Commissioning by Commissioning Show 2012

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Issue 6

www.commissioningshow.co.uk

“This is a real opportunity to liberate the NHS and give it clinical leadership”

STOP Keynote PRESS speakers confirmed

Prof Malcolm Grant, NHS COMMISSIONING BOARD Chair

The Commissioning Event: Where the biggest names choose to speak! Commissioning is your only opportunity to hear from the most influential people in the sector in one place.

From his provost’s office at prestigious UCL, the chair of the NHS Commissioning Board speaks candidly to The Commissioning Show

Keynote speakers at the largest national event for clinical commissioning include:

g w lm kin ho co ea s al sp ing . M l be ion l s PROF wi s t an ommi Gr e C th

With less than a month to go until the NHS Commissioning Board (NHS CB) takes up its full statutory duties, the new body’s Chair Professor Malcolm Grant says he is full of optimism that they will be able to achieve their mandate of improving the nation’s health. But he admits that the challenge ahead is daunting. ‘The sheer scale of what we are doing is breathtaking,’ he says. The way the NHS CB has been set up by the Health and Social Care Act, he believes, will give them a real chance to fundamentally reform commissioning in the NHS.

Since December the NHS CB has authorised 163 clinical commissioning groups (CCGs) and the remaining 48 will be approved this month. Some CCGs have been authorised with conditions but Professor Grant says many of these are bureaucratic issues requiring only

Rt Hon Paul Burstow MP

Rt Hon Stephen Dorrell MP

10 THINGS TO BE DONE AS SOON AS YOU GAIN POWER ON APRIL 1

the support you need: ‘While CCGs will be 1 Identify at different places on their journey and will have

different development needs it is for the CCG to identify the support they need to rectify any concerns identified,’ Michael Dixon, President, NHS Clinical Commissioners (NHSCC).

about the true state of the finances your CCG 2 Behasclear inherited: Michael Dixon. good practice: ‘While there will be many 3 Share challenges ahead by sharing best practice, working

Prof. MALCOLM GRANT paperwork to be signed off. Only a handful will have more onerous conditions by April 1 and will require a greater involvement of the Board in their early days. The entire NHS budget of £95.6 billion for 2013/14 transfers to the board on April 1 and CCGS will be responsible for spending £65 billion of this sum. With such a significant sum of public money going to new organisations Professor Grant says there is an element of risk.

Thanks to our partners & sponsors Sponsored by:

Rt Hon Andy Burnham MP

View the programme and keynotes inside

For a start instituting the NHS CB as a separate body at arm’s length from the Government is novel and will free the NHS from direct political interference by the Health Secretary. Gone is the target-driven top-down approach. Now they will have a period of stability to commission services against high level outcomes. As Chair, Professor Grant provides strategic leadership and his role is to ensure proper governance for the Board. He is also the President and Provost of University College London. He is a qualified barrister and academic lawyer with wide experience of public service, including roles in the Local Government Commission, Higher Education Funding Council for England and as a UK Business Ambassador.

Rt Hon Norman Lamb MP

But he considers that commissioners are already rising to the challenge and he anticipates there is going to be quite a lot of experimentation in different ways of working. ‘Already a number of GPs have relayed back to us their real delight for the first time at being able to grapple with some of the issues they have been frustrated about for years. I really believe that the leadership of CCGs are up for change and innovation.’

CONTINUED ON PAGE 2

together and driving forward change, CCGs with NHSCC should be well placed to transform and modernise patient care,’ Michael Dixon.

the Francis report and identify what it means 4 Read for your CCG: NHS Commissioning Board (NHSCB) Chief Executive, Sir David Nicholson.

5 the NHS CB’s CCG Development Working Group: 6 Join Dame Barbara Hakin. ‘It is inevitable that the resources at our 7 Prioritise: command will not fund all we aspire to. This means Plan your development goals: Dame Barbara Hakin, National Director for Commissioning.

that some things will not get done. Challenging yes, impossible to manage, no,’ Charles Alessi, Chair NHSCC.

with your members: ‘CCGs are membership 8 Engage organisations and the unit of currency is the general In association with:

Media partner:

practice. Thus it is essential that the CCGs reflect the wishes and aspirations of the practices,’ Charles Alessi.

for NHS trust reconfiguration: ‘The new world 9 Prepare is a very different one in that CCGs have a duty to Digital media partner:

manage the sources they have been entrusted with for the benefit of their populations,’ Charles Alessi.

your ticket for the Commissioning Show where 10 Book you will be able to hear talks by key commissioning leaders and network with and gain inspiration from your colleagues.

Commissioning Newspaper_Feb 13_12.indd 1

04/03/2013 16:58

MEET THE TEAM Unit 17, Exhibition House, Addison Bridge Place, London W14 8XP. Tel: 0207 348 5250 www.commissioningshow.co.uk Ralph Collett, Director of Medical Ralph.collett@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

TOP TWEETS Dr Andrew Clements @DrAClements Reading through the Francis report. Interesting that it seems to suggest nurses should be keeping a portfolio. Was this required before? Jan Sobieraj @JanSobieraj #francis @ KF today says honesty, openness & transparency key to addressing difficult issues including balance of safety with other duties.

SA Mathieson @samathieson Mid-Staffs #Francis report shows we need GPs to keep #NHS hospitals honest, says Patient from Hell: guardian.co.uk/ healthcare-net… @GdnHealthcare RichardVize @RichardVize #Francis on whether Nicholson should resign: judge your leaders by how they respond to the recommendations in his report Alastair McLellan @HSJEditor @NHSCB chair Malcolm Grant says whole of #NHSCB leadership backs David Nicholson Roy Lilley @RoyLilley #nhscb the pressure will now be for the Board to quit. This was a poor move from the Chair For live sector and conference news follow us on @commshow #commshow

Commissioning Newspaper_Feb 13_12.indd 2

In shadow form Professor Grant says CCGs have already been using their powers to mould provision to meet the needs of their local populations and are developing closer relationships with social care and local government. ‘There is a shared sense of strategic purpose across social care and health care and this is an important step forward. I get a sense of a number of CCGs where GPs coming together like this across a number of different practices are finding a collective interest in working together which the system has probably not enabled in the past,’ he says. While the NHS CB will not be telling CCGs what to do they will still be working very closely with them through 27 area teams. ‘We won’t be giving CCGs directions so it’s a very different mentality but our area teams will be working closely with them in a supportive and facilitative role. In addition CCGs will have access to professional support from commissioning support units.’ Professor Grant is confident that aligning funding with clinical leadership will create opportunities to develop new ways of doing things. In future everything will be done for the benefit of patients – already there are examples of consultants coming out of hospitals to treat patients with long term conditions. ‘The focal point of the board is obsessive concentration on patients and health outcomes. Outcomes are what matter and in two years’ time and beyond we will have to account to the Secretary of State for Health for what we are doing,’ he says.

Other big challenges for the board include moving to a paperless NHS by 2015 and giving patients access to their medical records and promoting innovation which is occurring in the NHS but not yet being shared and replicated widely enough.

control into something which will give it clinical leadership and that’s the big prize. If we can deliver that and produce benefits for patients – that will be fabulous.’

Professor Grant says one reason why he is so optimistic that the health reforms will succeed is the uniqueness of his board which has a majority of non-executive directors from outside the NHS. There is an eclectic mix of people with expertise from many different walks of life, such as, Margaret Casely-Hayford, Director of Legal Services and Company Secretary at John Lewis, Naguib Kheraj, Vice Chairman of Barclays Bank, Lord Victor Adebowale, Chief Executive of Turning Point and a cross bench peer and Moira Gibb former Chief Executive of Camden Council.

•

From April 1 the NHS CB takes control of the £95billion NHS budget for England.

•

The main aim of the NHS CB is to improve health outcomes for people in England.

•

CCGs and the NHS CB will be supported by new commissioning support units whose role will be to carry out transformational commissioning functions such as service redesign and transactional commissioning functions.

•

Clinical networks and clinical senates will feed expertise from secondary care clinicians into the commissioning process.

•

Academic health science networks will align education, clinical research, informatics, innovation, training and education and healthcare delivery at a local level

•

The NHS CB will have a staff of 4,000 plus another 1,800 involved in family health services work. It has 4 regional offices and 27 area teams supporting CCGs around the country.

As the new system beds in Professor Grant says one of their key concerns will be to make sure staff and CCGs are well supported and trained in a whole new way of working that will bring about a complete transformation of commissioning. ‘We’ve got to do two things - one is to ensure there is a smooth transition to the new model and we are constantly on the outlook for anything that may stumble during that difficult period. But secondly into the medium term, we must ensure that what we do is completely different from what has happened before.

Factfile

‘I feel this is a real opportunity to liberate the NHS from political uncertainty and political

Commissioning 2013 TO help CCGs get ready for an exciting journey

By guest editor Dr Chair Alessi, Chair, NAPC and NHS CC The date for the new system for commissioning for health to go live is upon us. So what can we expect to see once we move from shadow form to really having the power to make the difference we have all been waiting to deliver? Paradoxically I hope we will not see revolution, but I hope we will see managed change. Change that will proceed at differing paces depending on the local environments and the challenges we face. The world in April 2013 is a very different one to the world in 2011 when the latest iteration of this debate started. It is a much more fiscally challenged environment for a start and also one where some commentators have said , the chickens have come home to roost. The analogy of the CCGs having as their first task the Herculean cleaning of the Stygian stables is one which I have heard and this Greek myth has a certain resonance given the rash of reconfigurations facing CCGs.

si es at w Al ng sho es rl eaki ing ha sp n . C e sio Dr l b s l wi ommi C e

julie pearce @julie_pearce1 #Francis @TheKingsFund we can all act now in order to facilitate the necessary change - we don’t have to wait for the DH response to report

CONTINUED FROM PAGE 1

The King’s Fund @TheKingsFund @JanSobieraj: we must engage staff more. Last staff survey suggested only around 2627% felt they were involved in big decisions #kffrancis

“This is a real opportunity to liberate the NHS and give it clinical leadership”

Our populations are impatient. They are impatient for change and impatient for a more humane and personalised care from the NHS. We too as CCGs are impatient and also need to have the ability to grow and develop new skills which will help us navigate through the difficult environments we face. So what will the new world feel like? My aspiration is that it is very noisy. Healthcare delivery is very emotive as we all know, and if we couple the new rules around substitution not addition and the implications of this being prioritisation from amongst competing demand, it is going to get very noisy indeed. We should not be afraid of noise as it is our protection. I think it is more important to have a difficult debate in an open forum, despite the sensitivities, rather than have this debate behind closed doors as only by being open and honest about why we are proposing change and what the alternatives really are , can we hope to take the population with us.

Dr. Charles Alessi The population is the key determinant of success. We can only succeed in an environment of population health where we are honest about what we do and honest about why we are doing this. It is going to be an exciting journey. See you at the show.

Confirm your complimentary delegate passes for you and your colleagues today at www.commissioningshow.co.uk/newspaper2 Email: training@closerstillmedia.com Or call: 0207 348 4906 *Complimentary passes are reserved for qualifying healthcare and public sector professionals.

04/03/2013 16:58

The Brighton and Hove Integrated Care Service (BICS) runs a referral management gateway through which 60,000 referrals a year from 47 practices are triaged by peers – such as GPs with a special interest, nurse specialists, or physiotherapists who are experts in the services to which the referrals are being made. The service provides real time feedback and education to GPs which is reducing variation of referral rates between GPs and addressing individual doctors’ learning needs. Only around 6 per cent of referrals are sent back to the referring doctor, usually for some further action which may be for additional management by the GP in line with locally agreed pathways, for an administrative reason or may include an upgrade of the referral for example to a two week cancer referral. Between 6 and 10 per cent of referrals will trigger a conversation between the triager and the referring GP. Dr Peter Devlin, one of the founders and Clinical Directors of BICS, who will be talking about the achievements of the service at the Commissioning Show, says he has some impressive graphs to show delegates illustrating the reduction

in outpatient demand across a number of specialities. Money has been saved although specific figures are harder to calculate because much of the saving comes from the learning that is embedded with GPs, especially GPs new to practice, from the conversations they have with triagers and from seeing the ways their referrals are managed. BICs has also been involved in developing new clinical pathways, developed in consensus with local GPs and specialists, which are very specific about what primary care should be doing. ‘We have some specific pathways for conditions

An innovative primary care federation which manages all GP referrals across Brighton and Hove is reducing hospital outpatient appointments, saving money, and improving efficiency.

in t w vl a o De ng sh er ki g et pea nin . P s io Dr l be ss l wi ommi C e

Gateway referral management scheme is reducing outpatient appointments such as rhinitis, epistaxis, acne, eczema and dyspepsia management where we can demonstrate dramatic reductions in the number of referrals coming in. That’s not because we are turning them back but because referral feedback conversations help GPs to understand when they are not following the pathway and that leads to learning and dramatic reductions in demand. The referring doctors know and respect the peers who are looking at their referrals and providing the feedback,’ says Dr Devlin. The BICS referral management model is already being used in Croydon and Dr Devlin says they would be happy to work with any other areas interested in taking it up.

Dr. Peter Devlin BICS is now interested in applying its methodologies to unscheduled care to address the wide variation between GPs and GP practices and the impact that has on out of hours consultations and also the variation in acute hospital episodes where there has been a missed opportunity to prevent hospital admission.

Control fluid, control diarrhoea Hidrasec specifically targets the uncontrolled secretory processes that underlie acute diarrhoea, reducing stool output and diarrhoea duration. And because it’s licensed in infants older than 3 months, Hidrasec, together with oral rehydration solution, provides rapid control for even your smallest patients.1-5

Control Diarrhoea, Control Cost Achieving reduction in hospital referrals, and admissions is high on the NHS agenda.1,2 The forthcoming Abbott sponsored symposium at the Commissioning Show will turn attention to the effective management of acute diarrhoea and a novel treatment in the UK for this as an adjunct to ORS for patients > 3months of age, thereby enhancing the potential to achieve reduced referrals, admissions, and infection spread thereby delivering cost savings for the NHS in both primary and secondary care and above all benefiting patients. Acute diarrhoea is especially common in children with many having more than one episode per year.3 Infants and young children with severe symptoms may quickly develop dehydration, which is potentially life threatening.3 Each year approx 10% children under 5 years (620 children per 100,000) present to healthcare services with gastroenteritis. Up to a quarter of cases may result in unplanned hospital admissions and these infants may remain in hospital for several days.4 A recent study found that children under 12 months being taken to hospital rose by 52 per cent, while the figure for one to four year olds increased by 25 percent.5 Children admitted with gastroenteritis can expose other vulnerable inpatients to infection from diarrhoea-causing pathogens3, resulting in ward closure and loss of bed days.6 References 1. NHS Outcomes Framework 2012/13 Department of Health. Dec. 2011. Domain 3a: emergency admissions for acute conditions that should not usually require hospital admission 2. NHS Scotland Performance Targets, Treatment targets 2013/14 http:// www.scotland.gov.uk/Topics/Health/Quality-Improvement-Performance/ NHS-Performance-Targets 3. National Institute for Health and Clinical Excellence CG84 Diarrhoea and vomiting in children: Diarrhoea and vomiting caused by gastroenteritis: diagnosis, assessment and management in children younger than 5 years April 2009 (full guideline) 4. National Institute for Health and Clinical Excellence CG84 Costing statement (figures based on Hospital Episode Statistics 2007/2008) costing statement available at http://guidance.nice.org.uk/CG84/CostingReport/pdf/English 5. Gill PJ, Goldacre MJ, Mant D et al. Arch Dis Child Published Online First: February 22nd 2013. doi:10.1136/archdischild-2012-302383 6. Lopman BA, Reacher MH, Vipond IB, et al. Emerg Infect Dis 2004;10:1827-1834

Presentations: Hidrasec Infants 10 mg granules for oral suspension: Each sachet contains 10 mg of racecadotril. Hidrasec Children 30 mg granules for oral suspension: Each sachet contains 30 mg of racecadotril. Hidrasec 100 mg hard capsules: Each capsule contains 100 mg of racecadotril. Indication: Sachets: Complementary symptomatic treatment of acute diarrhoea in infants (older than 3 months) and in children together with oral rehydration and the usual support measures, when these measures alone are insufficient to control the clinical condition, and when causal treatment is not possible. If causal treatment is possible, racecadotril can be administered as complementary treatment. Capsules: Hidrasec is indicated for the symptomatic treatment of acute diarrhoea in adults when causal treatment is not possible. If causal treatment is possible, racecadotril can be administered as a complementary treatment. Dosage and Administration: Paediatrics (from 3 months): Hidrasec granules are administered via the oral route, together with oral rehydration. The recommended dose is determined according to body weight: 1.5 mg/kg per administration, three times daily. Infant less than 9kg: one 10 mg sachet 3 times daily. In infants from 9 kg to 13 kg: two 10 mg sachets 3 times daily. In children from 13 kg to 27 kg: one 30mg sachet 3 times daily. In children of more than 27 kg: two 30mg sachet 3 times daily. The duration of treatment in the clinical trials with children was 5 days. Treatment should be continued until two normal stools are recorded. Treatment duration should not exceed 7 days. Hidrasec should not be used in patients younger than 3 months of age as there is no data available. Adults: One capsule initially, regardless of the time of day. Then one capsule three times daily preferably before the main meals. Treatment duration should not exceed 7 days.

Contraindications: Hypersensitivity to racecadotril, or to any of the excipients. Due to the presence of sucrose, Hidrasec Infants and Hidrasec Children are contraindicated in patients with fructose intolerance, glucose malabsorption syndrome, and saccharaseisomaltase deficiency. Precautions and Warnings: The administration of Hidrasec does not modify the usual rehydration regimens. It is essential for the child to drink abundant liquids. The presence of bloody, or purulent stools, and fever may indicate the presence of invasive bacteria as a reason for diarrhoea, or the presence of other severe disease. Also racecadotril has not been tested in antibiotic-associated diarrhoea and should therefore, not be administered under these conditions. Chronic diarrhoea has not been sufficiently studied with Hidrasec. In patients with diabetes, it should be taken into account that each sachet of Hidrasec Infants contains 0.966 g of sucrose and each sachet of Hidrasec Children contains 2.899g of sucrose. The product must not be administered to children with renal or liver impairment, whatever the degree of severity, due to a lack of information on these patient populations and caution should be shown in adult patients due to limited data. Do not administer in cases of prolonged or uncontrolled vomiting due to the possible reduced bioavailability. Hidrasec hard capsules contain lactose. Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency, or glucose-galactose malabsorption should not take Hidrasec capsules. Interactions: No interactions with other active substances have been described in humans to date. In humans, joint treatment with racecadotril and loperamide, or nifuroxazide does not modify the kinetics of racecadotril.

Side-effects: Headache (100mg capsules only), erythema multiforme, tongue oedema, face oedema, lip oedema, urticaria, tonsillitis, papular rash, prurigo, pruritus, eyelid oedema, angioedema, erythema nodosum and toxic skin eruption. In paediatric patients the nature of the safety profile is similar to that seen in adults. Prescribers should consult the summary of product characteristics for further information on side effects. Pregnancy and lactation: Due to a lack of clinical data, racecadotril should not be administered to pregnant or breastfeeding women. Legal category: POM Marketing Authorisation Holder: Bioprojet Europe Ltd. 29 Earlsfort Terrace, Dublin 2, Ireland. Marketing Authorisation numbers/presentations: Hidrasec Infants 10mg granules for oral suspension (each box contains 20 sachets) PL 39418/0001 Cost: £8.42. Hidrasec Children 30mg granules for oral suspension (each box contains 20 sachets) PL 39418/0002 Cost: £8.42. Hidrasec 100mg Hard Capsules (each box contains 20 capsules) PL 39418/0003 Cost: £8.42. Further information is available from Abbott Healthcare Products Ltd, Mansbridge Road, West End, Southampton, SO18 3JD. Date of revision of PI: January 2013 PI/Hidrasec/006 1. 2. 3. 4. 5.

Hodges K. Gut Microbes 2010;1:4-21. Cezard JP et al. Gastroenterology 2001;120:799-805. Hidrasec UK SmPC 10mg (January 2013). Hidrasec UK SmPC 30mg (January 2013). Hidrasec UK SmPC 100mg (January 2013).

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Abbott by phone: 0800 121 8267.

AHHID120460e. Date of preparation: February 2013.

February 2013, AHHID130080

HGFX0069.AHHID120460e Abbott Advert Hidrasec.indd 1

Commissioning Newspaper_Feb 13_12.indd 3

22/2/13 17:03:01

04/03/2013 16:58

Francis tasks CCGs with policing quality of services for patients

Keep abreast of the latest opinions and outcomes of the Francis report at Commissioning 2013 with conference sessions such as: CCGS post-Francis: how to avoid another Mid Staffs and make quality the priority in 2013. • How CCGs should respond post-Francis - Do they have the capability to avoid another Mid Staffs? • Tips on winning the full quality premium • How to set local quality priorities As the scandal-hit Mid Staffordshire NHS trust prepares to be put in administration, the rest of the NHS wakes up to the full implications of the Francis inquiry. The report into the failings at Mid Staffordshire recommended that commissioning needs to be ‘rebalanced and refocused’ on fundamental standards of service for patients.

required of the commissioning process may not have changed. The experience of Stafford shows an urgent need to rebalance and refocus commissioning into an exercise designed to procure fundamental and enhanced standards of service for patients as well as to identify the nature of the service to be provided,’ says Francis.

The report by Robert Francis QC, which detailed years of abuses and hundreds of avoidable deaths at two Stafford Hospitals, also says that in the wake of the scandal commissioners must effectively monitor local services and engage with an ‘informed’ public.

The report also urges GPs to undertake a monitoring role on behalf of patients who receive acute hospital and other specialist services.

It recommends that commissioners set standards for services over and above the minimum levels of quality required and must set out how non-compliance will be dealt with. They must also take responsibility for driving improvement in the quality of services through their commissioning arrangements and must intervene when services fall short of contractually agreed standards. Another of the 290 recommendations geared towards making the NHS more patient-focused is that commissioners should intercede when they feel individual patient complaints are not being dealt with satisfactorily. ‘The commissioning landscape has now changed, with the introduction of the national NHS Commissioning Board, its regional offices and CCGs. However, the essential tenets

Commissioning Newspaper_Feb 13_12.indd 4

It says GPs have a role as an independent, professionally qualified check on the quality of service, in particular in relation to an assessment of outcomes. They need to have internal systems enabling them to be aware of patterns of concern, so that they do not merely treat each case on its individual merits. They have a responsibility to all their patients to keep themselves informed of the standard of service available at various providers in order to make patient choice a reality. A GP’s duty to a patient does not end on referral to hospital, but is a continuing relationship. ‘They will need to take this continuing partnership with their patients seriously if they are to be successful commissioners of services. They should exploit to the full this new role in ensuring their patients get safe and effective care’, says the report.

Key recommendations for CCGs: Commissioners have a responsibility for monitoring the delivery of standards and quality on behalf of and in partnership with patients Commissioners should agree a method for measuring compliance and redress for non-compliance for standards When selecting indicators and the means for measuring compliance commissioners must closely engage with patients to ensure their expectations and concerns are addressed Commissioners must have the capacity to monitor the performance of every commissioning contract on a continuing basis and must require the provider to provide quality information Commissioners must have the capacity to undertake their own or independent audits, inspections and investigations Commissioners should be entitled to intervene in the management of a complaint on behalf of a patient where it appears it is not being managed satisfactorily Commissioners should be accountable to the public for the scope and quality of the services they commission and fully involve and engage the public in their work Commissioners should have powers of intervention where substandard or unsafe services are being provided

04/03/2013 16:58

What NHS leaders said about the lessons to be learned from the Francis report: Una O’Brien, Department Permanent Secretary:

Health

‘On behalf of the Department of Health, I would like to apologise wholeheartedly or the part the Department played in the failings at Mid Staffs and the terrible impact it had on patients, their families and the standards of care.’ ‘We will take action on the recommendations from Robert Francis QC. We are committed to a renewed focus on putting patients at the centre of everything we do.’ Dame Barbara Hakin, National Director for Commissioning: ‘This is a time for the NHS to reflect fully on the harrowing experiences of those personally affected by the failures at Mid Staffordshire NHS Foundation Trust and to ensure that the NHS fundamentally changes. The NHS Commissioning Board takes on a key leadership role in the NHS in England from April 2013 and is absolutely committed, working with all other organisations in the health system, to addressing the failings that allowed these events to develop unchecked.’ NHS Clinical Commissioners: ‘We will use the levers available to CCGs through the commissioning process, clinical engagement and public involvement to drive up quality. We will also use our relationship through that process with providers to ensure and be assured about quality and outcomes. We will also explore and address unwarranted variation. We will respond positively to the challenges in the report and we will use our position to play a central role in shaping and using the new more local commissioning system to be one that places patients at the centre of our decision-making and keeps them there in monitoring the quality and outcomes of care we commission.’ Dr Clare Gerada, Chair of the Royal College of General Practitioners: ‘While the Francis report focuses on failings in secondary care, it has implications for the whole of the NHS, including general practice. At a time when the NHS is under greater than ever financial pressure, it is imperative that the needs of patients are put first, and that cuts are not made which could jeopardise the safety of patient care.’ Monitor: ‘We accept without hesitation our share of responsibility for failures in regulation during the period in question. We authorised a trust which in retrospect should not have been authorised and could have used our formal intervention

Confirm your complimentary delegate passes for you and your colleagues today at www.commissioningshow. co.uk/newspaper2 Email: training@closerstillmedia.com Or call: 0207 348 4906 *Complimentary passes are reserved for public sector and qualified health care professionals.

Commissioning Newspaper_Feb 13_12.indd 5

powers sooner once problems had been uncovered. We have learnt from the mistakes we made and have already made significant changes to the way we work as a result of what happened at Mid Staffordshire.’

parts of the NHS dignity, care and compassion are routinely absent from the care of patients. The temptation may otherwise be to convince ourselves that the key lessons have already been learnt and improvements made.’

Mark Porter, Chair of BMA Council: ‘It is not enough to say that lessons must be learnt. It is essential that we all - politicians, NHS organisations, doctors, managers, nurses, and patient groups - work together to develop a different kind of health service where the system will not tolerate poor quality of care.’

Dr Brian Fisher, NHS Alliance Patient and Public Involvement lead: ‘A focus on finance compromises safety. Patient experience must be made as important as the financial bottom line. We welcome the Francis report with its focus on patient and public involvement. This is rightly seen as one key route to improved safety.’

Dr Jennifer Dixon, Chief Executive, Nuffield Trust: ‘Fundamentally, we must not ignore the central implication of this report – namely, that within

David Behan, Chief Executive, Care Quality Commission: ‘Robert Francis’s report is defining for everyone

involved in healthcare. People were badly let down by the NHS and those responsible for healthcare regulation and supervision. This kind of long term failure must not happen again.’ Stephen Foster, Director, Pierremont Healthcare Limited and National Association of Primary Care Executive Member ‘We need to assure Robert Francis and those in charge at the Department of Health and the NHS Commissioning Board that we are supportive of the report, and hope to be able to offer some of the solutions to the issues that he has so capably raised. Working together and using our people as a resource for strategic thinking, we can turn this disaster into something with positive outcomes for our patient populations.’

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Visit stand H12 to see how can help you meet the tobacco control challenge VISION is the new, innovative cost model programme from McNeil Products Ltd. Smoking is the UK’s biggest single preventable cause of disease and premature death, costing the NHS over £50m every week.1 Tackling the problem remains a public health priority,1 that’s why McNeil Products Ltd is committed to helping you help smokers quit for good. Promoting comprehensive, evidence-based tobacco control measures across multiple stakeholders at a local level is advocated by Government,1 but determining what action is required can be a challenge. 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 is a detailed cost model tool that allows you to plan costeffective tobacco control services tailored to your community’s needs.

VISION provides real life, local data on the healthcare, social services and local authority cost burden of smoking, while allowing you to calculate the value of smoking cessation interventions. Using the VISION tool can assist informed, quantifiable decision-making and help in the planning and commissioning process. “Changes to the Public Health system and services and to the NHS mean we need to think smarter about allocating public health resources. Smoking cessation is a key means of preventing ill health, that’s why VISION is an invaluable tool to help us get this right locally” – 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 your community, book a demonstration meeting with a representative on Stand H12 or hear firsthand experiences of the VISION tool in action at the McNeil Products Ltd symposium, “Realising your VISION - meeting the smoking cessation challenge” on Wednesday, 12th June, 2013.

References: 1. Healthy Lives, Healthy People. A tobacco control plan for England. Department of Health, March 2011. 2. Quality and Outcomes Framework for 2012/2013. Guidance for PCOs and practices. British Medical Association and NHS Employers 2012. UK/NI/13-1255 Date of preparation: February 2013

04/03/2013 16:58

2013 commissioning SHOW Highlights The Commissioning Show agenda has been designed with expert input from leading primary care organisations, CSUs and the NHS Commissioning Board to bring you up-to-date information, practical advice and case studies to support you to commission cost-effective, high quality, patient-centred care. Pick and mix sessions from the following five Commissioning Streams: CCG Business - covering key priorities for CCGs in their first year; Long-term conditions – looking at a collaborative and patient-centred approaches to tackling the long-term condition crisis; Productivity through Technology – focussing on the obstacles and solutions to a technology revolution in the NHS; Clinical Commissioning Support – on how to build proactive, businesssavvy CSUs and finally, Your Practice – Adapting to Survive - a vital update on practice business and finance to ensure you protect the interests of your own practice in the rapidly evolving primary care landscape.

Eleven conference streams in total, visit www.healthpluscare. co.uk to view the Integrated Care, Home and Residential Care Show conference programme.

Wednesday 12th June CCG Business

Long-Term Conditions

CLinical Commissioning Support

Productivity through technology Your Practice -adapting to survive

Morning plenary sessions: Opening and welcome from Dr Charles Alessi, Chair of NAPC and NHS Clinical Commissioners Keynote address: Rt Hon Jeremy Hunt, Secretary of State for Health (invited) Making Zero Harm a reality in the NHS: Donald Berwick, former Administrator of the Centers for Medicare and Medicaid Services and former health care advisor to President Barack Obama (invited).

From authorisation to transformation - the new focus for CCGs in 2013.

Dame Barbara Hakin, National Managing Director Commissioning Development of NHS Commissioning Board

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

An overview of the £400 million commissioning support industry and the challenges and opportunities it presents. Prof Malcolm Grant, Chair NHS Commissioning Board

Damage Limitation - how to mitigate the impact of changes to the GMS contract - two practices share the drastic steps they are taking. Dr Richard Vautrey, Deputy Chair BMA’s GP’s Committee Additional Speakers TBC

Opening Address: The Technological Revolution In The NHS

Dr Tim Kelsey, National Director for Patients and Information NHS Commissioning Board

QOF and the new DES - tips on clawing back the £31,000 shortfall (Invited) Dr Brian Balmer, Chief Exective, Essex LMC

Key Challenges for CCGs in Public Health

Commissioning high-quality health care for people with long-term conditions

Richard Gleave, Chief Operating Officer Public Health England

Dr Judith Smith, Director Nuffield Trust

Commissioning Support

Dr Bruce Websdale, GP and Medical Advisor South London CSU

High speed, whole-system transformation in Croydon – a lesson in achieving the seemingly impossible Dr Agnelo Fernandes, Assistant Clinical Chair, National Lead Urgent and Emergency Care Croydon CCG, RCGP

Big Conversation: How do we design patient-centred not desease-centred services? How to make a success of the critical relationships: 1. CCGs and the NHS Commissioning Board 2. CCGs and member practices

Julie Wood, Interim Commissioning Development Director, NHSCC Dr Minesh Patel, Chair, Vice Chair Horsham and Mid-Sussex CCG, West Sussex Health and Wellbeing Board

Dr Clare Gerada, Chair RCGP Prof Paul Knight, President British Geriatrics Society Dr Rowan Hillson, National Clinical Director for Diabetes

COPD Case study: High-impact services for patients with long term conditions Julie Morris, Professional nurse development, COPD

CCGs post-Francis: how to avoid another Mid- Staffs and make quality the priority in 2013 Dr David Paynton, National Clinical Lead, RCGP Centre fo Commissioning

Fear of failure - advice for CCGs on achieving financial balance in the first year. Paul Baumann, Chief Financial Officer NHS Commissioning Board

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

3 Million Lives - update on the telehealth solution to long term conditions crisis Angela Single, 3 Million Lives Tele-health and Tele-care Working Group, BT Health

Debate: Emerging dynamics within the NHS marketplace (Invited) Dr David Bennett, Chair Monitor Prof Julian LeGrand Richard Titmuss Professor of Social Policy London School of Economics (Invited) Dr Peter Taylor, Clinical Director, Virgin Care

Meeting the Nicholson Challenge - balancing the NHS books Paul Baumann, Chief Financial Officer NHS Commissioning Board John Wilderspin, CCG Finance Director Central Southern CSU

Technology - transformation of intergrated health and social care - overcoming the obsticles Panel TBC

Sharing information across boundaries to deliver valuebased health care a clinical and technical perspective Wayne Parslow, VP EMEA, Harris Healthcare

Key challenges facing your practice from 2013-2015. Panel Chair Dr Charles Alessi, Chair NAPC and NHS CC

Panel

Dr Peter Swinyard, Chair Person, Family Doctor Association Dr Sam Everington, Chair, Tower Hamlets CCG Karen Taylor, Director , Deloitte Centre for Health Solutions and author of report on Primary Care

How better use of IT can save the NHS £4.4bn a year

(Invited) Ian Wootton, UK Healthcare Leader, Price Waterhouse Coopers Matthew Shaw, Consultant Spinal Surgeon and lead on their ‘Health Unlocked’ trial of i-Pads for spinal surgery patients Royal National Orthopaedic Hospital

Managing hospital activity

Map of Medicine

Dr Keith Douglas, Managing Director, NHS South CSU Dr Peter Devlin, Clinical Director Brighton and Hove Intergrated Care Service

Vision for a patient-centred NHS

Best Practice in empowering patients: Liverpool reveals what great patient-centred care look like and how primary care can meet the challenge by doing things differently. Prof Mike Chester, Founder and Former Director NHS National Refractory Angina Centre, Liverpool Dr Nav Chana, Vice Chair, GP, NAPC

Update on new national patient portal

Tim Kelsey, National Director for Patients and Information NHS Commissioning Board

British Heart Foundation

How to identify and engage with hard-to-reach patients

Firstdatabank

Ian Smyth, Chief Brand Officer Nuffield Health (Invited) Ming Tang, Director, Data and Information Management Systems, NHS Commissioning Board

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

Wednesday 12th June CCG Business

Long-Term Conditions

Clinical Commissioning Support

Productivity through technology

Your Practice -adapting to survive

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

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.

Tackling mental ill health in people with long-term conditions. Stephen Dalton, CEO Mental Health Network

Big Conversation: What do CCGs really want from CSUs?

Panel of CCG leads including: Dr Steve Kell, Chair, Bassetlaw CCG and Vice Chair Nottinghamshire Health and Wellbeing Board

Dr Jane Collins, CEO, Marie Curie and other speaker TBC

How to survive and thrive in the CSU marketplace: lessons from the CEO of a comparable B2B/C industry Roger Hymas, CEO, HealthWorks CSS

DEBATE: The Big Conversation: What are the key priorities for CCGs post-authorisation?

Neil Darvil, Director of Informatics, St Helens and Knowsley Hospitals Trust and Belfast Health and Social Care Trust (Invited) Mike Bracken, Executive Director, Digital, Cabinet Office

Maximising the benefits of being part of a CCG

Dr Amit Bhargarva, Chief Clinical Officer, NHS Crawley CCG

Winning the QIPP challenge through technology - focus on clinical decision suport systems(Invited) r Rhidan Bramley, Chief Clinical

End of Life Care - what does good look like?

Dr Phil Moore, Deputy Chair (clinical) , Joint Associate Medical Director, Kingston CCG

A paperless NHS by 2018 - how to make David Cameron’s vision a reality

Information Officer and Director of Technology at The Christie Foundation Trust, Manchester and National Lead for NHS Connecting for Health (Invited) Matthew Swindells, Vice Chair, BCS Health and Senior Vice President, Population Health and Global Strategy, Cerner

Finding a lucrative niche for your practice. A case-based look at the practicalities and potential profits in pursuing alternative income streams Dr David Holwell, Partner, Park Surgery Horsham Dr Simon Gilbert, Partner, Cricket Green Medical Practice, Merton

Dr Stephen Richards, Chief Clinical Officer Oxfordshire CCG Dr Andrew Coward, Chair , Birmingham South Central CCG and Dr Helen Tattersfield, Chair, Lewisham CCG

Panel Debate: How can CSUs impact on service transformation? How do you commission for cancer in the new NHS?

What does real clinical and patient engagement look like? case study from Bassetlaw CCG

Charles O’Hanlon, Assistant Director of Delivery Newham CCG and Hodgkins Lymphoma survivor (Invited) Ciaran Devane, CEO MacMillan

Dr Steve Kell, Chair, Bassetlaw CCG andVice Chair Nottinghamshire Health and Wellbeing Board

Derek Kitchen, Managing Director, NHS Staffordshire CSU Tim Andrews, Managing Director, NHS Cheshire, Warrington and Wirral CSU Andrew Ridley, Managing Director, North and East London CSU

Technology that got the Health Secretary Tweeting: Jeremy Hunt visited Airedale General Hospital recently and tweeted ‘seen some of best tech anywhere in the NHS’ A speaker from the hospital will reveal how their cuttingedge telehealth hub is saving money and supporting compassionate care of patients with dementia and other LTCs.

2016 and beyond: the direction of travel for CSUs and plans for externalisation Bob Ricketts, Director of Commissioning Support Strategy and Market Development NHS Commissioning Board

How to become a successful bidder: Case studies looking at different ways practices have entered the provider market - and who they are up against Speakers TBC

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, Lawyer, Head of Commercial Health, Browne Jacobson LLP

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.

Commissioning Newspaper_Feb 13_12.indd 6

04/03/2013 16:58

KEYNOTE SPEAKERS You can view the full programme and speaker line up at www.commissioningshow.co.uk/education But here are some of the who’s-who highlights

Dr Charles Alessi

Duncan Selbie, Chief Executive, Public Health England Stephen Dalton, Chair, Mental Health Network David Behan, Chief Executive, Care Quality Commission Sir Bruce Keogh, NHS Medical Director Dr Rowan Hillson, National Clinical Director for Diabetes Professor David Haslam, Chair, NICE Dr Bruce Websdale, GP and Medical Advisor, South London CSU Dr Richard Vautrey, Deputy Chair, BMA’s GPs’ committee Paul Baumann, Chief Financial Officer, Commissioning Board Dr Steve Kell, Chair, Bassetlaw CCG Vice Chair, Nottinghamshire Health and Wellbeing Board Dr James Kingsland, National Clinical Lead, NHS Clinical Commissioning Community Tim Kelsey, National Director for Patients and Information Dr Agnelo Fernandes, Assistant Clinical Chair, Croydon CCG Dr Amit Bhargarva, Chief Clinical Officer, NHS Crawley CCG Charles O’Hanlon, Associate Director for Delivery, Newham CCG Dr Judith Smith, CEO, Nuffield Trust Dr Jane Collins, CEO, Marie Curie Ian Dalton, Head of Global Health, BT Dr Amit Bhargarva, Chief Clinical Officer, NHS Crawley CCG Dr Nav Chana, Deputy Chair, NAPC John Wilderspin, Managing Director, NHS Central Southern CSU Bob Ricketts, Director of Commissioning Support Strategy and Market Development, NHS Commissioning Board Professor Paul Knight, President, British Geriatrics Society Dr Martin McShane, Long-Term Conditions Lead, National Commissioning Board Some speakers are at invite status

Commissioning Newspaper_Feb 13_12.indd 7

Dame Barbara Hakin

Dr Peter Swinyard

Dr Mike Dixon

Tackling diabetes – one of the biggest health challenges facing the UK Diabetes is one of the biggest health challenges in the UK today. It affects approximately 2.9 million people – around four times more than for all cancers combined1. This figure is projected to rise to 5 million by 20251. In the UK, diabetes is the leading cause of blindness in working age people and a main contributor to kidney failure, amputations and cardiovascular disease, including heart attack and stroke1. Without effective management of the condition, a person with diabetes faces a reduced life expectancy of between 6 to 20 years1. As the prevalence of diabetes and rate of complications increase, so does the cost to the NHS. Complications account for 79% of overall NHS expenditure on diabetes, which is today estimated at £9.8 billion per year (£1bn for type 1 diabetes and £8.8bn for type 2 diabetes)2. Factoring in loss of working days, early death and informal care costs, the cost of the condition to the UK will rise from £23.7 billion to £39.8 billion by 20352.

Addressing the challenges and reducing variations Action is needed at both a national and local level to address the challenges of diabetes. Significant numbers of people with diabetes do not have access to the best possible treatment, care and outcomes.

Sue Heywood, UK has type 2 diabetes

Novo Nordisk and diabetes Novo Nordisk has a heritage of 90 years of innovation and leadership in diabetes care. We are continually looking into ways to defeat diabetes at all stages of its progression and have maintained a global research and development leadership position within the area of diabetes. Novo Nordisk offers one of the

broadest portfolios of diabetes products in the industry. Novo Nordisk reinvests a significant part of annual sales into the research and development of new products that can support the daily management of diabetes. The goal is to offer people

with diabetes, as well as their families and healthcare providers, a wide range of treatment options and services. Responding to the existing and future needs of people with diabetes, Novo Nordisk scientists work diligently to discover new chemical compounds and therapeutic agents.

References: 1. Diabetes UK. State of the Nation 2012. Available at URL: http://www.diabetes.org.uk/Documents/Reports/Stateof-the-Nation-2012.pdf. Last accessed: October 2012. 2. Hex N et al. Estimating the current and future costs of type 1 and type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabet Med. 2012 29(7):855-62

UK Public Affairs UK/DB/0213/0098 Date of preparation: February 2013

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A & D Instruments Ltd Abbott Healthcare Products Ltd Accountants on Demand Ltd Acumag Ltd Advanced Health & Care Ltd Advance Aerocrine Age UK Air Products Healthcare Alk Abelló Ltd Alliance Pharmaceuticals Ltd Almirall Limited Alzheimer’s Society Apollo Medical Systems Ltd Appello Ascribe Ltd Astra Zeneca Attain Commissioning Services Ltd AutoPharma Ltd Aventis Pharma Ltd AVIA Health Informatics Plc Bayer Healthcare BDO LLP BHR Pharmaceuticals Ltd Biogen Idec Ltd Black Pear Software Ltd BOC Ltd Boehringer Ingelheim Ltd Bosch Healthcare GmbH Brain Disabilities Trust Bristol-Myer Squibb UK British Heart Foundation British Red Cross Broome of Wellington Brother (UK) Ltd Browne Jacobson LLP BUPA Home Healthcare CACI Capita Group Plc Carbon Colour Co Ltd Carehome.co.uk Care Monitoring 2000 Ltd Care Quality Commission Care Works Chiesi Ltd Caring UK Clarity Informatics CMM Codegate Ltd Community Eyecare (UK) Ltd Connect 2 Care CRB Disclosure Services Crescendo Systems Ltd DAC Beachcroft Dallas Burston Ashbourne Ltd dbg Ltd Dr Foster DNUK English Community Care Association Egton Medical Information Systems Elephant Kiosks Ltd ELLE Training Solutions Essex Cares Ltd Experian Plc Family Doctor Association FDA First DataBank Europe Ltd Gluco RX Gorden Ellis GP Care UK Ltd GP Magazine GP Supplies GPteamnet Limited GreyMatters Healthcare Harris Healthcare Ltd

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Haven Health Properties Health & Social eCare Solutions (UK) LLP Health and Care Professions Council Health Connections Health Diagnostics Ltd Health Protection Agency Healthcare At Home Ltd Healthcare Commissioning Services Healthcare Financial Management Association Healthcare Monitors UK HealthStats Technologies (UK) Limited Henry Schein Medical Hill Dickinson Homecare.co.uk HSJ IE Design Consultancy Ltd Institute for Innovation INPS Ltd Ipsen Ltd IQ Medical i-Spy Digital Ltd Jayex Technology Limited Johnson & Johnson Keeler Ltd Kent and Medway Health Informatics Service Laing & Buisson Lundbeck Ltd Map of Medicine Marie Curie Cancer Care Marie Stopes International McKesson UK Holdings Ltd MCCH MDDUS Mead Johnson Nutrition Ltd Mears Group MedeAnalytics International Ltd Medequip Assistive Technology Medicines Management Solutions Ltd Mednet Consult Ltd Membership Engagement Services MGP Microtest Ltd MiP Mode Medical Recruitment LLP Mount International Ultrasound Services Multimedia International Services MyTime Active NAPC National Institue for Health & Clinical Excellence National Services for Health Improvement NECS - North of England Commissioning Support Nelsons & Co Ltd Network Europe Group NHiS NHS Alliance NHS Benchmarking Network NHSCC NHS Protect NHS Somerset Niko Projects N.V. Nottingham Rehab Supplies Novacor (UK) Ltd Novo Nordisk Ltd Oakhouse Foods Ltd Omtia-Med Ltd Optalis Ltd Opus Business Systems

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Ordnance Survey Pain Management Solutions Ltd Panztel UK Ltd Parkinson’s UK Partnership Ltd Pathways2Wellbeing Ltd Patient Access Ltd Patient Opinion Ltd Paul Hartmann Ltd PCC PCTI (Docman) Performance Finance Ltd Pfizer Physiological Measurements Ltd Pivotell Ltd Practice Services UK Ltd Primary Care Today Primary Care Training Centre Ltd Procure Health Ltd Prostrakan Ltd Pulse Informatics Ltd Radian Support Ltd Red Embedded Systems Ltd Roche Diagnostics Royal College of Psychiatrists Royal College of Speech & Language Therapists Royal Mencap Society Servier Ltd Shahul Ayden & Co Ltd Share Care Ltd Simplicare Sitekit Commissioning Slimming World Sollis Ltd Speaker Processing Solutions UK Limited Standex Systems Ltd Strata Health UK Ltd Stroke Association Sullivan Cuff Software Limited Supporting Public Health Systagenix TAG Medical Ltd Tanita Europe B.V TBC Specialist Conversions Telehealth Solutions Ltd Terrence Higgins Trust Teva UK Ltd The Association of Speech and Language Therapits in Independent Practice The Care Professionals Benevolent Fund The Clinical Practice Research Datalink Group The Community Gateway CIC The-Grey-Matter.co.uk Ltd The Open University THI Thornton and Ross Derma Tillotts Pharma UK Ltd Timesco Healthcare Ltd TPP Tunstall Healthcare (UK) Ltd UKHCA United Health University Hospital of Leicester NHS Trust Vantage Diagnostics Ltd Weight Concern Weight Watchers Ltd Wesleyan WG Consulting (Healthcare) Ltd Wiggly-Amps Ltd WRVS X-Genics Ltd YPSOMED UK Yecco

Space

part of

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Healthcare Commissioning Services

The Commissioning Community

For 2013, Commissioning, the national exhibition and conference for healthcare commissioners connects with 3 new shows - Integrated Care, Home Care and Residential Care - to become part of Health+Care. There is a pressing need for health and care professionals to integrate their services and align their thinking to provide more for patients with less money. For the first time, Health+Care will bring all the stakeholders together from all around the country to network, share practical advice, uncover real solutions and engage with the providers who will help them deliver change. For more information please contact the sales team on 0207 348 5254.     

Commissioning Integrated Care Home Care Show Residential Care Show Stand position available

CCG Business

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D33

D35

Pathways2wellbeing

A&D Medical

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Terrence Higgins Trust

E31

City University

E29

E34

Avia

4 12

E42

Teva UK

Sollis

E50 E58

Prostrakan Primary Care Training Centre

D57 D56

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• • • • • • • •

F33

Vantage Diagnostics

E55

TAG medical

F35

Health Protection Agency

Appello

GreyMatters Healthcare

F40

NHS Prot

F44

Desmo NHS 3

F50 F53

Mount Internatio Ultrasound Serv 3

Dallas Burston Ashbourne Brain Injury Rehabilitation Trust

CSU PAVILION

D69 Patient Access

Includes: • Stands • Theatre • Networking Lo • Meeting room

Your Practice: Adapting to survive

Sales contacts: James Hall – 0207 348 5254, j.ha

The event will deliver a high profile audience of professionals • Clinical Commissioning Group Board Members • Commissioning Support Units • National Commissioning Board representatives • Regional Commissioners • Health and Wellbeing Board Members • Directors of Adult Social Care

F31

Healthstats Technologies (UK)

2 2

E40

Telehealth Solutions

D55

E38

3 4

D51

The Family Doctor Association

MDDUS

D41

Long Term Conditions

E28

E30

Omnia-Med

Part L

3 9

D31

GP Supplies

E25

Abbott Healthcare Products

NHSI

Sanofi

E26

Red Embedded Solutions

Dr locums

F14

E24

D27

F12

D21

D25

Bupa

E20

Apollo Medical Systems

Menarini

Venn Group

D11 IQ Medical

3 Menarin Diagnostics

EMIS

COMMISSIONING

Exhibitor list

Councillors Government bodies and associations Clinicians Directors of provider organisations Third sector providers Procurement Leads GPs Practice Managers

• • • • •

Government bodies and associations Health sector charities Secondary care directors Residential care provider CEOs & CFOs Local Authority Care commissioners & Social care directors • Senior domiciliary care managers

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pace: £409 +vat (per sqm) / Shell: £429 +vat (per sqm)

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Menarini

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Venn Group

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NHS Information Bupa The Centre for Health and Social Care 2

Hill Dickinson

The Partnerships Lounge

Family octor ociation

City versity

F23

Bobath

Avia

TAG medical

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E42

UK)

Matters lthcare

Chiesi

H25

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GlucoRx

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Mount International Ultrasound Services 3

F52

I32

I31

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Brother

NHS CB 3

BOC

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Elephant Physiological Kiosks Measurements Ltd

F62 G60 2 H60 H62 F63 Pulse Informatics 4 T+R Servier BDO LLP G63 2 Derma 2 F64 Marie Stopes Weight Concern G65 2 H64 H61 Speech Processing 4 Attain 3 G61 Solutions WG Group Commissioning Railex G66 2 Services

Includes: • Stands • Theatre working Lounge eeting rooms

Projects Ltd Royal College of Psychiatrists

G70

Commissioning Support South

L10 Alliance

Phamaceuticals

M10

N10

Carbon Colour

Q15

4 12

P16

McKesson

I43

Mednet Consult

H70

Timesco Healthcare Ltd

INRstar 3

I60

I61 12

Biogen Idec

J51

J58

J63

I70

Personal Diagnostics Systagenix

Commissioning Support Services

K56

3 NHS Dr Foster Benchmarking Alliance

CQC

L42

3 3

Pain Management Solutions

NHiS

L52

Opus Surgery Solutions

K70

GPTeamNet

K71

Performance Finance Ltd

Productivity Through Technology

L70

British Red Cross

M46 M48

L74

HCPC

Medequip Assistive Technology

Q24 4

N40

N45

Q28 3

N60

5 2

P45

iSpy Digital

Ezi-Tracker/ Panztel

M76

P50 Mears Group

P55 Essex Cares

P62

Health 3 Connection

CACI

P66 5

ELLE Training 2

2 5

Q46 HUR

Rising to the Dementia Challenge

Q48 Share Care

Q50 Vision Call

Q52 UKHCA

Q54 OLM

Progress in Personalisation

Q56 Q57

Yecco

N78

BHTA PAVILION

Q60 3

3 2

N80 N85 N85

Standex Systems Homecare

Q58

The Community Gateway CIC

Q44

3 1

Residential Care Taking Care of Business

Connect 2 Care

The Skills Network

Parkinsons

Optalis 3

ADH&S

Careworks

Advance

M84

P64

M80

Circle

N66

N76

P60 4

N70

Q30

ECCA

N62

Q40

Carehome

Q38 6

SEATING

P40

ASLTIP Health&Social ecare solutions

CGW

VIP LOUNGE

MCCH

The Open Health & University Fitness Equip

M68 M70

Telecare Unleashing the Potential

Q35

LT Training

Paying for Care

NHSCC

M72

TMI

Q33

Q42

N34

M62 M61

Caring UK

ALK Abello Pivotell

3 9

MDC

Niko Projects

Q32

P26 P28 6

M64 M65

Lundbeck

M52

P25 9

N26

N31 N30

P24

Robotic Technology

Athena

M56 M58

NRS Solutions

NICE

L61

CMM

P20

Tanita

Fullcross

4.5

N25

The Guardian

M42

Acumag

L63

N24

TB Conversions

N32

Codegate

L53

Keeler

L62

L51

L50

CATERING

NHS North of Tyne Information Services

3 3

K60

Clarity Informatics

J70

Alzheimer’s Society

K54

I78

Henry Schein Medical

K52

Jayex

Primary Care Today

L41

L60

Hartmann

J65

M32 Strata Health M34 M36

CATERING

K50

N20

4.5 3

Browne Jacobson

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Black Pear Software

MATCH

I68 Haven Health Properties

L32

J52

J60

Aerocrine

J50

HOLD

M38 M40

L40

DAC Beachcroft IE Design

I62

MyTime Active

H72

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DAB Beachcroft

1.5

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Bayer Boehringer Ingelhelm

Ascribe

M28 M29

Mead Johnson Gordon Nutrition Ellis 3

NHS Solutions

4.5

J42

Tillotts Pharma

4.5

L30

M22 M24

Healthcare Grey Matter Monitors Group

Q20

Care 4 Professionals Benevolent Fund

CARE PROVIDER VILLAGE

Q14

P15

HOLD

Age UK

K30

J38

J40

I52

H51

Mode Medical 2 Recruitment LLP

Development Lab

Weight MedeAnalytics Watchers

Membership Broomwell Healthcare Financial 3 Finegreen Engagement Services Management Association Associates & Electoral Reform

H51

Advanced Health & Care

Medical Supermarket

I42

H50

I41

Medicine Management Solutions

CSU PAVILION

J35

J31

Experian

CATERING

Map of Medicine

WRVS

I40

Slimming Marie World Curie

K12

CATERING

Patient Opinion

Health Diagnostics

F52 G51

K10

K20

Capita

Bristol-Myers Squibb

Simplicare

P14

PSUK

Mylife Diabetes

Roche Diagnostics

Wesleyan

Q10 5

J28

Novo Nordisk

G50

Oakhouse Foods

RCSLT

Astra Zeneca

sponsored by

H11

G20

Microtest

G17

Air Products

Wiggly-Amps

F14 F15

G11 G15

Daisy Surgery Docman Line

3 Menarin Diagnostics

RESIDENTIAL CARE

F11

PROCUREMENT PAVILION

CATERING

INTEGRATED CARE

ENTRANCE & REGISTRATION

HOME CARE

ENTRANCE & REGISTRATION

CATERING

Home Care Seizing the Opportunity

Q62 Radian 2

4, j.hall@closerstillmedia.com; Lee Davies – 0207 348 5278, lee.davies@closerstillmedia.com Interested in exhibiting?

Stands are available for less than £1600 with free additional promotional activity included for stands booked in March and April Call the team on +44 (0) 207348 5261 or reserve a stand by emailing lee.davies@closerstillmedia.com

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FEATURED company profiles MDDUS

Tag Medical/DBG

The MDDUS is a mutual organisation that has been providing indemnity, advice and guidance on medico-legal matters to members, throughout the UK, who encounter professional difficulties for over 100 years. With a team of highly qualified and experienced professionals, and offices in London and Glasgow, the MDDUS prides itself on providing members with a quality, personalised service at competitive rates. Visit our stand for a quote. www.mddus.com

Visit our stand at Commissioning Live!

Strata Health Integration [of health and social care must establish a seamless delivery of high quality provision across all organizations; primary, secondary, local authorities, volunteer, independent and the 3rd sector. Strata Health connects this entire network of providers, ensuring the patient’s journey is planned & monitored; creating a truly shared approach. Sophisticated matching and e-Referrals based on patient need; and in accordance with agreed commissioning criteria, aids clinicians in identifying and mobilising the optimal transitional plan. Capacity across Intermediate Care, Step-up/Step-down, Hospice, Nursing Homes, and Residential Homes; as well as throughput of Community-based teams; facilitates access to the right care, quickly. Meaningful analytics on acceptance/rejection; response times; threshold breaches, unmatched service requests (service gaps) and even service costs provide a realtime operational MO. Strata Health. Delivered paperlessly. Configured bespoke to local best practice. Built to reduce front-line clinicians non-clinical workload. Optimising patient outcomes. Currently managing over 1.8m lives across the UK & Canada.

DESMOND DESMOND is a portfolio of nationally recognised diabetes education programmes for those with, and at risk of, Type 2 diabetes. We offer patient education courses suitable for a wide range of people, including Newly Diagnosed, Foundation (for established diabetes) and Walking Away from Diabetes, our prevention module. We have versions for Gujarati, Urdu, Bengali and Punjabi speakers, and our specialist A Safer Ramadan toolkit. 2013 sees the release of our Lay Educator training and an education toolkit on Injectable Therapies. By commissioning DESMOND, you will be providing patients with top-of-the-range self-management education. To ensure patients receive the same quality of care evidenced in our research, all DESMOND Educators benefit from our unique Quality Development framework. You can support your diabetes patients to achieve reductions in HbA1c, weight, smoking and depression and increase their physical activity, for as little as £21.63 per patient. To find out more please visit stand F44 or our website www.desmond-project.org.uk

Lundbeck Integrated care Working in Partnership in CNS and Mental Health The NHS landscape is changing. New healthcare decision-makers are emerging, old structures are set to disappear and all this is against a backdrop of financial constraints meaning the NHS needs to do more with less. The quest for efficiencies is driving a greater need for partnership and, as such, the willingness to work together with Industry. This is reflected in the recent Innovation Health and Wealth1 report: Where can Lundbeck help ? Lundbeck are proud of the fact that we are the UK’s leading pharmaceutical company specialising in central nervous system (CNS) disorders. Lundbeck are already successfully contributing to the redesign of care pathways and provision of education for HCPs to improve patient outcomes and help deliver the QIPP agenda. To see what we have to offer and discuss areas we can help you with, please come and see us at the event.

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TAG Medical is pleased to be showing at Commissioning Live this year, we’ll be at stand XXX. Pop over and speak to us about our calibration, training or compliance services. Calibration, Testing, Repairs TAG Medical has always had a reputation for professionalism and reliability when it comes to testing and calibration. We work to the highest standards including ISO9001 and our equipment is UKAS accredited. Additionally, TAG are Safe Contractor approved; the only company in our field currently accredited to this standard. Our friendly team of engineers are spread throughout the UK, and will always go above and beyond to help you maintain the smooth running of your practice. And don’t forget, annual equipment calibration enables you to claim 3 QOF points 3 QOF points as per the nGMS contract management point 7. Training and Compliance All TAG Medical customers 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. We have courses conducted at your practice that can support you in your preparation for a CQC inspection, fulfil your Life Support Training (and gain 4 QOF points), or help you manage Legionella risk – all at member’s prices if you’re already a TAG calibration customer! Call us on 0845 070 7800, email info@tagmedical. co.uk, or visit our stand number XXX

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 at 12.30pm on 12th June in the CCG Business Stream or visit bupa.com

EMIS Using data to deliver better care the initiative is to be rolled out across 12 other practices with a total of 100,000 patients 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 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 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. 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.

jcpmh.info) is comprised of 17 leading organisations who are aiming to inform high-quality mental health and learning disability commissioning in England. Co-chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists, it has already published a range of guides for CCGs and specialist commissioners, and has also developed tools such as service specifications, contract inserts, and costing resources. The guides produced so far cover the commissioning of primary mental health care services, dementia services, liaison mental health services to acute hospitals, transition services, perinatal mental health services, public mental health interventions, and rehabilitation services.

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.

Forthcoming guides will include the commissioning of drug and alcohol services, forensic mental health services, autistic spectrum disorders, community mental health services, acute mental health care, eating disorder services, child and adolescent mental health services, mental health services for people with a learning disability, values based commissioning, and neuropsychiatry services.

For more information about how CCGs can use data to deliver change, visit www.emis-online.com.

Venn Group

INPS INPS announces new QOF solution for Vision INPS are the people behind Vision. INPS is a CEGEDIM company; a global organisation operating across 80 countries, specialising in CRM systems, strategic data, and technologies and services for the healthcare sector. INPS are delighted to announce an exciting new update to Vision, called Vision+, which includes real-time alerts for additional QOF points, practice-based protocols and a simple but powerful recall facility. When a patient record is open in Consultation Manager, Vision+ shows missing or incorrect contract information and provides intelligent templates for fast data recording. There are also additional reporting facilities to help with QOF management. Practices can create their own protocols that alert users to missing information during consultations alongside the existing QOF related alerts. Vision+ also includes a sophisticated, but simple to use, recall facility. Lists of patients with certain diseases or specific indicators are used to add contract information, or to run a mail merge for recall letters. Vision+ keeps track of the number of letters sent to patients so practices can add exception codes against patients who have reached the maximum number of allowed letters. Vision+ will be available free of charge to all practices using Vision. For more information please call 020 7501 7440 or email info@inps.co.uk.

TPP SystmOne – supporting CCGs TPP have been providing their clinical software SystmOne to the NHS for over 15 years. They are pioneering in linking up health and social care with a vision of “one patient, one record”. TPP are fully interoperable and currently work with over 60 integration partners to ensure your CCG can work flexibly and efficiently. All integrations are free of charge, meaning there is no extra cost to your CCG. How can SystmOne support your CCG? • Share templates and forms across all providers. • Monitor trends across organisations through reporting. • Work on the move with TPP’s mobile working solutions. • Share workload across organisations with Shared Administration. • Allow patients to take control of their health through SystmOnline. For more information, or to book your demo, please visit www.tpp-uk.com. Alternatively, contact our Account Team on 0113 20 500 83, or email enquiries@tpp-uk.com.

Joint Commissioning Panel for Mental Health The Joint Commissioning Panel for Mental Health (www.

Supplying NHS Specialist staff for over a decade. Venn Group have long since established themselves as the premier supplier of specialist members of contract staff within Information, Commissioning, IT, Finance, Procurement, Communications and Estates & Facilities. Enjoying established relationships with every NHS organisation, UK wide, Venn Group could not be better placed to augment your team with temporary, specialist skills, as and when the need arises. At a time where change and cost saving are top of the agenda, Venn Group understand the unique pressures that are placed on each department. We recognise how investment in short-term and expert help can deliver value-for-money by helping you achieve your longer term goals. Call one of our NHS Specialist Consultants on 020 7557 7667 or email tdixon@venngroup.com, to discuss how Venn Group can help your team realise its full potential.

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.”

First Data Bank Safety, Quality and Patient Centric Prescribing support from FDB First Databank (FDB™) drug knowledge forms a critical part of primary and secondary care patient

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administration systems across the UK. FDB has two exciting new solutions now available in market covering Medicines Optimisation at the clinical Point of Care, and also Retrospective Analytics providing CCGs with critical business intelligence on prescribing activities. These solutions are underpinned by an innovative rules engine that can deliver Commissioning Services Units and Clinical Commissioning Group wide prescribing information in the context of the clinical profile of the patient. The breadth and depth of the patient level information extracted and used for medications related intelligence is unique to FDB. FDB has worked with Medicines Management teams and CCG prescribing leads to ensure that Medicines Optimisation from FDB provides: • • • •

Improved prescribing practice Better patient outcomes Medication cost savings Medicines use analytics

With thousands of customers worldwide, FDB works with information system developer partners to deliver a wide range of valuable, useful, and differentiated solutions. We offer more than thirty years of experience in transforming drug knowledge into trusted, purposeful and effective solutions that improve patient safety and healthcare outcomes. FDB provides active clinical drug knowledge that helps healthcare professionals make precise medication-related decisions. FDB is the only provider of clinical decision support to receive NHS Evidence accredited provider status from NICE. Visit us on stand at The Commissioning Show, or for further information please visit fdbhealth.co.uk or email us info@fdbhealth.com

Real-time information at your fingertips: technology-transformation of integrated health and social care – overcoming the obstacles

An expert-led panel discussion at the Commissioning Show 2013 will provide delegates with an opportunity to understand and discuss the clinical benefits of interagency information sharing across primary and secondary healthcare, social care, mental health and emergency services and how to overcome some of the obstacles in achieving it. The session, sponsored by Harris Healthcare, will look at how health secretary Jeremy Hunt’s vision of a paperless NHS by 2018 can be achieved but will also look beyond that to examine how information can be shared ‘interagency’ - across primary, acute, community and mental health, social care and emergency services to provide a joined up approach to a patient’s health and well-being.

that integrate the different systems we use and this session will help to provide us with insight into how that can be achieved.” The panel will be part of the ‘Productivity through Technology’ stream at the show held at London’s Excel on 12-13th June. Among the issues discussed will be the ownership of data, the sharing of real-time information ‘inter-agency’ across health economies, as well as safe electronic record keeping. Panelists will discuss barriers and solutions to these topics and invite the audience to share their experiences. Following the panel discussion, Wayne Parslow, VP EMEA Harris Healthcare, will deliver a presentation and Q&A session on how technology such as electronic patient record systems and clinical integration platforms have the potential to improve patient outcomes across boundaries and also to provide efficiency gains through ‘value-based healthcare.’

Newly appointed medical director of Harris Healthcare EMEA, Dr Jenny Dean, said: “Many healthcare professionals experience huge frustration in being able to access relevant, accurate and complete information when they need it, without creating a distraction from clinical care.

Parslow, said: “Harris Healthcare is supporting these sessions as part of its ongoing commitment to demonstrate how technology can be implemented to support the exchange of information across health and social care and beyond to ensure that professionals have the correct information to provide the best care and support for a patient, no matter where they enter and touch the healthcare system.

“We need flexible systems that support the rapidly changing healthcare environment and

“We look forward to an exciting, diverse and lively discussion and debate.”

About Harris Harris is an international communications and information technology company serving government and commercial markets in more than 150 countries. Headquartered in Melbourne, Florida, the company has approximately £3.7 billion of annual revenue and about 17,000 employees - including nearly 7,000 engineers and scientists. Harris is dedicated to developing best-in-class assured communications® products, systems, and services. Visit http://healthcare.harris.com/ and follow Harris Healthcare on Twitter. For further information about Harris Healthcare contact: Sarah Bruce Highland Marketing on behalf of Harris Healthcare sarahb@highland-marketing.com Tel +44(0)1877 332710 To discuss the Harris Healthcare integration portal contact: Helen Parslow, Director of marketing and business development (EMEA) Harris Healthcare HPARSLOW@harris.com Tel +44 (0) 7880 170972

Connect with delegates at Commissioning The Commissioning Connect platform is live for Commissioning Show delegates.* Unique to the healthcare event sector, Connect allows delegates to set their own agenda for the show, ensuring they get to talk about what matters most to them. From fast paced team updates to lively debates, delegates can set a topic, reserve an area in the networking space and search for attendees to invite. It will also bring social networking to the show, allowing delegates to share their discussion groups through Twitter, Facebook and LinkedIn - even inviting their networks and colleagues to join the debate!

Find out more at www.commissioningshow.co.uk *Connect is for our NHS and public sector delegates, expert partners, associations and media partners.

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Times are tough and with partner incomes dropping steadily many practices are turning their thoughts to federating to prevent themselves going under, according to Dr Peter Swinyard, chair of the Family Doctor Association (FDA).

‘With the incredible pressures currently facing us in general practice I think that we have almost got to the stage where some practices are going to have to share their resources or just pack up and go home,’ he says.

Federation could range from just sharing a few functions with suitable financial arrangements through to a model where practices amalgamate, share all their backroom functions, employ staff jointly and share clinical services. All sizes of practices could benefit from federating, says Dr Swinyard. ‘A number of practices are federating quietly at the moment. They don’t always call it that they call it working together or sharing resources but these are all forms of federation.’

include losing their identity or losing patients to other practices. But Dr Swinyard believes that most practices can federate without damaging their style or individuality. ‘As an organisation the FDA is looking to facilitate those who want to federate. General practice is in for a really bad time in the next year or two. We have to find ways to survive and make sure there is a service for our patients,’ says Dr Swinyard. If the idea of federation appeals, come and hear Dr Swinyard speak on the subject at the Commissioning Show as part of the Your Practice - Adapting to Survive stream.

Dr. Peter SWINYARD

Worries that practices have about federating

First devised by the Royal College of General Practitioners in 2007, the federated model sees GP practices joining together in partnerships to share resources and skills and offer more choice and services to local patients.

practice there is a quite a reasonable possibility for doing some of the backroom stuff more smartly than we do at the moment.’

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Federate or be Damned!

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Dr Swinyard says the FDA has been receiving increasing inquiries about federating and have now commissioned Andrew Lockhart-Mirams of Lockhart Solicitors in London to write a set of fact sheets explaining the legal aspects and different models of federation.

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The fact sheets will cover issues such as making staff redundant, how to avoid constructive dismissal claims and how to avoid falling foul of the Partnership Act.

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A car enthusiast, Dr Swinyard uses the analogy of the motor industry to explain what federation means: ‘The VW Audi group spin a lot of cars off same platform, you’ve got the SEAT Leon, Skoda Octavia and Audi A3 and they all look and feel quite different but they’re all effectively built on the same chassis. In the same way in general

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Commissioning Show moves to new home IMAGES HR: TYPEFACE:

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The move to London Excel will create more learning opportunities for primary care professionals as well as local authorities and third sectors. The show floor will be on one level, allowing delegates to build their own programme as their needs become more diverse and providing a better layout for delegates and exhibitors alike.

Painful, distressing, exhausting

Irritable Bowel Syndrome Irritable Bowel Syndrome is a physical disorder associated with multiple symptoms that include chronic abdominal pain, bloating and either constipation (IBS-C), diarrhoea (IBS-D) or mixed symptoms of diarrhoea and constipation (IBS-M). In other words, IBS has a much more serious effect on patients’ lives than you might think.

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The new site will be conveniently located with excellent transport links, ideally positioned close to the Olympic Park and Westfield Stratford where delegates have the choice to dine and shop. Visit www.excel-london.co.uk information about the venue.

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The Commissioning Show will be returning on the 12th and 13th June 2013 at London Excel

It’s time to take IBS seriously

Confirm your complimentary delegate passes for you and your colleagues today at www.commissioningshow. co.uk/newspaper2 Email: training@closerstillmedia.com Or call: 0207 348 4906

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*Complimentary passes are reserved for public sector and qualified health care professionals. ALM01J12005_Commiss_180x260.indd 1

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