Docstoc

BUSINESS BOARD World Class Commissioning Assurance Framework

Document Sample
BUSINESS BOARD World Class Commissioning Assurance Framework Powered By Docstoc
					                                                                             BUSINESS BOARD
                                                                      Tuesday 9 September 2008
                                                                             Item No: CD/08/122

                                    BUSINESS BOARD

   World Class Commissioning Assurance Framework

1. Introduction
The Department of Health launched world class commissioning in December
2007. This is intended to raise the profile and effectiveness of commissioning.
The national assurance process led by each strategic health authority is due
to be undertaken in November. This paper provides a summary of the
process which incorporates the outcome measures also to be discussed at
the Board meeting and a self-assessment proforma.

2. Implications and risks
The commissioning process as it develops will improve the health outcomes
for the population of County Durham and improve their health.

There are no financial implications to the assurance process. There are
implications in terms of investments but they need to be considered within the
funds available to the PCT.

The commissioning process should ensure quality and equity of access for all
people in County Durham.

The Healthcare Commission is revising its application of standards to
commissioning which is likely to impact standards in 2009/10.




Document management
Purpose of the Paper: 1. Info sharing: Yes 2. Development/discussion: Yes   3. Decision/action Yes
Does this paper provide evidence against any of the areas the PCT is required to demonstrate
assurance in eg WCC, ALE key lines of enquiry or NHS national standards?
If so which ones?
 Eg WCC comps 1,2,3
Version       Date        Summary                          Owner’s Name        Approved
1.0           9/9/8       Presented to Business Board      Cameron Ward
3. Recommendations

The Board is asked to:

   •    note the world class commissioning assurance process.

   •    comment on the self-assessment document and approve for
        submission.

4. Author and sponsor director
Author:       Tony Byrne
Title:        Assistant Director – Planning & Involvement

Author:       Cameron Ward
Title:        Director of System Management

Date:         August 2008
                                                                  Appendix 1


            World Class Commissioning Assurance Framework

1. Introduction

The Department of Health launched world class commissioning in December
2007. This is intended to raise the profile and effectiveness of commissioning.
The national assurance process led by each strategic health authority is due
to be undertaken in November. This paper provides a summary of the
process which incorporates the outcome measures, a self-assessment
proforma and a summary of other actions associated with planning for the
assurance event in November 2008

The assurance process has been prepared to judge progress of
commissioning PCTs towards a high quality commissioning process that
delivers heath improvement and well being as well as providing best value for
money.

There are three sections to the assurance framework, namely, outcome
measures, competencies and governance.

Outcome Measures

Outcome measures have been developed through reviewing all available
information and confirming priorities, including reviewing the data packs
produced by the Department of Health. These are covered in a separate
board paper but they are intrinsically part of the commissioning process as the
Department of Health will measure the performance of PCTs by their progress
towards achieving these measures. The measures are focused on the needs
of the population we commission for and are geared towards improving health
and well being and reducing health inequalities.

Competencies

PCTs are intended to develop competencies over the course of the next one
to two years. They include:

      1.     locally lead the NHS,
      2.     work with community partners,
      3.     engage with public and patients,
      4.     collaborate with clinicians,
      5.     manage knowledge management and assess needs,
      6.     prioritise investment plans,
      7.     stimulate the market,
      8.     promote improvement and innovation,
      9.     secure procurement skills,
      10.    manage the local health care system,
      11.    make sound financial investments (assessed via governance).
Each competency will be assessed during the assurance panel visit in
November. There is an opportunity for the PCT to begin this process by
completing a self-assessment proforma on each competency. This is
included in draft form at Appendix 1 for comment and discussion by the Board
prior to submission to the Department of Health. There are four levels of
attainment with a series of supporting evidence statements. The self
assessment demonstrates the progress however, it is appreciated that there is
considerable work to be done in order to be classified as a world class
commissioner.

The Board is also required to complete a self-certification to confirm a range
of processes and measures in place eg Board interaction, organisation and
processes in place to effectively manage the delivery of the commissioning
process for the PCT.

Governance

Governance includes the need to produce a five-year strategic plan supported
by a finance plan and an organisational development plan. All these plans
are intended to be aggregated together to demonstrate a co-ordinated
approach to commissioning.

A number of documents have been submitted to the Department of Health
with further documents to be sent in advance of the panel visit in November.
These documents include the annual operational plan (AOP), practice based
commissioning (PBC) governance arrangements, examples of provider
contracts, pathway redesign reports.

The PCT’s relationships with its stakeholders and partners is also assessed
through a feedback survey to be undertaken in the early part of September by
the Department of Health. This will be independent to the PCT. A cross
section of organisations have been nominated and these will be sent
questionnaires to complete.

2. Implications and Risks

The commissioning process as it develops will improve the health outcomes
for the population of County Durham and improve their health.

There are no financial implications to the assurance process. There are
implications in terms of investments but these need to be considered within
the funds available to the PCT.

The commissioning process should ensure quality and equity of access for all
people in County Durham. The Healthcare Commission is revising its
application of standards to commissioning which is likely to impact standards
in 2009/10.
3. Recommendations

   The Board is requested to:

   1. note the world class commissioning assurance process,

   2. comment on the self-assessment document and approve for
      submission.


Tony Byrne
Assistant Director - Planning and Involvement

Cameron Ward
Director of System Management

August 2008

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:9
posted:3/9/2010
language:English
pages:5
Description: BUSINESS BOARD World Class Commissioning Assurance Framework