Who’s who in the new commissioning landscape
Tim Barton, NHS North of England 28 February 2013
The 2013 health and care system
The 2013 health landscape Area
Organisations
Commissioning •
•
NHS Commissioning Board (NHSCB) with national, regional and area teams (ATs) operating within a single operating model. NHSCB will be a non departmental public body and also host a range of bodies including clinical networks and senates, NHS Leadership Academy and CSUs. It will have responsibility for some direct commissioning Clinical commissioning groups (CCGs)
•
Commissioning Support Units (CSUs)
Provision
• NHS Trusts and NHS Trust Development Authority (NTDA) • Foundation Trusts (FTs)
Public Health
• Public Health England • Public health teams to Local Authorities
LAs
• Health & Wellbeing Boards to produce needs assessment and health and wellbeing strategy and promote integration
Information and Involvement
• Healthwatch (hosted by LAs) • Ten-year framework for transforming information for the NHS, public health and social care. Health and Social Care Information Centre
Workforce
• Health Education England • Local Education and Training Boards
Nos. North
NHS CB 1 region 9 ATs
68CCGs (23 YH) 8 CSUs
50
Commissioning (NHSCB) NHS Commissioning Board • Executive Non-Departmental Public Body with a mandate from Department of Health to improve outcomes through the total £80bn commissioning budget • 1 National Support Centre, 4 Regional Teams and 27 Local Area Teams Responsible for • Oversight and development of the commissioning system • Direct commissioning responsibility for primary care commissioning, offender health, military health, specialised commissioning and some screening programmes • Sets key frameworks – outcomes, accountability, choice and emergency preparedness • One national single operating model • Hosts some key bodies e.g. Clinical Senates
NHS CB Area Teams - 9 in the North, 27 nationally
The following area teams in the north will be responsible for: specialised commissioning • Cumbria, Northumberland, Tyne and Wear • South Yorkshire and Bassetlaw • Cheshire, Warrington and Wirral military health • North Yorkshire & Humber offender health • West Yorkshire • Lancashire • Durham, Darlington and Tees
LAT roles and functions
• All ATs will have the same core functions around: – – – – – – –
CCG development and assurance emergency planning, resilience and response quality and safety partnerships configuration system oversight commissioning primary care
• There will be variations around the scope of direct commissioning responsibilities: – 10 local area teams leading on specialised commissioning across England; – smaller number of local areas teams carrying out the direct commissioning of other services such as military and prison health; – hosting clinical senates and networks.
Clinical Senates and networks Clinical Senates will work with clinical networks to provide clinical advice at the strategic level
4 national strategic clinical networks: • cancer • children and maternity • mental health • CVD Plus other operational networks
Health and well being boards (HWB)
• Each upper-tier authority in England is required to form a health and wellbeing board as a local authority committee (15 in Y&H, 50 in north) • The HWB aim is to improve integrated working between local health care, social care, public health and other public services so that patients and service users experience more joined-up care, particularly in the transition between health and social care. • Determine local priorities (JSNA and joint health and wellbeing strategy) and have oversight of their delivery. • Joint strategy will then inform the commissioning plans of Local Authorities and CCGs. This shared strategic view should ensure coordination of commissioning for local people.
Regional Team structure (x1 in north)
Regional Director
Director of HR and OD (2 WTE staff)
Director for Patients and Information
Medical Director’s Team
Chief Nurse’s Team
Finance Director’s Team
Director of Operations & Delivery Team
Commissioning Director’s Team
(8 WTE staff)
(8 WTE staff)
(8 WTE staff)
(11 WTE staff)
(9 WTE staff)
(13 WTE staff)
Embedded national support centre HR, P&I and analytics staff will support both local area and regional teams.
9
Area Team structure (x9 in north) Area Director
Medical Director’s Team (11-26 WTE staff*)
Nurse Director’s Team (9 WTE staff)
Finance Director’s Team (13-19 WTE staff*)
Director of Operations and Delivery Team (9 WTE staff)
Commissioning Director’s Team (25-56 WTE staff*)
• Team sizes are dependent on the direct commissioning responsibilities of the Local Area Team and whether they host clinical senates/networks. 10
Commissioning (CCGs) CCGs • Power and responsibility for commissioning the majority of services for local people £60bn nationally • 68 in the North (23 in Y&H) and 212 nationally • Clinically led • Membership organisations made up of constituent GP practices • £25 per head of population running cost allowance • Buy in support from CSUs (provided by NHS or non-NHS) • CCGs will be assessed against their progress on nationally set clinical outcomes plus delivering constitution within budget
Commissioning (CSUs) Commissioning Support Units (CSUs) • Provide range of support services to CCGs • 7 CSUs in the North, 23 nationally • Customer supplier relationship for services such as:• Health needs assessment • Service redesign • Business intelligence • Comms and Patient & Public Engagement • Contracting and procurement • Back office services such as payroll • Some services at scale – comms, Business Intelligence, clinical procurement and back office (meaning that some CSUs will provide to others) • Initial hosting by NHSCB until 2016 at the latest • Commercially minded and customer focussed organisations required to cover costs through income from customers (CCGs and NHSCB and potentially others)
CSU and CCG configuration North East & Cumbria 13 CCGs Population 3.1m
North Yorkshire & the Humber 8 CCGs Population 1.75m Lancashire 8 CCGs Population 1.1m West Yorkshire 10 CCGs Population 2.4m
Cheshire, Wirral, Warrington & Merseyside 12 CCGs Population 2.9m
South Yorkshire & Bassetlaw 5 CCGs Population 1.5m Greater Manchester 12 CCGs Population 2.6m
Clinical Commissioning Groups 68 CCGs in the North (212 in the whole country) 13 in North East 23 in Yorks and Humber 32 in North West
Clinical Commissioning Groups – Yorkshire and the Humber
Who’s who in the regional and area teams
Team Director
Medical Director
Director of Nursing
Finance Director
Dir of Commissioning
Dir of Ops and Delivery
North Regional Team Richard Barker
Dr Mike Bewick
Gill Harris
Tim Savage
Dr Julie Higgins
Jon Develing
West Yorkshire Mike Potts (interim)
Dr Damian Riley
Sue Cannon
Ian Currell
Alison Knowles
Elaine Wyllie
South Yorkshire & Bassetlaw Andy Buck
Dr David Black
Margaret Kitching
Steve Hackett
Eleri de Gilbert
Brian Hughes
North Yorkshire & Humber Chris Long
Dr Paul Twomey
Jo Coombs
Jon Swift
Julie Warren
Matt Neligan
Director of HR and OD
Dir Patients and Info.
Sally Baines
To be appointed
Who’s who in clinical commissioning groups (CCGs) #1 Area Team
Cumbria, Northumberland, Tyne & Wear
CCG Name Cumbria CCG Newcastle North & East CCG Newcastle West CCG Gateshead CCG North Tyneside CCG Northumberland CCG South Tyneside CCG Sunderland CCG Darlington CCG Durham Dales, Easington & Sedgefield CCG
Durham, Darlington & Tees
West Yorkshire
North Yorkshire & Humber
Hartlepool & Stockton-on-Tees CCG North Durham CCG South Tees CCG Leeds South and East CCG Leeds West CCG Leeds North CCG Bradford City CCG Bradford Districts CCG Airedale, Wharfedale & Craven CCG Calderdale CCG Greater Huddersfield CCG North Kirklees CCG Wakefield CCG Hull CCG East Riding of Yorkshire CCG North East Lincs CCG North Lincolnshire CCG Harrogate & Rural District CCG Scarborough and Ryedale CCG Hambleton, Richmondshire & Whitby CCG
Vale of York CCG
Website http://www.cumbria.nhs.uk/ccg/ http://www.newcastlenorthandeastccg.nhs.uk/ http://www.newcastlewestccg.nhs.uk/ http://gatesheadccg.nhs.uk/ http://www.northtynesideccg.nhs.uk/ http://www.northumberlandccg.nhs.uk/ http://www.southtynesideccg.nhs.uk/ http://sunderlandccg.nhs.uk/ http://www.darlingtonccg.nhs.uk/ http://www.durhamdaleseasingtonsedgefieldccg.n hs.uk/ http://www.hartlepoolandstocktonccg.nhs.uk/ http://www.northdurhamccg.nhs.uk/ http://www.southteesccg.nhs.uk/ www.leedssouthandeastccg.nhs.uk/ www.leedswestccg.nhs.uk www.leedsnorthccg.nhs.uk/ www.bradfordcityccg.nhs.uk http://www.bradford.nhs.uk/about-us/nhsbradford-districts-clinical-commissioning-group/ www.airedalewharfedalecravenccg.nhs.uk/ www.calderdale.nhs.uk/nhscalderdaleccg/home/ www.kirklees.nhs.uk/greaterhuddersfield/home/ www.kirklees.nhs.uk/nhs-north-kirklees-ccg/home/ www.wakefielddistrict.nhs.uk/nhswakefieldccg/ http://www.hullpct.nhs.uk/pages/nhs-hull-board--2 http://www.eastridingofyorkshire.nhs.uk/ www.nelctp.nhs.uk/ www.northlincolnshire.nhs.uk/ccg/ www.harrogateandruraldistrictccg.nhs.uk http://www.scarboroughryedaleccg.nhs.uk/ www.hambletonrichmondshireandwhitbyccg.nhs.u k/ www.valeofyorkccg.nhs.uk
Chair Dr Hugh Reeve Dr Relton Cummings Dr Guy Pilkington Dr Mark Dornan Dr Jane Weatherstone Dr Alistair Blair Dr Matthew Walmsley Dr Ian Pattison Dr Andrea Jones
Accountable Officer Nigel Maguire Mark Adams David Thorne Mark Adams Maurya Cushlow Julie Ross David Hambleton David Gallagher Martin Phillips
_
Dr Stewart Findlay
Dr Boleslaw Posmyk Dr Neil O'Brien Dr Henry Waters Dr Andrew Harris Dr Gordon Sinclair Dr Jason Broch Dr Akram Khan
Alison Wilson Nicola Bailey Amanda Hume Matt Ward Philomena Corrigan Nigel Gray Helen Hirst
Dr Andrew Withers
Helen Hirst
Dr Colin Renwick Dr Alan Brook Dr Steve Ollerton Dr David Kelly Dr Phillip Earnshaw Dr Tony Banerjee Dr Gina Palumbo Mark Webb Dr Margaret Sanderson Dr Alistair Ingram Dr Phil Garnett
Dr Philip Pue Dr Matt Walsh Carol McKenna Chris Dowse Jo Webster Emma Latimer Jane Hawkard (Designate) _ Allison Cooke (Designate) Amanda Bloor Simon Cox
_
Dr Vicky Pleydell
_
Dr Mark Hayes
Who’s who in clinical commissioning groups (CCGs) #2 Barnsley CCG Bassetlaw CCG South Yorkshire & Bassetlaw
NHS Salford CCG
http://www.barnsleyccg.nhs.uk/ Dr Nick Balac http://www.bassetlawccg.nhs.uk/ Dr Steve Kell http://www.doncaster.nhs.uk/about-us/doncaster-clinicalDr Nick Tupper commissioning-group-dccg/ http://www.rotherham.nhs.uk/about/board/rotherhamDr David Tooth clinical-commissioning-group.htm www.sheffield.nhs.uk/about/sheffieldccg.php Dr Tim Moorhead www.ec3health.co.uk Dr Paul Bowen
[email protected] Dr Jonathan Griffiths
[email protected] Dr Andrew Wilson www.warringtonccg.nhs.uk Dr Andrew Davies www.westcheshireccg.nhs.uk Dr Huw Charles-Jones wwww.wirral.nhs.uk Dr Phil Jennings www.wiganboroughccg.nhs.uk Dr Tim Dalton http://www.bolton.nhs.uk/ Dr Wirin Bhatiani
[email protected] Dr Kiran Patel www.hmr.nhs.uk Dr Chris Duffy (Designate) www.northmanchesterclinicalcommissioning.co.uk Martin Whiting www.manchester.nhs.uk/centralmnahcesterccg Dr Mike Eeckelears (Designate) http://www.manchester.nhs.uk/clinicalcommissioninggroup Dr Bill Tamkin s/southmanchesterccg/ http://www.oldham.nhs.uk/ccg/Home/Home/tabid/484/lan Dr Ian Wilkinson guage/en-US/Default.aspx http://www.salford.nhs.uk/CCG/Index.aspx Dr Hamish Stedman
NHS Stockport CCG
www.stockportccg.org
Jane Crombleholme
NHS Tameside and Glossop CCG NHS Trafford CCG
http://www.tamesideandglossopccg.org/ http://www.traffordpct.nhs.uk/CCG/
Dr Raj Patel (Interim) Dr Kath Sutton
NHS Blackburn with Darwen CCG
www.bwdgpnet.org.uk
Joe Slater (Lay Chair)
NHS Blackpool CCG
www.blackpoolccg.nhs.uk
NHS Greater Preston CCG NHS Chorley and South Ribble CCG NHS West Lancashire CCG
www.centrallancashire.nhs.uk www.centrallancashire.nhs.uk www.westlancashireccg.nhs.uk
NHS East Lancashire CCG
www.eastlancsccg.nhs.uk
NHS Lancashire North CCG
http://www.lancashirenorthccg.nhs.uk/
Doncaster CCG Rotherham CCG
CWW
Gtr Mcr
Sheffield CCG NHS Eastern Cheshire CCG NHS Vale Royal CCG NHS South Cheshire CCG NHS Warrington CCG NHS West Cheshire CCG NHS Wirral CCG NHS Wigan Borough CCG NHS Bolton CCG NHS Bury CCG NHS Heywood, Middleton & Rochdale CCG NHS North Manchester CCG NHS Central Manchester CCG NHS South Manchester CCG NHS Oldham CCG
Lancs
NHS Fylde and Wyre CCG
Mersey
NHS St Helens CCG NHS Halton CCG NHS Knowsley CCG NHS Liverpool CCG NHS South Sefton CCG NHS Southport and Formby CCG
Roy Fisher Dr Ann Bowman Dr Gora Bangi Dr John Caine Diane Van Ruitenbeek
Dr Alex Gaw Mike Niland
www.sthelensccg.nhs.uk www.haltonccg.nhs.uk www.knowsleyccg.nhs.uk
William Guest Dr Cliff Richards Dr Andy Pryce Dr Nadim Fazlani Dr Clive Shaw Dr Niall Leonard
Mark Wilkinson Phil Mettam Chris Stainforth Chris Edwards Ian Atkinson Jerry Hawker Simon Whitehouse Simon Whitehouse Dr Sarah Baker Alison Lee Dr Abhiganda Mantgani Trish Anderson Susan Long Stuart North Lesley Mort Simon Wootton Ian Williamson Caroline Kurzeja Denis Gizzi Alan Campbell Dr Ranjit Gill CO Gaynor Mullins Steve Allinson Dr Nigel Guest (Interim) Dr Chris Clayton COO Debbie Nixon Dr Amanda Doyle COO David Bonson Jan Ledward Jan Ledward Mike Maguire Dr Mike Ions COO Tim Mansfield Andrew Bennett Dr Tony Naughton COO Peter Tinson Dr Steve Cox Clinical AO Simon Banks Dianne Johnson Katherine Sheerin Fiona Clark Fiona Clark
Thank you
Tim Barton NHS North of England
[email protected]