wrote to CCGs and area teams setting out the proposed next steps towards primary care co-commissioning.

There is still time to share your feedback on the proposed approach to inform the final document.  Please email any feedback to by midday tomorrow (Friday 10 October).

We will be holding ‘Regional Roadshows’ in late November.   Please book your place via the links below:

NHS England publishes annual summary of CCG assurance and 360 summary report

NHS England has published its year-end summaries of authorisation and assurance for CCGs in England, up to end March 2014. The figures demonstrate the significant progress that CCGs have made since being established and their continued commitment to fulfilling their commissioning role and improving health outcomes for their local communities.  All 211 CCGs are authorised and 210 are assured, with mutually agreed support plans in place for those CCGs that require further development.  The annual reports are available on NHS England’s website along with a national summary of the CCG 360 stakeholder survey findings that informed year-end discussions.

Outcome of 2015/16 GMS Contract negotiations

The outcome of the contract negotiations between NHS Employers (on behalf of NHS England) and the BMA’s General Practitioners Committee (GPC) on amendments that will apply to GMS contractual arrangements in England from April 2015 have been published.

NHS England publishes new guidance for PMS contract reviews

NHS England has published new guidance for area teams to inform Personal Medical Services (PMS) contract review discussions. The guidance aims to give greater consistency on the redeployment of PMS funds to ensure that money is reinvested in general practice, and on the timescales for change.  Any decision on the future use of PMS funding should be jointly agreed with CCGs as part of co-commissioning arrangements and any funds reinvested in the current CCG locality.

NHS England publishes its commissioning intentions for prescribed specialised services

NHS England has published details of its commissioning intentions for prescribed specialised services for 2015/16. This document serves as notice to providers in England of changes and priorities for the coming year for those specialised services to be commissioned by NHS England, as well as some services for which commissioning responsibility will move to CCGs.

Operational issues – for action:

Apply to the £650k NHS Innovation Challenge Prizes

The NHS Innovation Challenge Prizes for 2014/15 is now open for applications. The £650,000 prize programme encourages, recognises and rewards innovations from the front line. This year’s challenge prizes include diabetes, infection control, rehabilitation, use of technology and digital patient and clinician engagement. Small innovations with a potential to make a big difference are also being recognised in the new ‘Acorn’ challenge. Only NHS organisations are eligible to apply and innovations must be proven and have the potential for spread. Deadline for applications is 7 November 2014. Visit the Challenge Prizes webpage for more information. Follow us on Twitter @ChallengePrizes.

Rules for local price-setting

It has come to NHS England’s notice that some commissioners are being asked to explain why decisions on funding for healthcare delivered in independent sector homes appear not to have followed the relevant rules set out by Monitor and NHS England in the 2014/15 National Tariff Payment System.

CCGs need to be aware that the rules published by Monitor and NHS England in relation to determining local prices are mandatory, other than for public health and local authority commissioned services. The rules for 2014/15 can be found in Section 7 of the 2014/15 National Tariff Payment System. Explanatory notes on locally-determined prices are also available here.

Any commissioners who are unsure about National Tariff requirements in relation to locally-determined prices can seek advice via in the first instance.

Proposed changes to NHS England’s Cancer Drugs Fund are subject of public consultation

NHS England has launched a four-week public consultation on proposed changes to the way its Cancer Drug Fund (CDF) operates. Clinicians and cancer specialists believe that the changes, if adopted, would improve patient access to the most clinically effective drugs available through the fund; encourage pricing that delivers value for money for patients and the public; and put the fund on a more sustainable footing for the future, as it faces increasing demand and growing financial pressure.

Staff flu vaccination promoted to all health staff

All health staff are being encouraged to get vaccinated against flu to cut the risk of it spreading to patients and colleagues this winter.

Staff are more likely to be exposed to the influenza virus, particularly during the winter when some patients will be infected, so it is vital to reduce the impact of flu to protect patient care.  A tripartite letter supported by National Medical Director and Chief Nursing Officer highlights the importance of the influenza vaccine.

Information on the staff flu campaign can be found on NHS Employers website.

Other news – for information:

People with complex health needs have the ‘right to ask’ for a personal health budget

Adults eligible for NHS Continuing Healthcare, and children in receipt of continuing care, now have the right to have a personal health budget. The NHS England Personal Health Budget Delivery Team continue to offer ongoing advice and support to CCGs.

Staff working within the NHS and local authorities can sign up to our learning network to access ongoing training opportunities and share questions and experiences with colleagues across the country.  We also have a team of regional advisors who can offer support locally.  Contact the personal health budget team if you would like to be connected up with your regional advisor.

Achieving Better Access to Mental Health Services by 2020

NHS England and the government have published Achieving Better Access to Mental Health Services by 2020, a five-year ambition to put mental health on a par with physical health services.  NHS England will invest a further £120 million over the next two years on improving mental health services, including a £40 million investment this year to build capacity to meet new access and waiting time standards from next year.  NHS England will be working closely with CCGs to identify the areas of most need to specifically address improvements in early intervention and mental health crisis services, including liaison psychiatry.

Publication of baseline data for specialised services providers

NHS England has published the outcomes of a baseline assessment of specialised services providers against new specialised services specifications. This exercise, which was carried out last year, provided commissioners with a more accurate picture of service provision across the country, and will form the basis of a number of future service reviews, as part of the future specialised commissioning work programme.

Published survey can help commissioners improve cancer services

The 2014 Cancer Patient Experience Survey, overseen by NHS England and MacMillan Cancer Support, has been published. The survey, in its fourth year, is designed to monitor national progress on cancer care and provide information that could be used by commissioners to improve services for patients.

This year’s report highlights that cancer patients are increasingly positive about their care, with 89% rating it as excellent or very good. Patients reported positively on many areas including being offered a range of treatment options and being treated with respect and dignity, although improvements are needed in reducing variation between trusts. CCGs and area teams are encouraged to take a look at the survey.

Staff Friends and Family Test data published

The first quarterly results of the Staff FFT have been published on NHS Choices and the NHS England website.

The data is from 241 NHS acute, community, ambulance and mental health trusts in England. There were 163,686 responses from April to June.

  • 76% of staff would recommend their organisation to friends and family in need of care or treatment; 8% would not.
  • 62% of staff would recommend their organisation to friends and family as a place to work; 19% would not.

The results will be published three times a year and demonstrate commitment to transparency and openness in the NHS.

Local Mental Health Crisis Care Concordat Declarations

The Concordat was launched in February 2014 with the aim of improving outcomes for people who are at risk of, or experiencing, a mental health crisis. It sets out how organisations will work together better to ensure people get the help they need when they need it.

Locally, the Concordat is being delivered through the publication of Local Crisis Concordat Declarations. Mind have been commissioned to support local areas to deliver these by the end of December 2014.  CCGs are encouraged to visit the Crisis Concordat website where three local declarations have already been published.

Contact for further information.

Dementia Diagnosis Rates

In September 2014 NHS England wrote to all CCGs informing them about their latest dementia diagnosis rate at both a CCG and GP practice level. From October 2014, NHS England will be writing to CCGs on a monthly basis using the latest dementia diagnosis rates (provided by HSCIC) on a CCG and GP practice level.

In addition NHS England will be writing to the lowest performing quartile of GP practices to encourage them to work with their CCGs to improve these rates.

For further information please contact Michelle Place

Palliative Care Funding

NHS England is currently developing a “currency” for palliative care – essentially a way of grouping patients according to their need. The aim is to provide a transparent basis for palliative care commissioning.

A series of engagement events are taking place throughout October and November 2014 to allow the palliative care community, including clinicians, commissioners and providers to help shape the development of the currency. These are taking place:

  • London – 29 October
  • Leeds – 5 November
  • Manchester – 6 November
  • Birmingham – 11 November
  • Bristol – 12 November

For more information or to register for an event, please email the palliative care funding team mailbox.

GP Records – Improved registrations of Armed Forces Veterans

Asking and recording if your patients have served in the Armed Forces will help your patient get better access to the full breadth of NHS services. It may give access to specific veteran-focused funding (e.g. prosthetics) and further charitable services (e.g. mental health).  This knowledge will also enable you to access their prior medical records.

The Armed Forces Covenant supports all those who have served and may entitle them to priority treatment, for service related conditions, subject to clinical need.

To assist you, the RCGP have a free e-learning training pack. Further information is available via NHS Choices or email the NHS England Armed Forces Commissioning team.

Events and campaigns:

The Role of Commissioners and Service Providers in Improving Quality of Care and Patient Outcome

On November 24 2014 the British Heart Foundation will host a FREE conference on ‘Familial Hypercholesterolaemia: The Role of Commissioners and Service Providers in Improving Quality of Care and Patient Outcome’ for NHS commissioners and NHS service providers who are considering setting up FH genetic testing services.

Professor Sir Bruce Keogh, NHS Medical Director, will deliver the keynote speech. The conference will focus on how early identification of FH and early intervention with statins can cost effectively reduce premature morbidity and mortality due to cardiovascular disease.

To register for your free place please visit the conference page.

New system leadership programme supporting senior leader development and succession planning

The Future Directors programme is for people already experienced at senior operational level, who are newly in more strategic-level roles or looking to progress to them.  Underpinned by Systems Leadership approaches, Future Directors brings people together from across health, public health, social care and other services so that they can take on senior roles with confidence in their leadership abilities.  Future Directors is part of the national Systems Leadership programme, supported by NHS England and Public Health England.

To register, please contact Tony Watton via the Future Directors mailbox.

Safeguarding Children Leadership Programme

De Montfort University, Leicester has been chosen to provide a safeguarding children leadership programme for staff in NHS England and CCGs.

Further information, an introduction pack and an application form for interested professionals is available by contacting Adrian Spanswick – Programme Lead. This letter gives more detail.

Open Source Highlights

The NHS England Open Source Programme is about increasing the range and integration of digital solutions across the care community. Open Source software essentially means two things; license free software and the ability to modify the software to fit local requirements. This enables the use, reuse and redistribution of software. For CCGs this can deliver real efficiencies by sharing existing IT systems in Trusts that have been developed by clinicians for clinicians. There has been a significant amount of bids for Tech Fund 2 which referenced Open Source, such as EPR, ePrescribing and eObs.

The Open Source Programme is hosting an Open Day at Newcastle Racecourse on 26 November, to enable healthcare professionals to share in house solutions and engage with suppliers.

For more information please contact Louise Sinclair or follow the Open Source Programme on Twitter @NHSOpenSource


NHS Sustainability Day roadshows

Procurement accounts for 60 per cent of the NHS’s overall carbon footprint.

CCGs’ commissioning decisions will be one of the determining factors in whether the NHS can successfully reduce its emissions by 10 per cent by 2015 and 34 per cent by 2020, as outlined in the NHS Sustainability Development Unit’s NHS Carbon Reduction Strategy.

Upon authorisation, the chair of each CCG made a commitment to promote environmental and social sustainability in their organisation.

By attending a NHS sustainability Day road show, CCGs can benefit from the accumulated expertise of NHS Sustainability practitioners, network with colleagues and receive updates from solution providers.

Please see the NHS Sustainability Day website for more details, dates and booking details.

Survivors’ Journeys – Survivors’ Voices conference, 16 October 2014 -Birmingham

The Survivors Trust and Rape Crisis England and Wales are working together, supported by NHS England, to run a Conference in Birmingham – Survivors’ Journeys – Survivors’ Voices.

This ground breaking conference aims to build understanding of the full impact of sexual abuse and rape on survivors’ lives and the services needed to support them to reclaim their lives. It will also identify the service specification for services in a region and how to monitor and evaluate good practice and value for money.

The conference will include presentations by Kate Davies – Head of Public Health, Armed Forces and their Families and Health & Justice Commissioning for NHS England, specialist providers and survivors speaking about their experiences of getting help and support.

For further information please contact Philip Walker.

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