8.30 Registration and Coffee

9.30 Chair’s opening remarks

Dr Nick Goodwin
Senior Lecturer, London School of Hygiene & Co-author of the Health Foundation paper on practice-led commissioning.

9.35 Practice-based Commissioning – Why do it?
Benefits and Challenges.


• Discussion of the reasons behind the policy initiative: making comparisons to previous examples of devolved commissioning.
• The new NHS environment. Designing your own approach: A framework for PCTs.
• Identification of the key tensions within the policy that PCTs and practices will need to address.

Dr Richard Lewis
Visiting Fellow, THE KING’S FUND & author of the report referenced in the DoH guidance

10.10 Technical guidance from the DoH

• Consistency of practice-based commissioning with PCT Local
Development Plans.
• Setting budgets and agreeing savings.
• Developing competencies.

Department of Health (Speaker TBC)

10.45 Discussion


10.55 Coffee

11.15 Practical workshops – Choose 1 of 6

12.15 Practical workshops – Choose 1 of 6

13.15 Lunch

14.15 The battle for the patient: Payment by Results vs Practice-led Commissioning

• How the policies fit together.
• The power of financial incentives and how they will work.
• Games some might play.
• How to prepare for the future.

Dr Graham Rich
Chief Operating Officer, United Bristol Healthcare Trust

14.50 Discussion

14.55 Engaging the patient in practice-based commissioning

• How should the public be engaged?
• Adding value/managing bureaucracy
• What do the public want and expect of their GP as both provider and commissioner?

Dr Michael Greco
Executive Director, Client Focused Evaluation Programmes, University of Exeter

15.30 Discussion


15.40 Tea

16.00 Practice-led commissioning – A look at the future.

Dr David Colin-Thomé
National Clinical Director for Primary Care, Department of Health

16.30 Discussion

16.45 Chair’s closing remarks
Practical workshops:

A) Making it work at practice level

• Examples of early innovations in new practice based services
• What information is needed to commission at practice level
• Relationships with secondary care clinicians

Dr Rhidian Morris, President, NATIONAL ASSOCIATION OF PRIMARY CARE & Vice Chairman and Commissioning Lead, SOUTH HAMS & WEST DEVON PCT


B) Getting the incentives right


• Different sorts of incentives that can be used to stimulate innovation
• Experience of implementation
• Avoiding perverse incentives

Dr Ian Rutter, Chief Executive, North Bradford PCT


C) Budget setting methodology


• Setting budgets on historical data
• Looking at fair share models
• The East Devon approach
• Understanding the impact of the national tariff for 2005/2006

Beverly Stretton-Brown, Devolved Budgets Project Manager, East Devon PCT & Richard Blackwell, Information Analyst, East Devon PCT


D) Supporting practice teams


• What competencies will be needed within practices?
• How can PCTs offer the right support?
• What are the main challenges (e.g. IM&T, engaging patients etc)?

Andrew Roscoe, Business Manager, Integrated Care Partnership


E) Rethinking the role and future of PCTs


• How can PCTs ‘let go’ while still delivering strategic change
• What support should PCTs offer to practice based commissioners
• Should practices be grouped together to commission?
• How will the role of the PCT evolve – what will its unique contribution be?

Penny Jones, Chief Executive, Craven, Harrogate and Rural District PCT


F) Opportunities practice-led commissioning create lSPMS/PMS Plus


• Bringing secondary care into primary care
• Multi-professional teams providing integrated services closer to patients
• Diagnostic and Treatment centres

Dr Tim Richardson, GP and Medical Director, Epsom Day Surgery/Treatment Centre
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