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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 |
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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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