Commissioning Show Newspaper Issue 7 by Commissioning Show 2012

Page 5 - A listair Mclellan interviews Andy Burnham live onstage

Page 6 - What’s on at Commissioning 2013

Page 12 - Top 10 tips for stress free procurement

Page 13 - Can the NHS pull of this massive Gamble?

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

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Dr Paul Charlson

Clinical Commissioning Support y2

Dr Mike Dixon

RT Hon Norman Lamb to open The Commissioning Show

STOPS PRES

30 CPD points to be gained from attending The Commissioning Show

Dr Peter Swinyard

Da y Attending the Commissioning Show is worth 15 CPD points under the RCGP’s CPD credits scheme. Delegates can then double their credits if they can prove that what they have learnt has had an impact back at their practice/CCG or organisation. So, the maximum earning potential of the Commissioning Show is 30 CPD Credits – (8 (16) on day one and 7 (14) on day 2.

Dr Amanda Doyle

Julie Wood

Productivity Through Technology

Thanks to our partners & sponsors Sponsored by:

Dr Nav Chana

CCG Business 1

STOPS PRES

Charles Alessi

Your Practice

CONTINUED ON PAGE 14 Dr Stephen Richards and Dr Minesh Patel will be speaking at The Commissioning Show

Dr Phil Moore

Da y

Dr Patel says the third challenge has been to maintain business as usual. ‘We have been trying to make sure that we close down last year’s finances, get all our main contracts signed and sealed to ensure that our programmes are up and running and continue to run.’

Dr Rowan Hillson

The second task has been to engage with the media and the public. ‘We have had a number of launch events and the interest has been astonishing. But the concern for us has been to be realistic and not to over-promise anything. We have been explaining how complex things are and that we genuinely want to get people involved and that there is a collective responsibility and collective need for us to solve problems.’

Long Term Conditions

For Dr Minesh Patel, Clinical Leader and Chair of Horsham and Mid Sussex CCG, the first hurdle has been the need to build relationships quickly as the system settles down to make sure there are no gaps which patients or their care can fall into. ‘Both CCGs and a number of other new organisations have had to fall into place at the same time since April 1 and it has been crucial for us to ensure the transition is managed in a safe way,’ he says.

Dr Mike Dixon

Then there have been contract negotiations to tackle and in particular the allocations and the way that they have been split amongst multiple commissioners. Dr Richards says: ‘In our area

Dr Charles Alessi

Da y

Another ongoing challenge, which has become more acute in the last three weeks has been answering the question, what is it we have really commissioned from our CSU? ‘ In other words, what do the service level agreements actually say? We are a much smaller organisation and we are paying quite a lot of money to a CSU what are we getting for that and who is delivering it?’ says Dr Richards.

All-conference chair

Dr Stephen Richards, Chief Executive of Oxfordshire CCG, says one headache has been having to get to grips with things that have come the way of the CCG late in the day. ‘For example being given responsibility for GP IT systems and a greater level of responsibility for system resilience which, given the pressures on all A&Es around the country at the moment, is quite a hot potato and it’s linked closely to the national issues around 111.’

specialised commissioning is done by Wessex, other direct commissioning is done by the Thames Valley area team, some commissioning is done by public health and some by us. That, in terms of contract discussions, is really quite complicated, particularly given the extremely late challenges faced centrally with the specialised commissioning budget.’

Meet the conference chairs

Most CCGs took control of their share of the NHS budget on April 1. What does it feel like to have real power? Commissioning News asked leaders.

th w D e ill r M Co b i mmi e s ke Di p ss ea xo io ki n ni ng ng a sh t o w

CCGs: The trials and tribulations of the first three weeks

Issue 7

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Angela Single

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TOP TWEETS Clare Gerada @clarercgp (Speaker) I wonder when we might start celebrating the great work the #NHS does & those that work for it? Andy Burnham @andyburnhammp (Speaker) Coalition makes complete mess of 111 service & yet media buys their spin that A&E chaos today all down to changes a decade ago. Unbelievable Alastair McLellan @HSJEditor (Speaker) More CCGs complaining about NHS England’s raid on their finances to fund specialised commissioning. Won’t be the last Amit Bhargava @amitbhargava22 (Speaker) We can all see the NHS and Govt establishment leaders spreading wide the net of blame, the chance and hope is, maybe one of them is right!! Johnny Marshall @marshall_johnny (Speaker) @HPIAndyCowper @Telegraph it is time to stop tinkering with bits of the NHS in isolation and determine what best delivery model should be e3 intelligence @e3intel CQC announces new #NHS inspection regime. Will have a chief inspector for primary & integrated care too NHSCC @NHSCCPress CCGs have to model the behaviours we expect of other in delivering quality #NHSCC2013 For live sector and conference news follow us on @commshow #commshow

Commissioners must adopt a robust approach to assessing the performance, quality and impact of local services and be prepared to challenge existing providers in order to improve outcomes, a study by the Nuffield Trust has revealed.

Dr Judith Smith, Nuffield Trust Director of Policy, who led the two year investigation into the practice of commissioning health care for people with long-term conditions, questions the extent to which the NHS internal market in England operates as policy makers intended. The most striking finding of the study of three primary care trusts, which she will be discussing at the Commissioning Show, was the sheer scale of the ‘labour of commissioning’ – the amount of meetings, discussions, planning, and analysis that goes into the review and commissioning of often small-scale service changes. The research raised uncomfortable questions as to whether this ‘labour’ was worth the outcomes secured for patients. Commissioners were seen to act as the convenor of the local health system, bringing together different organisations and interests to plan and develop services.

What was less evident was the more transactional or hard-edged part of their role – using data to review and challenge existing service provision, halting the provision of services deemed to be ineffective, or contracting for new forms of care that would lead to significant change in how primary or secondary care are provided.

h t w a o Smit g h h kin g s dit ea nin Ju sp io Dr l be ss il w ommi C e th

Ralph Collett, Managing Director Ralph.collett@closerstillmedia.com Tom Vine, Event Director tom.vine@closerstillmedia.com Liz Sanders, Business Development Manager l.sanders@closerstillmedia.com Lee Davis, Sales Executive lee.davies@closerstillmedia.com Lisa Thomlinson, Programme Editor l.thomlinson@closerstillmedia.com Sophie Holt, Healthcare Marketing and PR Manager s.holt@closerstillmedia.com Alex Jones, Marketing Manager a.jones@closerstillmedia.com Sarah Bray, Marketing Assistant s.bray@closerstillmedia.com Penny Law, Operations Manager p.law@closerstillmedia.com Kate Jackson, Conference and Speaker Manager kate.jackson@closerstillmedia.com Rebecca Royal, Event Administrator r.royal@closerstillmedia.com Dan Ashby, Accounts d.ashby@closerstillmedia.com

Commissioners will have to get tough if they are to prove their worth The report warns new clinical commissioning groups (CCGs) that during a time of austerity they will need to make sure that they leave space for the more hard edged transactional work (specifying contracts, service review, decommissioning) in order to improve outcomes for populations. The work of convening, engagement and planning will continue to be critical, but the balance will need to be redressed, especially given constrained management resource, and the requirement to achieve significant productivity gains from local health systems. Dr Smith says the message she will be giving to delegates who come to her talk is that with much less money available for NHS management the new generation of commissioners will need to pay close attention to the cost of their practice, display rigour in setting clear and measurable objectives for a programme of commissioning

Dr Judith Smith

work, and ensure that they can demonstrate that their effort is ‘worth the candle’. ‘They need to be mindful of when they need to stop consulting and engaging, and move to the procurement phase of their work, in effect when to ‘stop talking and cut a deal’,’ she says.

NHS Improving Quality: the new driving force for radical change NHS Improving Quality (NHS IQ), as part of NHS England, has become the driving force for improvement across the NHS since April 1. It brings together the wealth of knowledge, expertise and experience from across the NHS, establishing a new vision and re-shaping the healthcare improvement landscape. Its work programmes will produce a published evidence base for commissioners showing successful improvements and interventions which have demonstrably changed service models and clinical practice, in addition to identified improved experience of care. NHS IQ supports the delivery of the NHS Outcomes Framework by designing and commissioning improvement programmes, focusing on its five domains: preventing premature deaths, long term conditions, acute care, experience of care and

safety. Managing Director Julian Hartley, says: ‘In establishing NHS IQ, we have taken on board the lessons of history and the experience of previous national improvement teams. We recognise that for the new organisation to succeed it must been seen as distinct from all that has gone before, building on the legacy of successful work but signalling a new approach that reflects the current challenges facing the NHS. ‘Our health and care system requires radical, farreaching change to ensure we continue to provide high quality, affordable services, free to people at the time and point of need. ‘Given the context - no significant growth in resources and major system change – we need an integrated, systematic approach to large scale change.’

Helen Bevan, a leader within the Delivery Team at NHS IQ, says NHS leaders need to keep up to date with the latest ideas because the NHS is continuously changing. ‘The way that care has been delivered in the past is getting harder and harder because of the current financial situation. The old era was about extracting performance from people whereas now there is a real sense that post-Francis the NHS is about care, compassion and humanity. ‘There are some really big changes occurring - you only have to look at the NHS Leadership Academy and the new programmes running across the country on transformational leadership. These are all about how we combine building a massive sense of shared purpose of caring and compassion with being able to deliver care in ways that are efficient and effective and give people a great experience.’

From authorisation to transformation: the new focus for CCGs in 2013 Rosamond Roughton, recently promoted to interim National Director for Commissioning Development at NHS England, will be giving a talk at the Commissioning Show about how commissioners in their new role must be absolutely focused on the transformation of the NHS. Her presentation will reflect on what has been learned in building the new commissioning system and where commissioners will need to concentrate their efforts in future. Ms Roughton heads up Commissioning Development, with oversight of the delivery and running of that directorate.

She leads the translation of NHS England’s overarching strategy for health and care into specific strategies, processes and resources for the new commissioning system.

Before this she spent four years as Director of Strategy at NHS Yorkshire and the Humber, following a period as a director at the Christie Hospital NHS Foundation Trust.

She is deputy to the National Director of Commissioning Development, with oversight of the delivery and running of that directorate.

Her early career was spent in the Department of Health and the Treasury. She is a graduate in Russian from Cambridge University.

Ms Roughton previously worked as the Programme Director for the development of the new commissioning architecture, working across the Department of Health and the former NHS Commissioning Board Authority.

Rosamond Roughton, new interim director for Commissioning Development of NHS England, will be speaking at The Commissioning Show

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

Developing integrated services at the end of life By Dr Jane Collins, Chief Executive of Marie Curie Cancer Care

The current models of end of life care rely disproportionately on hospital-based services, with the majority of the population dying in a hospital despite this being the place that the fewest would like to be at the end of their lives. As Marie Curie highlighted in our recent Death and Dying report, this is largely because of the lack of integration between hospital and community services such as care homes, hospices, community nursing services, and local authority provided social care. The first National Survey of Bereaved People, commonly known as the VOICES survey, sheds light on how the families and carers of terminally ill people felt about how well their loved one’s care was integrated between hospital and community services. This is important data because it measures whether families and carers felt services were integrated and not whether providers or

commissioners said services were integrated. In the lowest scoring PCT cluster, 24% of respondents said care between hospital and community services was integrated and in the highest just 46%. No area achieved more than 50%. Integration between hospital and community services is vital for patients who are terminally ill and at the end of their lives because it offers a route out of hospital to a more appropriate place of care. In 2008 a National Audit Office report found that in one NHS Trust 40% of those who died in hospital had no medical need to be there. At Marie Curie we are working to help all services communicate and work with each other to deliver care that is patient-centred and capable of facilitating a patient’s choice about place of

Delegate sample

++ GP, Alexandra Surgery ++ Locality lead, Appleby Health Centre ++ Nurse in charge of Implementing Child Safeguards, Ashford and St Peters

++ Commissioning Project Manager, Ashford CCG ++ Commissioning Project Manager, Ashford Clinical Commissioning ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++

Group Commissioning Support Officer, Ashford Clinical Commissioning Group Finance Manager, Ashford Clinical Commissioning Group GP, Ashford Clinical Commissioning Group Head of Commissioning, Ashford Clinical Commissioning Group GP, Aylesbury Vale Clinical Commissioning Group Commissioning Analyst, Banes PCT Practice Manager, Bank Street Surgery Commissioning Manager, Barking & Dagenham Council Board Member, Barnet CCG Project Manager- Primary Care QIPP, Barnet Clinical Commissioning Group Practice Manager, Barnet PCT Commissioning, Basildon & Brentwood CCG GP, Basildon & Brentwood CCG Practice Manager, Battersea Fields Practice Chief Executive, Beacon UK Head of PMO, Bedfordshire CCG Programme Manager, Bedfordshire CCG Senior Practitioner, Bedfordshire CCG Practice Manager, Belmont Health Centre Chair, Bexley CCG GP Leadership Scheme, Bexley CCG Practice Manager, Blue Wing Family Doctors Association Business Administrator, Body and Soul Senior Manager, Boots UK Local Chief Officer, Borderline LCG General Manager, Bracknell & Ascot CCG Project Manager, Bracknell & Ascot CCG Practice Manager, Bridge House Medical Centre Practice Manager, Bridges Medical Practice Chief of Clinical Leadership and Engagement , Brighton and Hove Clinical Commissioning Group Speech and Language Therapy Manager, Brighton and Sussex University Hospitals NHS Trust LTC Clinical Lead, Bristol CCG President , British Pharmaceutical Students’ Association Head of Performance, Bromley CCG Head of Finance and Business, Bromley Clinical Commissioning Principal Clinical Lead, Bromley Clinical Commissioning Chief Executive, Bromley Healthcare Clinical Director, Bromley Healthcare Operations Director, Bromley Healthcare Practice Manager, Brooke Road Surgery Clinical Commissioning Director - Planned Care, Bucks Primary Care Collaborative Locality Manager , Bucks Primary Care Collaborative Doctor, Burton Projects Manager, Cambridgeshire & Peterborough CCG Registrar, Camden & Islington NHS Foundation Trust Chair, Camden CCG Commissioning Manager, Canterbury and Coastal Clinical Commissioning Group Commissioning Support Manager, Canterbury and Coastal Clinical Commissioning Group Head of Commissioning and Delivery , Canterbury and Coastal Clinical Commissioning Group Practice Liaison Manager, Canterbury and Coastal Clinical Commissioning Group Specialist Recruiter for the NHS, Capita Resourcing Ltd Operations Manager, CCA Care Partnership System Intelligence Manager, CCG Chief Accountable Officer , CCG Fareham & Gosport and South Eastern Hampshire Commercial Analyst, Cheshire & Wirral IT solutions Practice Manager, Chestnut/MWH Practice GP, Clinical Commissioning Director in Urgent Care , Chiltern CCG

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GP Principal, Clifton Village Practice Chief Commissioning Officer, Clinical Commissioning Group Executive Director, Community Health Partnerships NHS Commissioning Manager, Company Chemists’ Association NHS Service Development Pharmacist, Co-operative Pharmacy GP, Coventry & Rugby CCG GP, Coventry & Rugby CCG Head Of Commissioning, Coventry & Rugby Clinical Commissioning Group Head Of Partnerships, Coventry & Rugby Clinical Commissioning Group Salaried GP, Crayford Surgery Practice Manager, Croft Medical Centre Commissioning Manager, Croydon CCG Pathway Manager, Croydon CCG Locality Commissioning Manager, Derbyshire CCG GP, DMC Vicarage Lane Practice Manager, DMC Vicarage Lane Lead Operating Department Practitioner, Dolan Park Hospital GP, Dorset CCG/East Dorset GP, Dorset CCG/East Dorset GP, Dorset PCT GP, DR Gupta Surgery Practice Director, Dr H Freeman and Partners Practice Manager, Dr Nathan and Partners GP, E12 Health Children Safeguarding, East London Foundation Trust Clinical Lead Occupational Therapist, East London Foundation Trust Learning Disability Strategic Health Lead, East London Foundation Trust Clinical Lead Speech and Language Therapist , East London NHS Foundation Trust GP commissioning fellow, East of England Deanery Chief Executive Officer, East of England NHS Collaborative Procurement Hub Head of Pharmacy, East of England NHS Collaborative Procurement Hub Commissioning Manager, East Staffordshire CCG Head of Commissioning, East Staffordshire CCG Chief Operating Officer, East Staffordshire Clinical Commissioning Group Practice Integration Manager, East Staffordshire Clinical Commissioning Group GP, East Surrey CCG Quality Monitoring Manager, East Sussex Council QUALITY MONITORING MANAGER, EAST SUSSEX COUNTY COUNCIL Finance Manager, Eastern & Coastal Kent PCT Chief Executive Officer, Family Doctor Association Clinical Chair, Fareham & Gosport CCG Practice Manager, Farnham Road Practice Head of Care Standards, Four Seasons Health Care Practice Manager, GP Surgery - Cornwall House Surgery GP Partner, Gravesend Medical Practice Senior Policy Officer, Greater London Authority Practice nurse, Green Gate Medical Centre GP, Green Meadows Surgery Practice Manager, Green Meadows Surgery GP, Greenwich CCG Head of Integrated Care, Greenwich CCG Clinical Service Improvement Programme Manager, Guildford and Waverley CCG Chief Officer, Hampshire & Isle of Wight LPC GP, Harrow Road Medical Centre Practice Manager, Harrow Road Medical Centre GP and Clinical Director of Havering CCG, Havering CCG GP, Havering First Consortia Programme Manager – South Integration Programme, Health and Social Care Information Centre. Head of Business Deliver, Herefordshire Clinical Commissioning Group Practice Manager, Herne Hill Group Practice GP, Herne Hill Road Practice

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death. Through our Delivering Choice Programme, we work with commissioners and providers to put in place services that support patients who are dying to leave hospital and receive their care in the community. The solutions vary, depending on the locality, but can include fast-track discharge services in hospitals; GP out of hours palliative support service; support for the delivery of palliative care in care homes; and improved use of hospice day services for patients who would ordinarily be seen in an acute setting. We are also lobbying the Government to make social care free to all people in the last six months of life, reducing the lag that people experience in gaining access to local authority funded social care. When terminally ill people have access to social care services they are less likely to use

Practice Manager, Herschel Medical Centre Director of Public Health, Hertfordshire County Council Senior Commissioning Manager, Isle of Wight CCG Chief Officer, Isle of Wight Clinical Commissioning Group Commissioning Manager, Kent County Council Practice Manager, Kew Medical Practice GP Partner, Kingsland Surgery Senior Associate, KMCS Senior Associate – Advanced Assistive Technology, KMCS GP, Lambeth CCG GP Commissioner, Lambeth Walk Practice GP, Lanark Medical Centre Practice Manager, Lanark Medical Centre Nurse Partner - Advanced Nurse Practitioner, Langton Medical Group Clinical Commissioning Facilitator, Lewisham CCG Commissioning Facilitator, Lewisham CCG GP Executive Lead for IT, Lewisham CCG Project Manager, Lewisham CCG Service Redesign Project Manager, Lewisham CCG Practice Manager, Linden Medical Centre Project Manager Adult transformation, London Borough Havering Senior Planning and Development Officer, London Borough of Bromley Head of Commissioning & Partnerships, London Borough of Harrow Practice Manager, Mandeville Practice Practice Manager, Manor Drive Medical Centre Chief Executive, Manor gardens Welfare Trust GP, Manor Park Medical Centre Regional Manager, Marie Curie Cancer Care Practice Manager, Market Street Health Group Pharmacist, Martins Pharmacy Board Nurse, Medway CCG Joint Lead for Adult Therapy, Medway Community Healthcare Clinical lead, community services and EOL care, Merton CCG Practice Manager, Millennium Family Practice Chief Officer, Milton Keynes CCG Director of Quality and Safeguarding, Milton Keynes CCG Knowledge Officer, Milton Keynes CCG Chief Officer, Milton Keynes Clinical Commissioning Group Practice Manager, Milton Keynes Village Practice Senior Consultant , Monitor Group Europe Senior manager, Monitor Group Europe National Managing Lead, National Cancer Action Team Senior Research Fellow, National Institute for Health Research Head Of Pharmacy, National Pharmacy Association Locality Manager, Nene Clinical Commissioning Group Senior Locality Manager, Nene Clinical Commissioning Group Practice Manager, New Court Surgery Operations Manager, New Wave Integrated Care Limited Joint Chair, Newham CCG CCG Chair, Newham Clinical Commissioning Group NCCG Chair, Newham Clinical Commissioning Group Senior Finance Lead, Newham Clinical Commissioning Group Board Member, Newham Health Partnership Practice Manager, Newton Medical Centre Doctor, NHS GP, NHS Sexual Health Doctor, NHS Senior Commissioning Manager, NHS Head of Primary Care Networks, NHS Brent Head of Delivery for the South of England, NHS England Chief Officer, NHS Corby CCG National IT Development Manager, NHS Diabetic Eye Screening Programme Head of Analytical Support, NHS Greenwich CCG Pharmaceutical Advisor, NHS Hertfordshire National Coach LTC, NHS Improvement Senior Innovation Manager, NHS Innovations South East Programme Director, NHS Institute Finance Manager, NHS Kent & Medway Head of Public Health and Private Care, NHS Midlands & East

170+CCGs now registered ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++

Single Select Demographics Ashford CCG Ashford CCG Aylesbury Vale CCG BANES CCG Barking & Dagenham CCG Barnet CCG Bassetlaw CCG Bexley CCG Birmingham CrossCity CCG Bracknell & Ascot CCG Bradford City CCG Bradford Districts CCG Brent CCG Brighton & Hove CCG Bristol CCG Bromley CCG Cambridgeshire & Peterborough CCG Canterbury & Coastal CCG Castle Point & Rochford CCG

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Central London CCG Central Manchester CCG Chiltern CCG City & Hackney CCG Coastal West Sussex CCG Corby CCG Coventry & Rugby CCG Coventry & Rugby CCG Croydon CCG Cumbria CCG Dartford Gravesham & Swanley CCG Dartford Gravesham & Swanley CCG Dorset CCG Ealing CCG East & North Hertfordshire CCG East Surrey (EsyDoc) CCG Enfield CCG Gateshead CCG Gloucestershire CCG Greenwich CCG

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Guildford & Waverley CCG Guildford & Waverley CCG Halton CCG Hammersmith & Fulham CCG Haringey CCG Harrow CCG Havering CCG Havering CCG Herts Valleys CCG High Weald Lewes & Havens CCG Hillingdon CCG Ipswich & East Suffolk CCG Isle of Wight CCG Islington CCG Kingston CCG Kingston CCG Lambeth CCG Lewisham CCG Medway CCG Merton CCG

hospital care. The percentage of people dying at home and in hospice is increasing, but slowly. In the near future we will see an increased number of deaths and more and more people dying over the age of 85. The rate of change is too slow. Whether we can properly integrate hospital and community services for people who are terminally ill will be key to us meeting the pressing demographic challenge and support more people to die in their preferred place of care.

Dr Collins is giving a talk in the Long Term Conditions stream of the Commissioning Show on ‘What does excellence look like in cancer care?’.

++ Programme Manager, NHS Milton Keynes CCG ++ Director of Corporate Affairs and Partnerships, NHS Milton Keynes

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Clinical Commissioning Group Commissioning Support & Innovation Development Officer, NHS Outer North East London Chief Information Officer, NHS Oxfordshire Senior Policy Officer, NHS Protect Commissioning Manager, NHS South West Essex Programme Manager, NHS Surrey GP, NHS Sutton & Merton Chief Operating Officer, NHS Swale CCG Head of Commissioning, NHS Swale CCG GP, NHS Wiltshire Commissioning Advisor, NICE Commissioning Project Manager, NICE Clinical Lead, North & West Reading CCG Head of Adult Services, North East London Foundation Trust Projects Lead, North East London Local Pharmaceutical Committee Chair, North East London Pharmaceutical Committee Clinical Accountable Officer, North Staffordshire Clinical Commissioning Group Clinical Director, North Staffordshire Clinical Commissioning Group Director Of Commissioning , North Staffordshire PCT GP, North West London PCT Head of governance and OD, North West London PCT Programme management, North West London PCT Programme Manager, Norwich CCG Practice Manager, Norwood Surgery GP, Oak Lodge Medical Centre GP, Orchard Medical Practice Manager, Orchard Medical Practice Head of Nursing and Quality Care, Parkinson’s UK Executive Director, Peninsula Business Services Head Of Affiliate Marketing & Events, Peninsula Business Services Programme Manager, perinatal Institute Chief Executive, Pharmacy Voice Clinical Lead, Portsmouth CCG Programme Manager, Portsmouth City Council Chief executive, Primary Care Commissioning Project Manager, Primary Care Commissioning Exec Director, Primary Care Neurology Society GP, Private Practice Marketing Manager, Roche Products Limited Practice Manager, Rosemary Surgery Practice Manager, Rush Green Medical Centre Practice Nurse, Rush Green Medical Centre Portfolio Manager, Sanctuary Group practice manager, sands end health clinic Locality Manager, Sheffield CCG West Locality Practice Manager, Shelley Manor Medical Practice Finance Manager, SKC CCG Regional Director England (South), Skills for Health CCG Manager, Slough CCG Public Health Manager, Solutions for Public Health GP, South Cheshire CCG Senior Commissioning Manager , South Devon and Torbay Shadow Clinical Commissioning Group Practice Manager, South East Staffs CCG Clinical Chair, South Eastern Hampshire CCG Strategic Clinical Network Manager, South Yorkshire & Bassetlaw Area Team Locality Manager, Southern Derbyshire CCG Head of NHS Business, Spire Healthcare Practice Manager, Spring Gardens Group Medical Practice Practice Manager, St Clements Surgery Business & Quality Manager, St Georges Hospital Clinical Lead, Stafford and Surrounds CCG Practice Manager, Star Lane Medical Centre Practice Manager, Stuart Crescent Health Centre Lead Commissioner, Suffolk County Council Practice Manager, Sunderland CCG

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Mid Essex CCG Milton Keynes CCG Nene CCG Newbury & District CCG Newcastle North & East CCG Newham CCG Oxfordshire CCG Portsmouth City CCG Redbridge CCG Richmond CCG Sheffield CCG Shropshire CCG Slough CCG Somerset CCG South Cheshire CCG South Devon & Torbay CCG South Kent Coast CCG South Norfolk CCG Stafford & Surrounds CCG Stoke-on-Trent CCG

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SGP, Supreme Medical Centre Practice Manager, Supreme medical centre Medical Director, Surrey & Sussex LMC Senior Manager, Surrey and Sussex CLRN Head of Contracts, Surrey and Sussex CSU Network Quality Manager, Surrey, West Sussex and Hampshire Cancer Network Clinical Advisor, Swale CCG Clinical Lead, Swale CCG Commissioning Project Manager, Swale CCG Director of Acute Service Development, Taunton & Somerset NHS Foundation Trust Practice Manager, The Caxton Surgery Practice Manager , The Cuckoo Lane Surgery GP, The Doctors House Practice Manager, The Evergreen Practice Service Manager, The Gables Medical Group GP, The Grange Practice Medical Secretary, The Grange Practice Practice Manager, The Grange Practice Clinical Services Manager, The Harley Street ENT Clinic Practice Manager, The Hollies Surgery GP, The Hounslow Family Practice Practice Business Manager, The Old Cottage Hospital Surgery Leicester Locality Lead The Practice PLC, The Practice PLC Finance Manager, The Red & Green Practice Practice Manager, The Red House Group of Practices Practice Manager, The Redwood Practice GP, The Upper Road Medical Centre Practice Nurse, The Upper Road Medical Centre Practice Manager, The Vine Medical Centre Practice Manager, The White House Surgery Nurse Manager, Tollgate Medical Centre Practice Manager, Tollgate Medical Centre CCG Transformation Manager, Tower Hamlets CCG GP, Trafford CCG Head of Healthcare Strategy & Development, Transform Innovation Ltd Senior Lecturer in Public Health, University of Bedfordshire Senior Lecturer, University of Chester Director Health Experiences Institute, University of Oxford GP, Vicarage Road Medical Centre Director of Care and Quality, Vitalise Reception Supervisory Manager, Wall Street Surgery Joint Commissioning Manager, Waltham Forest CCG Relationship Manager, Waltham Forest CCG Chair, West Cheshire CCG Chair, West Essex CCG GP Vice Chair, West Essex CCG Senior Commissioning Manager, West Hampshire CCG Senior Commissioning Manager - Planned Care, West Hampshire CCG Chair, West Lancashire Clinical Commissioning Group Clinical Lead, West Leicestershire CCG Head of Prescribing, West Leicestershire CCG Head of Library & Knowledge Services, West Sussex Knowledge & Libraries Practice Manager, Whitechapel Health GP, Whitstable Medical Practice Practice Manager, Whitstable Medical Practice GP Partner, Wilderness Road Surgery Surgery administration, Wilderness Road Surgery Practice Manager, Windmill Surgery CCG Manager, Windsor, Ascot & Maidenhead CCG Lay Member - Public & Patient Involvement, Wokingham CCG GP, Woodlands Health Centre NHS Commissioning Development Officer, Woodlands Health Centre GP, Woodlands Park Surgery Practice Manager, Woodlands Park Surgery

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Sunderland CCG Surrey Downs CCG Surrey Heath CCG Sutton CCG Swale CCG Thanet CCG Tower Hamlets CCG Waltham Forest CCG Waltham Forest CCG Wandsworth CCG West Cheshire CCG West Essex CCG West Hampshire CCG West London CCG Windsor Ascot Maidenhead CCG Wokingham CCG

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2013 commissioning SHOW Highlights WEDNESDAY 12th JUNE stream Sponsored by:

CCG Business

Stream Chair - Dr Amanda Doyle

Long-Term Conditions

stream Sponsored by:

CLinical Commissioning Support

Challenges to implementing the Government’s Long-Term Conditions Strategy Dr Martin McShane, Director Domain 2 - Improving the quality of life for people with long-term conditions NHS England

HSJ Debate: Who is responsible for the delivery of QIPP - NHS England, CCGs or CSUs? Debate Chair: Alastair McLellan, Editor, Health Service Journal John Wilderspin, CCG Finance Director Central Southern CSU Dr Sam Everington, Chair, Tower Hamlets CCG and NHS England Representative

How can CCGs achieve financial balance in their first year? Paul Baumann, Chief Financial Officer NHS England

Commissioning high-quality health care for people with long-term conditions Dr Judith Smith, Director Nuffield Trust

How can commissioners use competition to improve services?

Key challenges for CCGs in public health Richard Gleave, Chief Operating Officer Public Health England

Overview of Commissioning Support Prof Malcolm Grant, Chair, NHS England

Integration in diabetes: myth or reality? Sponsored by:

CCGs and member practices - a shared fate? Dr Minesh Patel, Clinical Chair, Horsham and Mid-Sussex CCG

Managing hospital activity - innovative case studies in scheduled and unscheduled care Dr Keith Douglas, Managing Director, NHS South CSU Dr Peter Devlin, Clinical Director Brighton and Hove Intergrated Care Service

United Health sponsored session Panel discussion: How can we improve Sponsored by: care for patients with long-term conditions? Dr Clare Gerada, Chair, RCGP Prof Paul Knight, President, British Geriatrics Society Vision for a patient-centred NHS Dr Rowan Hillson, Former National Clinical Tim Kelsey, National Director for Patients and Director for Diabetes, Department of Health Information, NHS England A new primary care pathway for DVT treatment Sponsored by:

CCGs post-Francis: how to avoid another Mid Staffs and make quality the priority in 2013 Dr David Paynton (MBE, FRCGP, DMS), National Clinical Lead, Centre for Commissioning, Royal College of General Practitioners

What does excellence look like in commissioning for cancer Charles O’Hanlon, Associate DirectorDelivery, NHS Newham Clinical Commissioning Group Ciarán Devane, CEO, Macmillan Cancer Support Dr Jane Collins, Chief Executive, Marie Curie Cancer Care

Commissioning Support - getting it right Dr Bruce Websdale, GP Advisor South London CSU

Collaborating to design community-based services for long-term conditions Dr James Kingsland, National Clinical Lead, NHS Clinical Commissioning Community

Intergrating technology to enhance clinical outcomes Sponsored by:

The Technological Revolution In The NHS Tim Kelsey, National Director for Patients and Information, NHS England Presenting ‘The art of the possible – NHS IT’ Gary Shuckford, Director of Strategic Research, EMIS Sponsored by:

Providing an integrated service model through technology Sponsored by:

Whole-system transformation at pace in Croydon – a lesson towards achieving the seemingly impossible Dr Agnelo Fernandes, Assistant Clinical Chair, Croydon CCG, RCGP

Medicines optimisation in Long Term Conditions Sponsored by:

How to make a success of CCGs’ critical relationships with NHS England Dr Johnny Marshall, NHS Clinical Commissioners

Your Practice adapting to survive

stream Sponsored by:

Facilitated learning

ALL DAY CONFERENCE Chair - Dr Charles Alessi Stream Chair - Dr Paul Charlson Stream Chair - Dr Phil Moore Stream Chair - Angela Single Stream Chair - Dr Peter Swinyard Morning plenary sessions: Opening and welcome from Dr Charles Alessi, Chairperson , NAPC and NHS Clinical Commissioners Keynote address: Rt Hon Norman Lamb , Minister for Care and Support NHS e-Referrals Launch: Beverley Bryant, Director of Strategic Systems and Technology, NHS England and Masood Nazir, GP Lead, CCIO, NHS England

From authorisation to transformation – the new focus for CCGs and the commissioning system in 2013. Rosamond Roughton, Interim National Director, Commissioning Development NHS England Commissioning an informed anticoagulation service for the patient Sponsored by:

How out of hospital care can help you meet the QIPP agenda’ Jacqui Lyttle, Commissioning Adviser, JSL Consulting, Richard Jackson, Director of Operations, Bupa Care Services Stephen Cook, Director of Pharmacy, Bupa Home Healthcare Sponsored by:

Productivity through technology

How to identify and engage with hard-to-reach patients Ming Tang, Director, Data and Information Management Systems, NHS England

Damage Limitation - how to mitigate the impact of changes to the GMS contract Dr Richard Vautrey, Deputy Chair BMA’s GP’s Committee

Care homes medicines optimisation Sponsored by:

Update on QOF and the new DESs Dr Gavin Jamie, GP, Swindon and Founder, QOF Database

Aurora sponsored session Panel Discussion: Key challenges facing your practice from 2013-2015. Panel Chair Dr Charles Alessi, Chair, NAPC and NHS CC Panel Dr Peter Swinyard, Chairman, Family Doctor Association Karen Taylor, Director , Local Centre for Health Solutions and author of Deloitte report on Primary Care

Menarini sponsored session

Panel Discussion: Technology transformation of intergrated health and social care - overcoming the obstacles City University London sponsored session Sharing information across boundaries to deliver value-based health care - a clinical and technical perspective Wayne Parslow, VP EMEA, Harris Healthcare

One VISION – collaborating to achieve optimal outcomes in smoking cessation Sponsored by: PC3 NHS Clinical Commissioners Efficient use of resources for the patient with irritable bowel syndrome Dr Anton Emmanuel, BSc, MD, FRCP , Consultant Gastroenterologist University College London and University College Hospital Sponsored by:

The 10 things you should ask your CFO Sponsored by: HFMA

How CPRD is unlocking the potential of patient data for research Sponsored by:

Reducing variation and improving patient care through pathways and better referral management Sponsored by:

Best Practice in empowering patients Prof Mike Chester, Founder and Former Director , National Refractory Angina Centre, Liverpool Dr Nav Chana, Vice Chair, GP, NAPC

Using the opportunity of a new medicine to redesign DVT pathways Bernie Stribling, National Manager, DESMOND and Transformation Manager, Leicestershire Cheryl Taylor, National Trainer and Assessor, DESMOND Alison Harding, Support Manager, DESMOND

i-Spy Digital sponsored session Sponsored by: The myth of hard to reach Ian Smyth, Chief Brand Officer, Nuffield Health

Strata Health sponsored session Sponsored by:

Preparing for CQC inspections Shabana Dehlavi, Editor, everythingcqc. com, X-Genics

Keynote address: Rt Hon Andy Burnham, shadow secretary of state for health. Followed by an interview with Alastair McLellan

THURSDAY 13th JUNE stream Sponsored by:

CCG Business

Stream Chair - Julie Wood

Head-to-head debate: ‘Can CCGs solve the urgent and emergency care crisis? Dr James Kingsland, National Clinical Lead, NHS Clinical Commissioning Community Prof Tim Evans, Medical Director, Lead Fellow, Royal Brompton and Harefield NHS Foundation Trust, Future Hospital, RCP

A Tale of Two Tenders: CCGs who have overseen two large tenders are interviewed about their experiences by Dr Phil Moore and we also hear from a winning bidder. Dr Phil Moore, Deputy Chair (clinical) , Joint Associate Medical Director, Kingston CCG and Joint Associate Medical Director, NHS Clinical Commissioners Leadership Group

The Big Conversation: What are the key priorities for CCGs post-authorisation? Dr Stephen Richards, Chief Clinical Officer , Oxfordshire CCG Dr Andrew Coward, Chair , NHS Birmingham South Central CCG and Dr Helen Tattersfield, Chair, Lewisham CCG Abbott sponsored session Sponsored by:

Moving beyond authorisation - the legal and governance challenges CCGs must address in their first year Giles Peel, Adviser, Clinical and Healthcare Risk Robert McGough, Partner DAC beachcroft Integrated responsibility: patient centred commissioning Dr Steve Kell, Chair, Bassetlaw CCG and Vice Chair , Nottinghamshire Health and Wellbeing Board and Co-Chair, NHS Clinical Commissioners Leadership Group Pfizer sponsored session

Long-Term Conditions

stream Sponsored by:

Stream Chair - Dr Rowan Hillson

No health without mental health Stephen Dalton, CEO, Mental Health Network NHS Federation Dr Caroline Dollery, Steering Group Member, NHS Clinical Commissioners Mental Health Commissioners Network

Commissioning an informed anticoagulation service for the patient sponsored session

Can tele-health save 3 million lives in long term conditions Angela Single, 3 Million Lives Tele-health and Tele-care Working Group, BT Health

CLinical Commissioning Support

Productivity through technology

Your Practice adapting to survive

stream Sponsored by:

ALL DAY CONFERENCE Chair - Mike Dixon Stream Chair - Dr Charles Alessi Stream Chair - Dr Nav Chana Morning plenary sessions: Welcome by conference chair Dr Mike Dixon, Chair, NHS Alliance Keynote address: Norman Lamb, Minister for Care and Support Independence, health and safety: the Smart Maximising the benefits of being part of a CCG House – life beyond Dr Amit Bhargava, Steve Barnard, Director of Information Strategy Chief Clinical Officer, Big Conversation: What do CCGs HF Trust NHS Crawley CCG really want from CSUs? A paperless NHS by 2018 - how to make David Dr Steve Kell, Chair, Bassetlaw CCG Cameron’s vision a reality and Vice Chair , Nottinghamshire Health and Neil Darvil, Director of Informatics, Wellbeing Board and Co-Chair, NHS Clinical Finding a lucrative niche for your practice: St Helens and Knowsley Hospitals Trust and Commissioners Leadership Group A case study on practises pursuing alternative Belfast Health and Social Care Trust Sue Lacey-Bryant , Director of Corporate income streams How can we remain clinically productive, Affairs and Partnerships, member, NHS Milton Dr David Holwell, Partner, improve quality and evidence it – innovations Keynes CCG, NHS Clinical Commissioners Park Surgery Horsham in technology Leadnership Group Dr Simon Gilbert, Partner, Sponsored by: John Parks , Managing Director, Great East Cricket Green Medical Midlands CSU Practice, Merton

How to survive and thrive in the CSU marketplace: lessons from the CEO of a comparable B2B/C industry Roger Hymas, CEO, HealthWorks CSS Panel Debate: How can CSUs impact on service transformation? Derek Kitchen, Managing Director, NHS Staffordshire CSU Tim Andrews, Managing Director, NHS Cheshire, Cheshire & Merseyside CSU and Andrew Ridley, Managing Director, North and East London CSU Integration and telehealth –how commissioners can turn international best practice into local NHS reality Sponsored by:

Facilitated learning

Panel Debate: Addressing the asthma challenge in the new commissioning environment Alastair McLellan, Editor, Health Service Journal Sponsored by:

Rethinking the role of Telecare and Telehealth: how do you embed and mainstream assistive technology Sponsored by:

Harnessing the power of clinical decision support Dr Justin Whatling, Lead, Chair, Cerner’s European Advisory Practice; BCS Health, The Chartered Institute for IT

Managing care pathways across CCG areas Sponsored by:

How to become a successful bidder: Case studies looking at different ways practices have entered the provider market - and who they are up against Dr Naresh Rati, Executive Partner, Vitality Partnership, Birmingham. Dr Tim Reed, Chair, Suffolk Federation

Could Vascular ages assessments based on CIMT (Carotid Intima Media Thickness) be used in Primary care Sponsored by: Panasonic

SpecSavers sponsored session Mental health commissioning network – NHS Clinical Commissioners

MGP survey and debate Technology that got the Health 2016 and beyond: the direction of travel for Secretary Tweeting: Jeremy Hunt CSUs and plans for externalisation visited Airedale General Hospital recently and Bob Ricketts, Director of Commissioning Support tweeted - ‘seen some of best tech anywhere Strategy in the NHS’ and Market Development , Bridget Fletcher, Chief Executive, NHS England Airedale NHS Foundation Trust Top Tips for Commissioning Diabetes Services Dr Chris Walton Chair, Association of British Clinical Diabetologists Sponsored by:

Integrated care demands integrated data and information Sponsored by:

First Data Bank sponsored session

Ask the Expert: Q&A session on legal,HR and financial dilemmas for practices. Bob Senior, Chair, Aisma, and Head of Medical Services, Tenon Amanda Chadwick, HR expert, Peninsula Business Services Oliver Pritchard, Partner, Head of Commercial Health, Browne Jacobson LLP Innovative models of care for the management of heart and circulatory disease as a long term condition Sponsored by:

MiP Masterclass

Using the opportunity of a new medicine to redesign DVT pathways Sponsored by:

\ Keynote Debate: What do CCGs need to do to avoid major re-organisation in three years’ time? Confirmed panel members: Rt Hon Stephen Dorrell MP, Chair of the House of Commons Health Select Committee, Professor David Haslam CBE, Chair Designate, NICE and National Professional Adviser, CQC, Ben Page, Chief Executive, Ipsos MORI, Sir Robert Naylor, Chief Executive, University College London NHS Foundation Trust and Dr David Bennett, Chair and Interim Chief Executive at Monitor

2013 HEALTH+CARE SHOW Highlights Regional networking sessions Time

WedNesday 12th June

10.00 - 11.00

South East Coast

11.00 - 12.00

London

12.00 - 13.00

North East, north Cumbria, and the Hambleton & Richmondshire districts of North Yorks

13.00 - 14.00

Greater Manchester, Lancashire and south Cumbria

14.00 - 15.00

15.00-16.00

16.00-17.00

Cheshire & Mersey

West Midlands

East of England

Time

THURSDAY 13th June

10.00 - 11.00

South East Coast Repeat

WEDNESDAY 12th JUNE INTEGRATED CARE INSIGHT

PROGRESS IN PERSONALISATION

RISING TO THE DEMENTIA CHALLENGE

TAKING CARE OF BUSINESS RESIDENTIAL CARE

HOME CARE - SEIZING THE OPPORTUNITY

Morning plenary sessions: Opening and welcome from Dr Charles Alessi, Chair of NAPC and NHS Clinical Commissioners Integrated care: making the NHS future proof Dr Jagen John, Lead of NHS Barking and Dagenham CCG Have local authorities got care-less with the care market? Prof. Andrew Kerslake Emeritus Professor and Associate Director, Institute of Public Care, Oxford Brookes University Delivering improved health outcomes from all public sector activity Dr Dominic Harrison,Joint Director of Public Health, Engagement and Partnership, Blackburn with Darwen Developing a local integrated care pathway for the prevention and management of alcohol disorders in adults Sponsored by:

Thinking big about thinking small: a strengths-based approach to care, support and inclusion Alex Fox, CEO, Shared Lives Plus and Helen Allen, Director of Operations, Shared Lives Plus

Role of leadership in personalised social care Dr Glen Mason, Director of People, Communities and Local Government with the Department of Health Innovative technologies to assist the day-to-day lives of care givers Sponsored by:

Providers, NHS, local authorities - the need to work together to meet local need Catherine Murray-Howard, Director of Business Development and Partnerships, CIC

Facing the future of 21st century care services Prof. Martin Green, Chair, ECCA

Identifying and overcoming key marketing challenges for care providers Nicki Wakefield, MD, Straight Up Marketing

Dying to talk: how can people with dementia achieve real choice in their care if they are never asked? Dr Jayne Chedgey-Clark, National Council for Palliative Care

Developing relationship-based care in care homes Avnish Goyal, Managing Director, Hallmark Care Homes

Caring for our future: the opportunity for home care Bridget Warr, CEO, UKHCA

Commissioning integrated dementia care Anja Wilton, GP Dementia Lead, Lewisham CCG and London, Borough of Lewisham

Creativity and wellbeing - improving outcomes and increasing productivity Chris Cage, CEO, Ladder to the Moon and Emma Hanson, Head of Strategic Commissioning, Kent CC

Why don’t GPs understand non residential care? Jeremy Cooper, Director, iMPOWER

So that’s what good looks like. Activity, community and outcomes for people who challenge Sponsored by:

Reablement – offering an outcome based solution benefitting individuals Liz Chidgey, Managing Director, Essex Cares Sponsored by:

Care not for the financially faint-hearted. Tony Banks, Chairman, B2

Reputation management: protecting your business Ros Trinick, Senior Account Manager, PLMR

Transforming the care home sector – messages from the My Home Life programme Tom Owen, Director, My Home Life

Messages from serious case reviews – the learning outcomes Vic Citarella, Director, CPEA and Margaret Flynn, Chair, Lancashire County Council ‘s Safeguarding Adults Board

Care Homes - what to buy and when to sell Chris Wishart, Partner, Knight Frank LLP

Adapt or die! Trevor Brocklebank, Director, Home Instead Senior Care

Different Needs; Different Settings – Evolving Research with Older People Sponsored by:

Mears Group sponsored session Sponsored by:

Update on the dementia challenge Prof. Alastair Burns, Dementia Tsar

Partnership in action: delivering the dementia challenge Magic moments’ – Is it time to change Sarah Mitchell, Executive Director, the mood music? Adult Social Care Surrey County Cedric Frederick, CEO, Avante Council and Partnership Dr Aalia Khan, GP and Chair, Mid Surrey Dementia Local Implementation Team The Dementia DES: the impact Debate - Integration success: is it of screening and the lifestyle structural or cultural? Personalisation’s interventions possible in primary care Rachel Bartlett, Head of Out of Hospital challenges to Sponsored by Service Transformation, NHS England, adult safeguarding London region, Prof. John Bolton, Prof. Jill Manthorpe, Professor of Consultant in SocialCare, and former Social Work and Director of the Social Strategic Finance Director Institute Care Workforce Research Unit, King’s of Public Care and Gemma Bruce, College London Debate: What are the hallmarks of Development Manager, Turning Point patient centred dementia care? Penny Garner, CEO, Contented Dementia Integrating the commissioning of Trust and Fritha Irwin, Clinical health and social care is the only model Governance and Dementia Care Lead, for the future Majesticare David Smith, Director of Health and Adult Services, Chief Officer, Royal Borough of Kingston upon Personalisation – making it work for Thames, Kingston, Clinical Everyday excellence: greater people with complex needs Commissioning Group recognition for the role of the Vivien Cooper, CEO, The Challenging registered manager Integration of Telehealthcare Behaviour Foundation and Andrea Technology into Services Pope-Smith, Director of Adult Services, Terri Myers, Membership, Networks Brad Rogers, Head of Telehealthcare and Forums Manager, National Skills Dudley Metropolitan Borough Council and Product Development , Simplicare Academy for Social Care and ADASS learning disability lead Dr Mark Reynolds MBE MRCGP, Medical Director, Integrated Care 24 (IC24) previously South East Health Ltd. Sponsored by: Steps to building an integrated care system Damon Palmer, Lead for Health and Social Care Integration, Department of Health

Keynote address: Rt Hon Andy Burnham, shadow secretary of state for health.

11.00 - 12.00

THURSDAY 13th JUNE

Thames Valley INTEGRATED CARE INSIGHT

12.00 - 13.00

13.00 - 14.00

14.00 - 15.00

15.00-16.00

Wessex

South West

HOME CARE - SEIZING THE OPPORTUNITY

‘Getting up close and personal’ – commissioning and providing in a personalised world Guy Turnbull, Director of Business Development, Care and Share Associates (CASA) and Michael Heap, Chair, Care and Share Associates (CASA)

Commissioning effective dementia services in the new health system Ben Nunn, Account Manager, MHP Mandate Healthcare and Richard Slogget, Director, MHP Health Mandate

The 5 senses of the past, present and future in growing a care home business David Messenger, MD, Elder Homes

How to be tender ready and a quality provider for the public sector? Alastair Jewson, CEO, AJ Procurement

Delayed discharges are all down to social care ... or are they? Richard O’Driscoll, Cambridgeshire County Council

Working collaboratively with providers to drive person centred supports Terry Mears, Head of Commissioning, Lancashire County Council Kim Haworth, Area Commissioning Manager, Lancashire County Council

Commissioning services for people with dementia – beware of the Inverse Care Law! Prof. Steve Illiffe, Professor of Primary Care for Older People, UCL

Adapting to the changing regulatory environment Jonny Landau, Partner, Ridouts Solicitors

Planning for growth and achieving it Patrick Egan, Managing Director, Alexander Venture Consulting

Intergration and Joined Up Care in Torbay & South Devon Dr Sonja Manton, Chief Operation Officer, Torbay and Southern Devon Health and Care NHS Trust

Personalisation in practice in a care home for people living with dementia Helen Sanderson, Director, Helen Sanderson Associates

Improving dementia diagnosis: a clinical masterclass Dr Wendy Burn, Consultant Old Age Psychiatrist, Leeds and York Partnership NHS Foundation Trust

Ensuring high quality in learning disability services: a provider perspective Peter Kinsey, CEO, Care Management Group

Debate: outcomes-based commissioning: myth or reality? Roger Booker, CEO, Sevacare, Mike Webster, Assistant Director Procurement Partnerships & Quality Assurance, North Yorks County Council and Lauren Lucas, Policy Manager, LGiU

The impact of personal health budgets on outcomes and costs Dr. Karen Jones, Senior Research Fellow, University of Kent

Bridging the gap between Local Authority, Care Homes and the Private Sector Mark Warburton Sponsored by:

Specialised care in a big society Gordon McClurg, Managing Director, Care Management Services

The role of leadership in commissioning for the new landscape Helen Smith, Head of Commissioning Programmes, National Skills Academy for Social Care

Timely diagnosis and management of dementia in primary care Dr Nick Cartmell, GP and lead for Dementia, NHS South of England (West), NHS Devon, South Devon & Torbay CCG, and Western Locality of new Devon CCG

Don’t wait for legislation change to support self funders of long term care – act now! Naomi Snell, Head of Local Authority Partnership, Paul,McKay, Service Director, Nottinghamshire County Council

Employment law masterclass: avoiding the pitfalls of people management Shelley Harcourt, Partner, Shakespeares

Making a difference with information Andrea Sutcliffe, CEO, Scie

Managing demand: how housing and care contributes Jane Ashcroft, CEO, Anchor Trust

NICE’s role in shaping the future of social care Dr. Gillian Leng, Deputy Chief Executive, National Institute for Health and Care Excellence

London Repeat

y manage diar h your throug Connect

TAKING CARE OF BUSINESS RESIDENTIAL CARE

The role of health and wellbeing boards in integration Dr. Joe McGilligan, Chair, EsyDoc CCG

McKesson sponsored session

16.00-17.00

RISING TO THE DEMENTIA CHALLENGE

Morning plenary sessions: Welcome by conference chair Dr Mike Dixon, chair, NHS Alliance Keynote address: Norman Lamb MP, Minister for Care and Support

Yorkshire & The Humber

East Midlands

PROGRESS IN PERSONALISATION

Health and social care integration in Kent – this is not a day trip! Nichola Gardner, Assistant Director Transformation, Kent Community Health NHS Trust, Jo Fraser, Programme Manager, Health and Social Care Integration Programme and Sue Excel, HASCIP Programme Lead, Kent and Medway Partnership Trust

What works? Joint working in practice Dr. Helen Dickinson, Senior Lecturer, Health Services Management Centre, University of Birmingham

Personal health budgets:the experiences of budget-holders and carers Prof. Caroline Glendinning, Professor of Social Policy and Associate Director Social Policy Research Unit, University of York

The appropriate use of drugs for dementia patients Dr Jill Rasmussen, GP and RCGP Clinical Champions, Aging and Older People

My Life Independence Training Programme for young people in transition Andrew Azzopardi, Managing Director, Sunnyside House

Reablement of older people with a dementing illness Sandra Daniels, Interim Community Hospitals Manager and Jenna Abell, Transformation Programme Manager, Staffordshire and Stoke on Trent Partnership Trust

Keynote Debate on the key challenges facing the NHS and Social Care - Confirmed panel members: Rt Hon Stephen Dorrell MP, chair of the House of Commons Health Select Committee, Professor David Haslam, chair, NICE Duncan Selbie, chief executive, Public Health England. Also invited: David Behan, chief executive, Care Quality Commission, Professor Sir Bruce Keogh, NHS Medical Director

Information was correct at time of press. CloserStill reserves the right to amend content without prior warning. . The seminars at Commissioning have been brought to you by CloserStill Medical in association with our partners and sponsors. The views and opinions of the speakers are not necessarily those of CloserStill Medical or of our partners and sponsors. Commissioning’s association partners have helped develop the programme. Sponsors have not had any input into the programme except where an individual session states it is sponsored. In this instance. Only the session topic and speaker have been developed by the named sponsoring company.

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

meet the Conference Stream Chairs All-conference chair, Day 1: Dr Charles Alessi Described by Pulse as ‘one of the most prominent GP cheerleaders of the Health and Social Care Act’ Dr Alessi is Chairman of the National Association of Primary Care, Interim Chair of NHS Clinical Commissioners and a GP in South West London. He has extensive experience of the NHS in a variety of senior positions in both primary and secondary care as well as with former primary care trusts and health authorities. He also has experience of working at senior levels both nationally and internationally, in Europe and the Americas. He also has experience of military medicine until recently acting as Director of Medicine and Clinical Governance for the British Armed Forces in Germany. He is currently adjunct research professor at the Richard Ivey School of Business and is a senior advisor to Public Health England. ‘The Commissioning Show will give people an opportunity to meet and hear and learn from each other and to see what other people are doing and whether their ideas could be applied in their local situations. The only way we are going to manage this really quite difficult transition is by us all accepting that we can’t all do it on our own and that we need to learn from each other,’ he says.

All-conference chair, Day 2: Dr Michael Dixon Dr Michael Dixon has been a GP at College Surgery in Cullompton, Devon since 1984. In 2008 he and his partners created the Culm Valley Integrated Centre for Health, which is widely regarded as a prototype for general practice of the future. He has been a leader of the GP/clinical commissioning movement since the early 1990s. He co-founded one of the first Locality Commissioning Groups in Mid Devon in 1993 and served on the National Executive of the National Association of GPs before becoming the first chair of its successor organisation, the NHS Alliance, in 1998. Michael has continued in this role by annual election to the present day. He is currently acting president of NHS Clinical Commissioners. He is a keen gardener and fisherman. ‘The Commissioning Show will be an event to find out about all the different things that people are doing, what is in the minds of the new commissioners and what the opportunities are for improving patient care. You should come whether you are an altruist and a public servant and simply want to see better health and services for your local population or you are a provider seeking new opportunities to develop your provider base within the new commissioning system. The bottom line is we are moving into unchartered waters and you won’t find those waters written in any book or magazine. You have really got to come to this conference and hear the experiences of people who are doing the commissioning if you want to know what’s going on. There will be plenty of leaders’ question times and opportunities to meet the leaders. Everyone is going to be there. Last year clinical commissioning was an abstract concept. This is a very different time now and people are beginning to get it.’

CCG Business, Day 1: Dr Amanda Doyle Amanda is co-chair of NHS Clinical Commissioners Leadership Group. She has been

a GP for 16 years and is currently a senior partner in a large practice in a deprived area in Blackpool. In addition to primary medical services, the practice provides a range of unscheduled care services across Blackpool. For 10 years, Amanda was Medical Director of the local Out of Hours service and has maintained an interest in unscheduled care services. Amanda has been involved in commissioning for more than 10 years, via her former primary care group and primary care trust, leading to her current role of Chief Clinical officer of NHS Blackpool CCG.

CCG Business, Day 2: Julie Wood Julie is Commissioning Development Director for NHS Clinical Commissioners. She has worked in the NHS for almost 30 years, the last 16 years of which have been spent working in a variety of director and chief executive roles. She has worked with primary care throughout her career, from the days of family practitioner committees, family health services authorities through to health authorities and primary care groups, and latterly primary care trusts. She has extensive experience in planning and service development from a primary care perspective and has also been responsible for the commissioning of acute care with locality responsibilities for a population of over 200,000. In a former director role she was responsible for setting up one of the largest GP locality commissioning pilots in the country. ‘People should come to the Commissioning Show because it will give them a very practical hands-on view of what they need to do and how they can be supported to tackle their job as clinical commissioners. The event is for people on the governing bodies of CCGs and managers working to support clinical leaders in delivering on the commissioning agenda and it is also for people working in CSUs. It would also be good for practices to come and get a feel for what they need to do for commissioning as member practices of their CCGs.’

for Diabetes – the ‘Diabetes Tsar’ – responsible for helping to improve the care of people with diabetes in England. She is also a consultant physician in diabetes and endocrinology at Hillingdon Hospital, Uxbridge. Dr Hillson’s pioneering work with people who have diabetes has gained international recognition and acclaim – work which began over 30 years ago as a junior registrar. As a senior registrar, she pioneered Outward Bound courses for people with diabetes. In 1989 she established the diabetes team in Hillingdon and led the project to develop the Hillingdon Diabetes and Endocrine Unit. This centre, named Diabeticare, gained an international reputation and in 1997 Dr Hillson and the team won the national Hospital Doctor Diabetes Team award. In 2006 she was awarded an MBE for contributions to medicine and healthcare.

Commissioning Support Services, Day 1: Dr Phil Moore Dr Phil Moore, is deputy chair (clinical) for the Kingston Clinical Commissioning Group and Joint Associate Medical Director for the borough. Phil qualified in Edinburgh in 1975 and has worked as a GP since 1980, the last 28 years as a partner at Central Surgery in Surbiton. He is currently helping to lead a programme of improvements to local mental health services and has also been instrumental in driving the redevelopment of the Surbiton Hospital site. Phil is a GP trainer, a teaching fellow at Imperial College, London and is lead on GP appraisal for Kingston. He chairs the London region meetings of the National Association of Primary Care. He has an interest in microenterprise in developing countries and is trustee of an international charity supporting such projects.

Commissioning Support Services, Day 2: Dr Charles Alessi

Long Term Conditions, Day 1: Dr Paul Charlson

Productivity through technology, business stream Angela Single

Dr Paul Charlson has lived and worked as a GP in East Yorkshire for 25 years and regularly appears on the annual Pulse list of most influential GPs in the country. He is a portfolio GP with a special interest in dermatology who also runs a cosmetic practice. He is a quality assurance tutor for the Yorkshire and Humber Deanery, commissioning champion for the Royal College of General Practitioners and has been a GP navigator for the Department of Health. He is chair of Conservative Health and regularly writes in the medical press and national newspapers. He is an ardent Tigers fan and a golfer.

Angela Single is BT’s Global Clinical Director on Telehealth and Telecare. Her experience and reputation has led to her being asked to lead on several inaugural roles such as the Chairperson for Industry in the UK’s 3 Million Lives Programme, whose aim is to save 3 million lives per annum through the use of telehealth company, Nestor Healthwatch, becoming its Managing Director in 2000; and the International Congress of Nursing’s Telenursing Advisory Group. For many years Angela has lead the way on standards for telecare and telehealth service delivery in the UK. In 2009 she developed the Telecare Code of Practice for the UK’s Telecare Services Association. Prior to that her roles included establishing services for NHS Direct Telehealth, becoming the Director of Long Term Conditions at Newham, where she established their telehealth service and establishing her own specialist telecare and telehealth consultancy, Angela’s clinical career spans primary and secondary care, the latter as a Deputy Chief Nurse at North Middlesex Hospital.

‘People should come to the Commissioning Show to find out what is going on. Some people are real movers within commissioning and will be looking for ideas from the experts and opinion leaders and looking to network and find out what other people are doing. Other people who don’t want to get involved in commissioning should also come so that they understand what it’s all about. There are a lot of good things going on in the NHS but often people don’t know where they are.’

Long Term Conditions, Day 2: Dr Rowan Hillson Dr Rowan Hillson is National Clinical Director

‘People are beginning to get the message that in order to make telehealth and telecare work that they will need to completely redesign the way they deliver care. People need to think about their models of service delivery and have a robust partnership with industry so they can use their expertise and also with politicians in the NHS so that they can use theirs. So it needs to be a real partnership. People should come to the Commissioning Show to find out what is

happening with the latest developments in new technology.’

Your Practice : adapting to survive Day 1: Dr Peter Swinyard Dr Swinyard is National Chairman of the Family Doctor Association. Under his leadership since 2009 the Association has increased its membership and raised its national profile and media exposure. He travels the country lecturing on behalf of the Family Doctor Association when commitments as a full time GP allow. He joined a large GP practice in Swindon in 1985 but in 1995, following a partnership split, he became single handed, taking a partner in 1998. Now three partners, the practice still offers personal doctoring, small practice style while being an accredited training practice. He has been a Wiltshire LMC member since 1988 serving as vice chairman and chairman. He was GPC member for Wiltshire and Dorset between 2002 and 2005 and Chairman of the last Premises Subcommittee until 2005. He is interested in cars and motoring journalism, fast motorcycles, slow motor caravans and battling with Beethoven through a piano board. ‘GPs are going through a difficult time and are under immense pressure at the moment and they should come to the Commissioning Show to hear some practical ideas about surviving. The event has some good speakers lined up who will give them some practical nitty gritty tips to take back to their practices. There will also be the opportunity for networking. When I go to a meeting, whether I’m talking at it or just going as a listener, I always get something out of it, some useful tit bit of information or something which says, yes, we could do that differently.’

Your Practice: adapting to survive Day 2: Dr Nav Chana Dr Chana is postgraduate Dean of GP and Community based Education at the London Deanery and vice chair of the National Association of Primary Care responsible for primary care leadership development and developing innovation in service design. He is senior medical partner at Cricket Green Medical Practice in Mitcham, Surrey which has been a training practice and undergraduate hub for St George’s University of London for many years. Nav has contributed to the international development of primary care in countries such as Egypt, as one of the International Development Advisers to the Egyptian Family Medicine Fellowship. ‘For decades the potential for general practice to have a positive impact on chronic ill health has been recognised. Now, with three quarters of the NHS’s budget resting with clinical commissioning groups and the general practices they represent, general practice has never been in such an influential position to impact on the long-term health of their practice populations.’

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

Conference speakers include

Dr Charles Alessi

Helen Allen

Andrew Azzopardi

Dr David Bennett

Dr Amit Bhargava

Rt Hon Andy Burnham MP

Prof Alistiar Burns

Rt Hon Paul Burstow

Nick Cartmell

Dr Nav Chana

Vivien Cooper

Dr Peter Devlin

Dr Helen Dickinson

Dr Mike Dixon

Rt Hon Stephen Dorrell MP

Dr Agnelo Fernandes

Richard Gleave

Prof Caroline Glendinning

Prof Malcolm Grant

Dr Avnish Goyal

Martin Green

Dr Dominic Harrison

Dame Barbara Hakin

Roger Hymas

Prof Steve Iliffe

Dr Jagan John

Dr Stephen Kell

Prof Andrew Kerslake

Dr Aalia Khan

Dr James Kingsland

Dr Peter Kinsey

Rt Hon Norman Lamb MP

Dr Gillian Leng

Dr Glen Mason

Alastair McLellan

Dr Martin Mcshane

Sarah Mitchell

Dr Phil Moore

Catherine MurrayHoward

Sir Robert Naylor

Damon Palmer

Dr David Paynton

Oliver Pritchard

Dr Jill Rasmussen

Dr Stephen Richards

Eve Richardson

Dr Helen Sanderson

Bob Senior

Andrea Sutcliffe

Dr Peter Swinyard

Ros Trinick

Dr Guy Turnbull

Dr Richard Vautrey

Bridgett Warr

Cedric Frederick

Delegate passes are ÂŁ399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

The Commissioning Show is the largest national event for clinical commissioning and attracts the notoriously hard to reach senior primary care professionals. We work with delegates all year round to ensure the conference delivers the content they need, delivered by the speakers they want to hear, making the event the diary highlight of the year.

Ten things you need to know about Commissioning Show 2013 1. 2. 3. 4. 5.

Because The Commissioning Show was sold out by April, weâ&#x20AC;&#x2122;ve had to create more stands.

The Commissioning Show has been developed with its partners and industry experts including; the NHS Clinical Commissioners, NAPC, NHS Alliance, FDA, NHS England and HSJ to deliver a first class programme with 10 streams of content.

Commissioning Show keynotes include: Rt Hon Norman Lamb, Rt Hon Stephen Dorrell, Rt Hon Andy Burnham, Prof Malcolm Grant, Dame Barbara Hakin, Dr Charles Alessi, Dr Michael Dixon, and Dr Clare Gerada.

The Commissioning Show offers 9 hours of face-to-face time with delegates, featuring three dedicated networking sessions in the morning and three in the afternoon, which means you will have the time and opportunity to do business with this influential audience.

Whether you are looking to build brand recognition, develop new relationships or have quality conversations with existing contacts we can offer a range of tried and tested awareness opportunities to meet your objectives. We have different options to cater for most marketing budget.

The Commissioning Show expects 4,000 healthcare professionals over the two days. 58% of CCGs have already registered to attend, view the CCGs represented inside. 30% of those that are registered are GPs, view the delegates sample list inside. The Commissioning Show will run alongside: The Integrated Health Conference, The Residential Care and Home Care Shows which will attract over 2,000 senior social care leaders.

10. Delegates gain up to 30 CPD points from attending

To find out more about exhibiting and reaching this sought after audience please contact Lee Davies on: Tel: + 44 (0)207 348 5278 E: lee.davies@closerstillmedia.com

WHAT’S ON? Regional networking sessions

Technology Trail

Delegates will have the opportunity to network with other professionals of their locality and make connections of those they know and add wanted connections. Delegates will be able to book sessions through our Connect platform.

Networking timetable

Delivered in partnership with:

Time

Day 1

Day 2

10.00 - 11.00

South East Coast

South East Coast Repeat

11.00 - 12.00

London

Thames Valley

12.00 - 13.00

North East, north Cumbria, and Yorkshire & The Humber the Hambleton & Richmondshire districts of North Yorks

13.00 - 14.00

Greater Manchester, Lancashire and East Midlands south Cumbria

14.00 - 15.00

Cheshire & Mersey

Wessex

15.00-16.00

West Midlands

South West

16.00-17.00

East of England

London Repeat

Expanding your knowledge and contacts Delegates will have access to Health+Care conference streams and networking opportunities with thousands of social care and local authority professionals National Commissioning Board

CCGs

Providers Practice Managers GPs CSS

DOH

Public Health

Social Care Directors

Suppliers

Social Care Directors

Providers

Associations

Providers

Councillors Commissioners

Suppliers

Commissioners

House of the future Zone

Social Care Directors

sponsored by

G20

The artnerships Lounge

Crescendo Systems

Microtest

H10

MGP

Wiggly-Amps

NHS Information a The Centre for Health and Social Care

H11

G11 G15

I10

Air Products

TCI

RESIDENTIAL CARE

F11

CATERING

2 4

ini

ENTRANCE & REGISTRATION

Rad and Support 2

Hft

Home Care Seizing the Opportunity

Productivity Through Technology

avies – 0207 348 5278, lee.davies@closerstillmedia.com Interested in exhibiting? Stands are available for less than £1,716 with free additional promotional activity included for stands booked today Space: £409+VAT / m2 Shell: £429+VAT / m2 Call the team on +44 (0) 207348 5261 or reserve a stand by emailing lee.davies@closerstillmedia.com

HOME CARE

ENTRANCE & REGISTRATION

the best results out of it. If the private sector is involved you can be sure they will adequately resource their team and take it extremely seriously.

4. Understand your legal obligations in relation to public procurement generally and in particular the Patient Choice Regs. If the private sector is involved they will almost certainly know their rights and the obligations of commissioners. 5.

The pre-procurement planning phase is the most important part of the whole process. Get all your ducks in a row before you start and make sure you fully understand what you are going to market with. Consider also what impact the Public Services (Social Value) Act 2012 may impose at this stage in relation to how you procure and what you procure. All of this will make the process more straight forward and will make it easier to put the contract in place at the end.

Expect it to take some time and don’t get frustrated at the process.

Invest in a fully resourced team and pick the right people for the job. If it is a large procurement exercise commissioners will need to put the effort into getting

Understand whether the type of opportunity you are commissioning brings into play the requirements of the European procurement regime. This may require compliance with the requirements of the Public Contract Regulations 2006 as well and advice should be sought from procurement professionals as soon as possible.

6. Send out documents which are clear and can be understood both by you, but more importantly the potential providers. If your documents are not clear you may get poor responses or responses to something you didn’t want in the first place. You will certainly end up with a series of questions and requests for clarifications which could create unnecessary work and hold up the tender process.

Ensure you have an audit trail of what decisions have been taken, when and why. You must be able to answer why you are doing the procurement, what you want to get out of it and why you have made decisions about the people you shortlist or award the contract to.

8. Complaints about processes happen but don’t immediately give up if you receive a challenge at any point during the process. Don’t think you have done it all wrong and must start again. Prepare a proportionate response to issues raised. First ask - are the claims made against you true? - often you just need to have confidence in the process that you have gone through. However, if you have made a mistake don’t try and bury it under the carpet - try and address the problem at the time. 9. Fundamentally remember to treat everyone fairly. If you do bidders are much less likely to either wish to or indeed be able to bring a claim against you. Primarily, good public procurement is about open fair and transparent treatment in competition. 10. Book your place at Commissioning 2013 and learn more about the procurement process from the experts.

PETER WARE

Oliver Prichard

at ow CHARDg sh IT kin g PR ea nin ER sp io IV be ss OL l il mmi w Co e th

In the new NHS landscape, public procurement obligations are something that is going to be at the forefront of the minds of all NHS commissioners. In particular, there are lots of things that could trip commissioners up in the new NHS (Procurement, Patient Choice and Competition) (No. 2) Regulations 2013 (the ‘Patient Choice Regs’) which came into force on April 1. Here Peter Ware, partner and Head of the Government and Infrastructure Team at Browne Jacobson LLP, gives his top tips for avoiding some of the common pitfalls.

at ow g h in g s WARE ak in TER pe on PE e s ssi lb il mmi w Co e th

Ten top tips for stress-free procurement

Another legal expert from Browne and Jacobson -Oliver Pritchard, head of commercial health and a partner in the firm, will be joining a panel of experts for a Q&A session on everyday legal, HR and financial dilemmas faced by general practice. The 30 minute session is taking place in the ‘Your Practice: adapting to survive stream’ at 2pm on June13.

3million lives: enabling change to benefit patients Clinicians see telehealth and telecare like Marmite – they either love it or hate it, according to Angela Single, Chairperson for Industry in the UK’s 3 Million Lives Programme. But, she hastens to add, thanks to the 3million lives campaign many are gaining a better understanding of what can be achieved with the new technology. The Department of Health campaign was launched in 2012 to extend the reach of telehealth and telecare to improve the lives of people with

long term conditions and social care needs. The campaign was formed on the back of the publication in the BMJ of the findings of the Whole Systems Demonstrator (WSD) – the largest randomised control trial for telecare and telehealth in the world. This trial found that using telehealth reduces unplanned and emergency admissions, leads to fewer A&E attendances and reduces mortality. It also found no decrease in quality a life – a major worry for some prior to the WSD trial. However the researchers also said that the cost of

QALY (quality-adjusted life years) revealed by the WSD programme was an obstacle that needed to be overcome to ensure the positive benefits could be available to the people who could benefit from telehealth services. Ms Single, BT’s Global Clinical Director on Telehealth and Telecare, says the first year of the campaign has gone very well. Agreements have been reached to overcome barriers to adoption of telehealth and

‘The Art of the Possible - NHS IT’

Gary Shuckford, EMIS Director of Strategic Research Commissioning Show, 12 June at 11am Meet the team at stand F12

telecare and a model has been put together to show commissioners what they should be commissioning to maximise large scale adoption of the service. For commissioners who are concerned about the QALY issue raised by the BMJ paper Ms Single says they are moving away from the high priced technology used in the WSD model. Now the industry is looking at utilising nurses in monitoring centres and embedding this model in pathways which makes the technology more cost effective. They are also moving away from a capital model where customers have to buy the kit to a revenue pay-as-you go model which is a major change in the way telehealth or telecare could be provided. ‘As an industry we are tweaking the variables to make sure that quality of life and cost effectiveness are there and we have the ability to do that,’ says Ms Single. The working group has also been talking to the Department of Health about what a tariff should look like for different sectors such as acute or community care. In its second year the campaign is looking to extend the umbrella of telehealth and telecare to embrace new technologies such as mobile apps. ‘There are some really exciting new developments and the market is responding very quickly and is starting to grow. We have got some new entrants with small and medium businesses introducing innovation which is being fostered and encouraged by the Department of Health. We have also got the academic health networks coming on board and we are thinking about how we can work with them. ‘We are now working out how we can build on what we have achieved and extend this growth,’ says Ms Single.

Angela Single is chairing the Productivity Through Technology stream on June 12.

Can the NHS pull off this ‘massive gamble’?: Find out at Commissioning 2013 at ow YLORng sh NA ki g T ea nin sp o e ssi ROBER lb il mmi w Co e th

at ow h GE ing s PA ak ing e n BEN sp sio e s lb il mmi w Co e th

M at ow g h in s HASLAk ng D ea ni VI sp io DA be ss l il mmi w Co e th

lL at w ho ng s ki ng DORRE ea i HEN sp ion EP e ss ST l b il mmi w Co e th

Stephen Dorrell MP

v sion

Prof David Haslam

Ben Page

Robert Naylor

ADVERTORIAL

‘We will know by 2015 whether the public’s experiences mean the NHS has pulled off this massive gamble’, Ben Page, Chief Executive of Ipsos Mori was quoted as saying in a recent article. This will be one of the points he raises as part of a high profile three man panel from the world of health, politics and market research to go head to head in a keynote debate on whether CCGs will be able to survive without needing major reorganisation in three years’ time. Mr Page is a frequent writer and speaker on leadership and performance management and has directed hundreds of surveys examining service delivery, customer care and communications. Named one of the ‘100 most influential people in the public sector’ by the Guardian, and one of the 50 ‘most influential’ by both Local Government Chronicle and the Health Service Journal, he says he is absolutely committed to ensuring survey research makes a difference for decision makers. He will be joined on the panel by Professor David Haslam, Chair of the National Institute for Health and Care Excellence and Conservative MP Stephen Dorrell, Chair of the Health Select Committee. Professor Haslam has been Chair of NICE since April. A practising GP until 2011 he has held many top posts in the healthcare sector with the BMA, the Royal College of General Practitioners, the NHS Modernisation Board, the Academy of Medical Royal Colleges and with national medical education bodies. He has written 13 books and well over a thousand articles for the medical and lay press. Stephen Dorrell served as both a junior health minister and Health Secretary in the Thatcher government and has been Chair of the Health Select Committee since 2010.

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

One

- collaborating to achieve optimal

outcomes in smoking cessation

McNeil Products Ltd, makers of NICORETTE® (nicotine) – proud sponsors of the 2013 Commissioning Show

Visit stand H12 to see how v sion can help you achieve optimal outcomes in smoking cessation

VISION is the new innovative, cost model programme from McNeil Products Ltd. Smoking remains the UK’s biggest single preventable cause of disease and premature death.1 As well as the wider societal and financial benefits, tackling smoking is instrumental in meeting NHS Outcomes Framework domains on premature mortality and fulfilling new NICE guidance on tobacco harm reduction.2,3 Like you, McNeil Products Ltd is committed to facing this major healthcare challenge head on. Establishing high quality smoking cessation services that allow patients to access effective interventions that make every chance the best chance of quitting is vital to achieving optimal outcomes. However, determining and quantifying whether current local commissioning decisions offer the best value for the community can be challenging. To help you meet this challenge, the smoking cessation experts at McNeil Products Ltd, in collaboration with a team of public health experts and clinical stakeholders, have created VISION: The Value of Investing in Smoking cessation: Impact Outcome, Numbers. VISION is an evidence-based cost model programme that allows both CCGs to closely examine the local smoking cessation spend and ensure services and interventions are evidenced-based, cost-effective, tailored specifically to meet the needs of the local community and achieve targets. VISION provides real life, local data on healthcare and other costs burdens of smoking, allowing you to directly

quantify the value of smoking cessation interventions. Using VISION can help clinical commissioners of all levels assume an important stake in smoking cessation decisionmaking, whilst fulfilling key obligations to their patients, wider community and Health and Wellbeing Boards. “Ultimately, the onus lies with all commissioners to reduce the heavy burden of preventable mortality and harm that smoking carries, and in the current climate, we need to think smarter about allocating resources. That’s why we need to make sure smoking cessation services are high quality, evidence-based and deliver the best solutions for the most cost-effective spend. VISION is an important new tool that can help us recognise and respond to meet these local needs.” – Russ Moody, Senior Public Health Manager, Public Health Plymouth and Emma Croghan, Director, Public Health and Lifestyle Services, North 51 Ltd To find out more about how VISION can help improve your understanding and decision-making in the area of smoking cessation commissioning, book a demonstration meeting with a representative on Stand H12. To also hear first-hand exactly what VISION can do for you, please join us at the McNeil Products Ltd Master class, One VISION - collaborating to achieve optimal outcomes in smoking cessation on Wednesday, 12th June, 2013 as part of the Your Practice – Adapting to Survive work stream.

References: 1. Healthy Lives, Healthy People. A tobacco control plan for England. Department of Health, March 2011. 2. The NHS Outcomes Framework, 2013/2014. 3. Tobacco – harm reduction: draft guidance. National Institute for Health and Clinical Excellence (NICE), October 2012. Unique ID: UK/NI/13-1425a Date of preparation: April 2013 VisionModelAdvertorial repurposed 2 v0.3.indd 1

17/04/2013 16:15

CQC may introduce new layer of regulation for GPs The Care Quality Commission is considering appointing a chief inspector of primary care as part of a three year plan to radically change the way it inspects and regulates services. Proposals for this new layer of regulation for GPs were first announced by the Government in its response to the Francis Inquiry into the Mid Staffordshire NHS Foundation Trust scandal.

side of patients and people who use services. It has also promised to publish better information for the public, helping them to more easily find and understand its reports on care services. The new inspection regime will scrutinise the things that are most important to people such as: are services safe, effective, caring and well led, and do they respond to people’s needs?

failing trusts that makes sure immediate action is taken to protect people and deal with the failure. CQC Chief Executive David Behan said: ‘People have a right to expect safe, effective, compassionate, high quality care. CQC plays a vital role in making sure that care services meet those expectations.

The new strategy proposes that bigger, more expert inspection teams will spend longer in hospitals talking to people. They will also oversee performance ratings.

The strategy also says the CQC will use information and evidence more effectively to predict, identify and respond to services that are failing. This includes listening better to people’s views and experience of care and to care staff to hear about their concerns.

‘We recognise that quality care cannot be achieved by inspection and regulation alone – that lies with care professionals, clinical staff, providers and those who arrange and fund local services – but we will set a bar below which no provider must fall and a rating which will encourage and drive improvement.

The CQC says in future it will be’ firmly’ on the

The CQC says it will introduce a programme for

‘In developing our plans for the next three

Two other new chief inspectors of hospitals and social care are also being created.

years we have looked closely at what we do and listened to what others have told us, to make sure we focus on what matters to them. The plans also take account of Robert Francis’s report into the failings at Mid Staffordshire NHS Foundation Trust and the response by the Secretary of State for Health.’

Find out how to prepare for a CQC inspection in the Your Practice stream of Commissioning 2013 on June 12.

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

CCGs: The trials and tribulations of the first three weeks CONTINUED FROM PAGE 1 Mike Dixon, Interim President of NHS Clinical Commissioners and Chair of the NHS Alliance, says probably the biggest problem for both leaders and followers of the clinical commissioning reforms has been time. ‘The day is very packed in general practice - we have the equality framework, reaccreditation, appraisal on an annual basis, the Care Quality Commission coming to practices etc. So GPs and their managers have been very focused on the day job and just keeping the ‘I’s dotted and the ‘T’s crossed and the patients happy and well.’ Julie Wood. Commissioning and Development Director of NHS Clinical Commissioners, says: ‘A key thing on the minds of both clinical and managerial leads has been the need to develop a new relationship fairly early on with NHS England. This has been really important to ensure that they don’t inadvertently trip back into the old way of doing things – that is top down performance management. ‘The other worry has been around the transformational agenda – are they really able to able to get a handle on how they transform care locally for their population, on the QIPP challenges and the co-commissioning work. ‘CCGs have also been concerned to ensure that member practices feel part of the CCG. This new membership model is one of the unique features of CCGs and is something that leaders will want to get right.’ Whatever your trials and tribulations have been in the early days of commissioning come along to Commissioning 2013 and refresh your enthusiasm by talking to the experts, the commissioning leaders and the innovators and network with your colleagues. Commissioning 2013 will deliver a blend of practical advice, real solutions, facilitated learning and networking that clinicians and managers can take back to their day to day roles. Six streams cover a range of key interests and responsibilities.

New NICE guidance and standards will help commissioners to integrate health and social care

The aim of the new guidance and standards is to drive up the quality of social care and to bridge the gap between health and social care services. NICE has already published two quality standards for social care. One focuses on helping people with dementia to live well, while the other looks at improving the health and wellbeing of looked-after children and young people. Nine other topics are currently in the pipeline with the Department of Health consulting on further topics for consideration. Professor Gillian Leng, NICE’s Deputy Chief Executive and Director of Health and Social Care, said: ‘In our initial portfolio of topics some cover the transition from health to social care such as managing medicines in care homes, things that are at the interface of health and social care while others are more social care topics – we have one on domiciliary care for instance. Guidance provides evidence-based recommendations for practitioners and quality standards are more focused pieces of work providing around 6 to 10 concise statements which draw on NICE guidance and outline high-priority areas in need of improvement. ‘Ideally the quality standards recommendations should be measurable but we are aware that there isn’t an audit culture in social care in the way that there is in health. So we are looking to see how that might be developed in future and what are the things that commissioners might want to track - as part of the commissioning process - that could be routinely measured. ‘Quality standards are seen as being particularly useful to the commissioning process to give some clarity on what a good service might look like. We also hope they will be useful for the public and service users too. So if they are selecting what they want to spend their own money on they’ve got clarity from NICE on what a good service should look like and which services are good value for money,’ says Professor Leng. Sir Andrew Dillon, NICE Chief Executive, said: ‘April saw many changes to the way healthcare services are commissioned and how public health responsibilities are coordinated, but one of the constants throughout this period of transition is NICE. We will continue to deliver evidence-based guidance, standards and information as before but are pleased

to officially begin doing so for social care. We hope this will encourage better integration of health and social care services to deliver the best possible standard of care for people.’

Prof GILLIAN LENG

Novo Nordisk has been Changing Diabetes® through innovation, education and collaboration. The Novo Nordisk journey in diabetes began 90 years ago and since then, Novo Nordisk has been changing diabetes through innovation, education and collaboration. Innovation With more than 4,000 employees working in R&D worldwide, Novo Nordisk is committed to researching and developing new products and services for people living with diabetes.

Education Novo Nordisk puts people at the centre of all our activities. We are committed to improving the lives of people in all the areas in which we work through the products, services and other initiatives we have developed. We take an innovative approach by addressing the challenges of diabetes as a whole, partnering with healthcare professionals and patient organisations to offer direct support and education. In these ways, Novo Nordisk empowers people with diabetes to self-manage their condition effectively and to improve their long-term health.

Collaboration At Novo Nordisk, we build collaborations to bring greater awareness about diabetes, and to ensure people with diabetes receive the care they deserve. We work as a partner, facilitator and knowledge resource for healthcare professionals, policy-makers and patient organisations to create an environment in which people living with diabetes get the support they need to achieve positive health outcomes.

Our ‘Triple Bottom Line’ business principle is to maintain an equal balance between financial, social and environmental considerations so as to optimise our performance while enhancing the value Novo Nordisk contributes to the communities in which we work. This approach provides a firm foundation for our commitment to sustainable long-term growth.

UK Public Affairs UK/CC/0413/0037 Date of preparation: April 2013

Changing Diabetes® and the Apis bull logo are registered trademarks of Novo Nordisk A/S

The newly rebranded and renamed National Institute for Health and Care Excellence (NICE) has begun publishing social care guidance and quality standards as part of its increased role and responsibilities introduced by the Health and Social Care Act.

P th w ROF i e C ll G o be ILL mmi s IAN p ss ea LEN io ki ni ng G ng a sh t o w

Integration without boundaries at ow g h in g s PARSLOW ak in pe n YNEe s sio WA l b s il mmi w Co e th

Wayne Parslow

Integration has become a buzz-word in healthcare, with the holy grail being that care is joined-up and provided to patients across both care and geographical boundaries. Wayne Parslow,VP EMEA for Harris Healthcare EMEA who will be speaking at the Commissioning Show asks whether we have lost sight of what true integration could look like and how it can be achieved. The term ‘integration’ is frequently described as ‘removing the invisible divide that has for many years sat between primary, secondary and community care’. Already we are looking at how integration has the potential to redesign care around the needs of patients rather than NHS structures to provide more joined-up, patient-centred and value-based care. There are limited, but great examples of NHS commissioners and local authorities developing shared plans and budgets and of different sectors collaborating with providers to design coherent, reliable and efficient care pathways. But in order to realise the vision of true integration, healthcare professionals need modern information systems that provide better access to relevant patient information at the point of care, enabling the

provision of the best possible care regardless of the setting. Shifting paper and behaviour There is a growing acceptance that if a new type of National Health and Social Care Service is to emerge, it can no longer do so on paper. Information will need to be in more than one place at one time, for example, if a clinician needs to access it during an outpatient clinic it may well need to be accessible by a community nurse that evening to support that patient at home.

This architecture enables IT environments to respond easily to changing requirements, as well as providing flexibility, re-usability, interoperability, scalability and speed. The other key benefit of SOA is that it paves the way for interagency PROCESS integration rather than just the distribution of shared data. A SOA is a collection of many pluggable services presented in a way that allows clinicians to quickly accomplish tasks with complete information about the patient and condition.

Yet, past experience has shown that whether it is time constraints or a lack of willingness to adapt to new technology, many clinicians simply do not want to move away from their disparate clinical systems, in which a typical hospital there can be up to 200.

It seems that there is very little use or even understanding of SOA within the NHS and that we appear to trust replication. However, some of the more ambitious and thought-leading trusts are gradually seeing its validity and are beginning to take it seriously as a way forward.

It’s also apparent that few seem willing to give-up the “best of breed” philosophy that underpins their IT strategy. The scepticism around single supplier electronic patient records (EPR) certainly has some validity - by implementing a single EPR there is a risk that ‘digital islands’ may be created whereby all data is ‘held’ in one single inflexible system.

Primary, secondary and far beyond While we’re grappling with integration across primary and secondary care, surely there is a much bigger picture that presents us with an opportunity to reach far beyond that. In Scotland, for example, health boards and local authorities are working together to share information in what is now termed as ‘interagency’.

This reluctance can only really be addressed by meeting end users half way and by providing web-based applications that ‘talk to’ all the various systems they currently use, whilst presenting the information to the caregiver on a single screen, whether that be a PC a tablet or a mobile phone. Learning from the masters There are many who believe that the NHS could learn from the US Department of Veteran’s Affairs who have long been evolving a Services Oriented Architecture (SOA) to provide integration and interoperability. Unlike mass replication of data across multiple and separated repositories using HL7 messaging, SOA is an architectural style that links together reusable services that are integrated across the healthcare community to connect clinicians, patients and key partners to systems, services and each other.

Already they are working together to allow social care workers to view patient information drawn from clinical systems that is relevant to their cohort and role. This ensures that a social worker knows everything they need to provide safe and correct advice, medication, treatment and care. Role-based access to systems also means that the access is tightly related to the healthcare workers role so that confidentiality is not compromised in anyway. Furthermore, they are working collaboratively to better empower patients by providing them with access to their own record. But why stop there? Surely we should be looking at how we can join-up the whole care continuum from primary, secondary, ambulatory, community and social care through to end of life care, and even prisons, to deliver real benefits.

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Stumbling blocks Of course, it’s not always as simple as joining up the relevant IT systems and providing the right access to the right people. Once the cultural barriers of introducing IT to clinicians are overcome, the right infrastructure needs to be in place to support integration. Without this the buy-in from the end users will be lost almost instantly. On top of that different organisations and the suppliers that hold the data relating to the patients, need to make it securely available to others. Currently there are huge variations across the UK in the willingness to share data, but those providers who are too reluctant to do so may fall behind in their ability to ensure the NHS can deliver seamless, coordinated care. Dates, penalties and deadlines At the beginning of the year, health secretary Jeremy Hunt said that patients would have access to their GP records by 2015 and that the NHS should be ‘paperless’ by 2018. More recently Dame Fiona Caldicott, who led the review on confidentiality in the NHS, said there’s “a lot of work to do in terms of IT in order to achieve integrated care.” She added that it should be considered whether penalties are applied to organisations to ensure that they meet a “duty to share” information where it is believed to be in the patient’s interest. This could well accelerate innovations around integration. But are penalties and deadlines the right way to go? The answer is probably not as they tend to manifest themselves as “carrot and stick” management. While they will certainly help to remind the NHS of the desperate need to move into the 21st century, the real way to convince end users is to share technological best practice and examples of where integration is working well.

One day at The Commissioning Show will not be enough! So we have secured delegates preferential rates on a range of hotels If you’re looking for accommodation in London for your stay at The Commissioning Show, our accommodation partner Event Express can help you. There are also great value options for NAPC members. Visit www.commissioningshow.co.uk to find out more.

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

A number of speakers and speaker stream chairs at Commissioning 2013 are leading members of NHS Clinical Commissioners (NHSCC), a new membership service that has been set up to give clinical commissioners an independent collective voice.

NHSCC has been set up by a coalition of the NHS Alliance and the National Association of Primary Care in partnership with the NHS Confederation. It offers: >> practical support that enables

transformational commissioning at a local level, and helps CCGs improve and develop

>> collective representation and advocacy that

gives clinical commissioners a strong and effective voice in national policy-making and public debate >> opportunities to influence, learn from

and develop shared solutions to complex healthcare challenges with colleagues from other CCGs, and across the whole of the healthcare industry. The founders of NHSCC, along with the NHS Confederation, have championed clinical commissioning from the very start. All three organisations are active members of the most influential groups and committees that have been working with the Government to shape

the future of the NHS over the past two years.

Dr Amanda Doyle, Clinical Officer for Blackpool CCG, who was recently elected Co-Chair of the organisation’s Leadership Group with Dr Steve Kell, Chair of Bassetlaw CCG, says: ‘As CCGs take up their full statutory responsibilities it is essential that we are able to provide a collective independent voice for our peers. NHS Clinical Commissioners enables CCGs to come together to share experience and expertise; and provide information, support, tools and resources to help CCGs do their job better. It also gives us a strong, influencing voice from the frontline to the wider NHS, national bodies, government, parliament and the media.’

Commissioning Changes to the NHS Health Check

During the recent NHS Health Check Learning Network, Public Health England announced a set of central concerns for those commissioning the programme. Above all, there is the recognition that the key to making every contact count lies in ensuring that the checks are entirely patientfocused. However, when many of the most vulnerable don’t attend GP practices, making initial contact with the hard-to-reach can often prove to be the first challenge. Accessing these vulnerable groups is increasingly becoming the task of out-reach health improvement teams. At the same time, the transferral of data seamlessly back into GP clinical systems becomes essential to guaranteeing that every health check conducted in the community is appropriately recorded and followed-up. Health Diagnostics, who are exhibiting on stand I26 at the Commissioning Show as well as hosting the NHS Health Check Forum during the event, have supplied an integrated end-to-end solution to a number of areas across the country. An established system for electronically transferring patient data into any GP practice system, as well intuitive software and systems that are helping willing providers and GP practitioners engage patients, are but two of the innovative features that Health Diagnostics are implementing with NHS partners.

Dr Amanda Doyle

Panasonic CardioHealth Station

Research predicting wide-spread ill health as a result of preventable diseases has been hard to avoid in recent months. With the UK economy set to have to accommodate for an extra 11 million obese adults by 2030, a central question public health is asking itself is, ‘how can we meaningfully intervene now and prevent this predicted burden from overwhelming the NHS?’ The response by government has been to implement the national programme of NHS Health Checks. Whilst these have been predominantly delivered through GP practices to date, public health is taking meaningful steps towards commissioning new and innovative delivery methods across local services.

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NHS Clinical Commissioners: the independent voice of CCGs

monstration For a live de s at please visit u Stand G28

Optimising cardiovascular risk management within your practice The Panasonic CardioHealth Station is designed with primary care in mind, assisting the optimisation of cardiovascular risk management by combining Traditional Risk Factors (TRF’s) with imaging of sub clinical atherosclerosis.

The CardioHealth Station features a fully automated, real-time carotid IMT measurement made possible by Panasonic’s unique auto region of interest, auto-freeze function, and transducer angle display feature

Enhances the patient experience and provides a more detailed risk assessment for patients

Simple to use, intuitive touch screen and automated features means minimal operator training is required

Adds another dimension to health screening by allowing visualisation of vascular age compared to actual age

Comprehensive patient report produced in less than 5 minutes, containing easy to understand indications of cardiovascular risk

Can encourage patient adherence to medication regimes and healthier lifestyle choices

UK Office 9 The Office Village North Road, Loughborough Leicestershire LE11 1QJ United Kingdom

Tel. +44 (0)1509 265265 Fax. +44 (0)1509 269770 biomedical.uk@eu.panasonic.com www.panasonic-healthcare.eu

Exhibitor profiles Bobath Centre for Children with Cerebral Palsy The Bobath Centre for Children with Cerebral Palsy provides specialist physiotherapy, occupational and speech & language therapy for children with the condition, tailored to their individual needs. We involve and advise parents in treatment so that therapy becomes part of a child’s daily routine. We also provide training in the treatment and management of cerebral palsy for therapists and other health professionals working with children, to improve their skills. Bobath therapy takes an holistic approach to assessment and treatment, considering intellectual, emotional and social development as well as a child’s physical needs. Originally developed in the 1940s, the Bobath Concept is now internationally recognised as one of the leading approaches in the treatment of cerebral palsy. This is reflected in our 95% improvement rates in patient outcome measures and in the 100% satisfaction rates reported by families visiting for therapy. Come and visit us on Stand F23. website www.bobath.org.uk

British Heart Foundation In response to the NSF for coronary heart disease recommendation that arrhythmia patients should have access to a named Arrhythmia Care Co-ordinator (ACC). The British Heart Foundation’s external evaluation by the University of York showed the benefits of such posts to include: >> Money saving: The NHS saves £29,357 per year over and above the costs of employing an ACC, by avoiding readmissions due to the ACC service >> Efficiency: nurse led rapid access arrhythmia clinics and pre and post procedure clinics have led to freeing up valuable consultants’, registrars’ and GPs’ time >> Preventing illness: ACCs diagnose atrial fibrillation (AF) in people previously unaware they had the condition, and so reduce numbers who may go on to suffer and die from a stroke >> Management of a cardioversion service: ACCs manage a caseload of cardioversion patients, undertaking pre and post procedure clinics and patient assessments >> Advice on ICDs: ACCs provide education and support to patients with implantable cardioverter defibrillators (ICDs) >> Joined-up patient care: ACCs are key to ensuring a co-ordinated approach to patient care and act as a specialist resource for GPs, other HCPs, patients and carers >> Less patient anxiety: ACCs with specialist knowledge and communication skills are well places to reduce patients’ and carers’ anxieties >> Patient education: Helping patients to manage their condition and navigate services more effectively >> Supporting patients and carers: telephone support from ACCS very reassuring and this can contribute to early intervention

BUPA There’s no question that 2013 will see continued pressure on both NHS and private healthcare providers to find innovative ways to combat the rising cost of healthcare and improve the patient experience. Increasing the scale of out-of hospital care has already been widely acknowledged as a means of making up to £1.7 billion in savings for the NHS, as well as improving patient choice and patient experience. It can be part of the solution to the increasing demands that come with an ageing population and a way to truly put the patient at the centre of care delivery. Bupa is developing a series of innovative, integrated care models to help the health sector to reduce hospital admissions and delayed discharge aswell as support long term conditions. We, provide care for people with complex or continuing care needs in a variety of out of hospital settings, including their own homes and care homes.

To find out more please visit the Bupa session, ‘How out of hospital care can help you meet the QIPP agenda’ at 12.30pm on 12th June in the CCG Business Stream or visit bupa.com

Clinical Practice Research Datalink How CPRD is unlocking the potential of patient data for research The new Clinical Practice Research Datalink (CPRD) is set to revolutionise medical research in this country by giving the research community access to anonymised healthcare data. Launched in 2012, CPRD aims to maximise the use of anonymised NHS data for observational and interventional research. For the first time, CPRD will link datasets from primary and secondary care and national data registries offering research opportunities on an unprecedented scale. A major advantage is the level of access to health datasets. The NHS holds cradle-to-grave data on England’s 52 million population. No other country in the world has this size of population together with the capabilities, data quality and other benefits accruing from the NHS to make such research possible. Dr. John Parkinson, CPRD Director said “Having access to data on a very large population is vital as it enables research into rare diseases and rare outcomes. CPRD will enable research into almost any condition, identify more effective treatments and improve drug safety. We are delighted to make this unique national resource available to researchers under the CPRD governance system. Security of patient data is our top priority. We are also working with many groups both inside and outside the NHS including medical research charities to better articulate the benefits of using patient data for research and the safeguards we have in place.”

care and save money. EMIS Web, our leading clinical system, allows a wide range of healthcare professionals to view and contribute to a patient’s cradle to grave healthcare record, delivering integrated healthcare services. Used by 195 clinical services throughout the UK, EMIS Web customers benefit from our knowledgeable support, clinical research projects and free online patient advice through Patient.co.uk. Continually at the forefront of IT healthcare innovation with products such as EMIS Mobile, EMIS aims to continue to improve the quality of patient care and help the NHS achieve efficiency savings. At the 2013 Commissioning Show EMIS Director of Strategic Research and member of Intellect’s Health and Social Care Council, Gary Shuckford, will be hosting a seminar looking at the practical and proven examples of how the innovative use of IT and patients’ clinical data can really make a difference.

This debate chaired by Alastair McLellan, Editor of the Health Service Journal, will see senior representatives from the NHS and pharmaceutical industry discuss how local variations and patient outcomes in asthma can be improved within the new commissioning arrangements. Asthma provides a case study which in many ways encapsulates the core issues of the modernisation agenda. A chronic condition, which is often poorly controlled, and which can result in unnecessary hospitalisation. Delivering better care and achieving benefits for patients and commissioners involves negotiating guidance, targets and recommendations, in addition to longstanding imperatives such as QIPP. The debate asks how can this be achieved within the new system – and what is the evidence we can use to achieve success? A lively, interactive session will explore the challenges and offer practical thoughts on where help can be found. Key learning points will include:

The session will consider:

>> How evidence-based commissioning can deliver improved patient outcomes

>> mobilising clinical data - a ‘connect-all’ approach to securely sharing information across disparate systems and services

>> How to meet the priorities for improving asthma services at a national and local level

>> making the ‘Paperless NHS’ a reality >> improving patient health and wellbeing through online services and apps and the future of a ‘selfserve’ model of care >> the power of ‘big data’ >> the importance of commissioning in putting these into practice. Join him and other leading healthcare professionals at the seminar to learn more or visit us at the EMIS stand E12 in the exhibition hall to discuss the challenges you face. www.emis-online.com

Gingernut Creative

>> How to negotiate NHS barriers to innovation >> How improved use of data and evidence can deliver high quality care as well as cost savings >> How can industry add value beyond innovative medicines

NHS Anglia Commissioning Support Unit NHS Anglia Commissioning Support Unit works in partnership with Clinical Commissioning Groups and other organisations to achieve the best possible care outcomes for local populations through expert commissioning support. Our vision is to be the strategic partner of choice for commissioners of health and social care. We provide services in three domains:

Introducing… The World of Bright Ideas

The DBG Calibration and Repairs We’ve built our company on providing a reliable and efficient calibration and testing service. Our nationwide network of engineers can visit your site to test and calibrate your medical equipment to the highest standards, allowing you to claim 3 QOF points 3 QOF points as per the nGMS contract management point 7. We also have a workshop where we repair small medical equipment. Price Match Promise TAG operates to ISO9001 standards and our equipment is UKAS accredited. Additionally, TAG are Safe Contractor approved; the only company in our field currently accredited to this standard. If you can find another provider with the same pedigree who offers you a lower price, call us. We’re committed to maintaining competitive pricing, and we’ll match or beat any other like for like quote! Interactive CQC Workshop All TAG Medical customers will now receive dbg membership which gives you access to our free online Compliance Software and member’s prices on our range of essential training courses. One of our most popular courses, tried and tested by healthcare professionals, is our CQC Interactive Workshop. It prepares your staff for a CQC inspection by providing information, guidance and an open forum for questions. We aim to build the confidence and knowledge of all your staff in preparation, so nobody is unsettled during the inspection. Call us on 0845 070 7800, email info@tagmedical.co.uk, or visit our stand number F33

EMIS Healthcare without boundaries EMIS provides market-leading clinical systems to over 5,300 GP practices and community healthcare organisations across the UK, helping improve patient

We’re Gingernut Creative - an award-winning design and creative agency with real expertise in delivering effective and imaginative healthcare campaigns. Over the last 10 years, we’ve produced a wealth of powerful material for over 100 NHS organisations - from posters and leaflets, to websites and videos, to radio ads and outdoor media. Our work doesn’t start with our designs. We research your target audiences to find messages that work best and review the evidence after a campaign has concluded, so you’ll know how effective it’s been. And while we’ve won awards for our creativity, we’re most proud we were rated in the Top 4 for client satisfaction in a national survey this year. We’d love to meet you at Commissioning to discuss how we can help you, or get in touch anytime via www.gingernut-creative.com or call 0121 779 1999. Source: The Drum Design 100

>> 1Clinical Transformation and Quality (pathway redesign, quality audits, children’s and mental health commissioning and contracting, referral management and clinical thresholds >> Service Assurance and Contracting (including contract management, continuing healthcare, personal budgets) >> Commercial Services (including clinical procurement, finance support, business intelligence, benchmarking and other services such as HR and communications) For further information about how we can help your organisation or if you are interested in a specific service, we would be delighted to hear from you. Caroline Mitchell, Managing Director NHS Anglia Commissioning Support Unit Lakeside 400 , Old Chapel Way , Norwich NR7 0WG Tel: 07766 180 848, Email: caroline.mitchell12@nhs.net Philip Webb, Business Development Manager NHS Anglia Commissioning Support Unit Lakeside 400 , Old Chapel Way , Norwich NR7 0WG Tel: 01603 257131 , Email: philipwebb@nhs.net www.angliacsu.nhs.uk

Marie Stopes International Marie Stopes International is the UK’s leading provider of sexual and reproductive healthcare services. Marie Stopes International is a registered charity. We help support our vital sexual and reproductive healthcare programmes in some of the world’s poorest regions. 24 hour advice & aftercare on 0845 300 80 90 www.mariestopes.org.uk

Napp Pharmaceuticals Limited Addressing the asthma challenge in the new commissioning environment Panel debate, 10.30-11.30, 13 June 2013, organised by Napp Pharmaceuticals Limited.

NHS England e-Referral Service NHS England will be launching the vision, roadmap and opening the consultation for service design for the new NHS e-Referral Service. NHS England are committed to making all NHS referrals paperless by 2015 and to support this work they require the input of GPs, commissioners, provider services and much more to help them develop the vision into a reality. The NHS e-Referral Service will build upon the existing Choose and Book service through listening to the feedback and input from the NHS. Delegates are invited to visit stand JJ20 to take part in the consultation, which will help to shape the future of the NHS e-Referral Service. Development of new functionalities will also be unveiled as well as a newly developed delivery roadmap.

The NHS e-Referrals Service will be designed in conjunction with clinicians and users. We hope this will help embed the new service across the NHS which will contribute towards plans for a paperless NHS by 2018 and 100% of referrals being done electronically by 2015.

North and East London Commissioning Support Unit The North and East London Commissioning Support Unit is a leading provider of services, solutions and trusted advice to the NHS and local authorities. Our professional teams deliver expert advice and support across all areas of commissioning, including needs assessment, contracting, monitoring, business intelligence and informatics. We also provide corporate and support services such as IT, communications, HR and information governance. We know the health economy and have developed new business intelligence products, such as supporting our CCG customers through their QIPP plan review, helping them to identify additional areas for savings and quality. The NEL CSU has also designed a new GP IT service, and our claims validation service has helped our customers identify over £10million of savings. We can provide a comprehensive or tailored service to ensure customer services is at the heart of everything we do. For information about us go to www.nelondoncsu.nhs.uk

Pulse Informatics CCGs can boost efficiency savings through AIV Acute Invoice Validation (AIV) is the process by which CCGs verify provider activity and generate savings. It is recognised as a key intelligence requirement by NHS England. Pulse Informatics are AIV experts who work in partnership with CCGs & CSUs to help them meet efficiency targets. In this changing landscape, CCGs need to better

understand acute services, identify cost pressures and benchmark providers. Pulse Informatics’ piHealth product provides a competitively priced solution for CCGs. piHealth takes AIV one step further by providing a collaborative platform for GPs, CSUs and Providers. This web-based platform facilitates patient-level dialogue between relevant parties and makes it easier to track acute activity challenges, close the loop and realise bottom-line savings. piHealth helped NHS Luton double their savings and better utilise resources. To find out how we can help you, email info@pulseinformatics.co.uk or visit www.pulseinformatics.co.uk

QC Supplies

the efficiency of care is improved and significant cost savings are made whilst ensuring the most recent NICE guidelines and Quality Standards are followed. There are now numerous examples demonstrating successful service improvement for both DVT and Heart Failure pathways and illustrating positive financial outcomes. On Thursday 13th June at 11am the Long Term Conditions work stream will be hosting a presentation by Dr Umesh Roy on the successful implementation of a DVT service in Leicestershire. In addition to the positive outcomes of the service, Dr Roy will present on the practical aspects of their service improvement including the challenges, pitfalls and how they overcame them. This session promises to be entertaining, engaging and above all useful for all who have a role to play in the commissioning and improvement of NHS services.

Roche Practical examples for Improving the Efficiency of Care whilst Cost Saving. Improving services for the assessment of DVT (Deep Vein Thrombosis) and Heart Failure in primary care has enabled localities to reserve hospital referral for patients who really need it. By avoiding unnecessary referrals

By monitoring changes in body composition, the healthcare professional is able to personalise treatment based on ‘real’ results such as fat loss or increasing lean muscle even when weight or BMI has not changed. Tanita BIA is proven to be the most accurate and is supported by independent clinical validation. For more information visit www.tanita.eu or contact us info@tanita.eu.

Voice Connect Voice Connect have developed a range of solutions to help practices save time and money. Working in partnership with EMIS, INPS, SystmOne, FrontDesk and Microtest, the systems are fully accredited and in use throughout the UK.

School of Health Sciences, City University London

QC Supplies are a national supplier of Print Consumables, Printers, Storage Media and Small Office Machines. Now in our 20th year of supplying the public sector, we have a dedicated Health Team with a wealth of knowledge and expertise to understand your organisations requirements and the need to provide more costefficient, high service solutions in the current climates of change and budget constraints. With these factors in mind, the team are here to serve you in a transparent manner and use our longstanding partnerships with manufacturers on your behalf to provide you, and your customers with the most up to date, fit for purpose technology, that delivers real savings through genuine solutions and the total cost of ownership. QC and the team enjoy working within the health sector and we look forward to seeing you at the show”.

water and much more.

The School of Health Sciences at City University London is a leader in the field of healthcare education and health policy due to our interdisciplinary approach and world class research. We offer a range of Undergraduate, Postgraduate and Continuing Professional Development courses in: Health Management, Policy and Research; Human Communication; Midwifery; Nursing; Optometry; Public Health; Radiography; and Speech and Language Therapy.

Patient Partner has become an essential part of a practice’s access strategy and is being continually developed to offer even greater service and support to hardworking reception teams. Coupled with our unique set of messaging and reception solutions, Voice Connect are proud to say we offer the most complete service for GP practices Our Product range includes >> Patient Partner - 24/7 automated telephone booking. >> Medical Messenger - Enhanced texting services including confirmation and reminders.

Tanita Europe

>> VC SmartMail – GP specific letter mailing services.

TANITA is a global leader in precision weighing and body composition analysis. With a wide range of home use and professional weighing scales, pediatric scales, accelerometers and Body Composition Analysers. TANITA BIA Body Composition Analysers are essential tools for assessing and monitoring patients undergoing any weight management program or assessment. Within seconds, our Analysers provide accurate weight measurements together with personalised readings including body fat, lean muscle mass, visceral fat, hydration levels, Basal Metabolic Rate, intra/extracellular

>> Patient Echo – Integrated call recording for practices. >> Patient Point – Touch screen services. >> Telecarer – Telehealth solutions. >> VC LoneWorker – Staff lone working solutions. >> Telephone repeat prescription ordering. >> Smart Clinic – sexual health triaging system.

Connect with delegates at Commissioning The Connect platform is a unique way for you to get the most out of your time at The Commissioning Show There is so much going on at the show that we designed Connect as a tool for planning your day. You will be able to create your own bespoke programme of seminars and workshops, combined with any expert surgeries and one-to-one meetings you would like to attend. You can also arrange your own meetings and roundtable session and use Connect to identify other delegates who may be interested in attending or may have experience to share.

Here are just some of the things you can do within Connect:  Plan the seminars you would like to attend  Connect with other delegates with beneficial expertise and experience  View the open roundtables you can attend or set up your own  Post your expertise profile so other delegates can find you  View content from the 2012 Commissioning events

Find out more at www.commissioningshow.co.uk

Delegate passes are £399. Register at www.healthpluscare.co.uk/cc or contact the delegate team on training@closerstillmedia.com or 0207 348 4906 to find out about the commercial delegate pass offer.

Using data to deliver better care EMIS – a leading provider of clinical healthcare systems – explains how CCGs can use data to deliver change within the NHS. Data on its own is of very little use. For GPs and CCGs to act on it, it must be translated into knowledge and integrated into clinical workflows if it is to initiate real change. A great example of how data can be integrated into clinical workflows is the algorithm embedded in EMIS systems which enables clinicians to identify patients with undiagnosed medical conditions. A tool for change QDiabetes, one of the risk calculators available in EMIS Web, was developed by doctors and academics working across the UK and uses

Can CCGs solve the urgent and emergency care crisis?

routinely collected data from thousands of GPs who freely contribute data for medical research. Falkland Surgery in Berkshire, a 14,500-patient GP practice, is already using QDiabetes to put data extraction to use and is experiencing real benefits. The stratified risk predictor is set within the Falkland Surgery’s EMIS system to alert them to patients with a one-in-five risk of developing diabetes in the next ten years. The surgery used the calculator to highlight their at-risk patients and used different types of preventative care to compare which strategy was the most effective. Measurable results QDiabetes identified 52 patients who the GPs contacted to put in place healthy eating and

Using data to deliver better care

A Commissioning Show debate about how to solve the extreme pressure on urgent ( urgently – delete) and emergency care, chaired by Alistair McLellan, Editor of the Health Service Journal, is set to stir some interesting arguments. Dr James Kingsland, National Lead for the NHS Clinical Commissioning Community, will argue that CCGs are key to solving this crisis. He will go head to head with Professor Timothy Evans, Lead Fellow of the Royal College of Physicians for the Future Hospital Commission, who will argue that this innovative project, which is reviewing all aspects of the design and delivery of inpatient hospital care, will provide some of the solutions. Dr Kingsland will claim that improving the capacity and capability of the primary care system is needed and that patients need better access to co-located services within the community in order to provide truly integrated care out of hospital. He says: ‘We need to be careful about deciding how and what to fix. The management of urgent care need won’t be improved by focusing on hospital activity alone. ‘The Mandate details that patients will have direct access to GP appointments by 2015, so they can book appointments online. The development from this will be for A&E to have direct access as well. The goal has to be that by the time general practice closes most patients have been dealt with and had finished episodes of care so that in the evenings after surgery is closed, no-one is phoning out of hours because they have been denied access during the day.’ Professor Evans will say that it is increasingly clear that the organisation of hospital care must be radically reviewed if the health service is to meet the challenge of rising acute admissions, an ageing population and an increasing number of patients with complex, multiple conditions. Hospitals also need to continue to adapt in order to take advantage of new technologies, drugs and innovations, cope with pressures on budgets and staffing and respond to the changes introduced by the Health and Social Care Act 2012. Meanwhile Health Secretary Jeremy Hunt has blamed the ‘disastrous’ changes to GPs’ working hours almost a decade ago under Labour for their failure to provide proper out of ours care and has suggested those changes should be reversed. But shadow health secretary, Andy Burnham, claims more people are going to A&E because the Coalition Government has closed NHS walkin centres, broken up a successful NHS Direct service and cut social care funding.

Dr James Kingsland will be speaking at The Commissioning Show

exercise regimes, encouraging these patients to lose weight and increase activity to help prevent their predicted diabetes. The initial outcome showed positive and measurable results after 10 weeks with patients benefiting from weight loss, reduced waist circumference and psychological improvements. the initiative is to be rolled out across 12 other practices with a total of 100,000 patients Although not statistically measurable, by using the data to provide preventative measures for this disease, the results were significant enough for the initiative to be rolled out across 12 other

practices with a total of 100,000 patients in the locality. Stratified risk calculators, like QDiabetes, are just one way GPs can benefit from the launch of the GP Extraction Service, set to be launched in April this year, but only if the data collected is put to good use. As the alerts are integrated into the EMIS Web system, they become a seamless part of the way the GP does his or her job and helps them to effect change. For more information about how CCGs can use data to deliver change, visit www.emis-online.com.