Commissioning Newspaper Issue 2

Page 1

Alessi on implementation SEE PAGE 3

Up-to-date exhibition plan

First programme announced

SEE PAGES 6 & 7

SEE PAGE 8

www.commissioningshow.co.uk

Issue 2

DIXON:

Commissioners are forging ahead at breakneck speed Government determination to push the Health and Social Care Bill through, despite calls for it to be scrapped, has lifted the spirits of clinical commissioning group (CCG) leaders, says commissioning champion Dr Mike Dixon. He says CCGs are now less worried about the bill going ahead than with its implementation. They are concerned about how strong the Commissioning Board is going to be and whether Monitor will wrongfoot them in terms of how much competition, integration, cooperation and privatisation will be allowed. ‘There are still lots of issues to play out because a lot of the people and structures who have been part of the system to date are going to be present in various forms in the future set up. CCG leaders worry about whether they really are going “The model is right to have the power and responsibility and we have been or just become the fall guys for the nudging towards whole system failing.’

Dr Mike Dixon ‘This has come as quite a relief,’ says Dr Dixon who is chair of the NHS Alliance, a senior member of the NHS Clinical Commissioning Coalition and an Exeter GP. ‘There is a rise in morale, CCG leaders are getting back their fight and there is now a real hunger to get on with things.’ Dr Dixon, who will be speaking at the Commissioning Show, says CCGs are now cracking on at breakneck speed. He expects that one third will be seeking authorisation by the autumn and will be ready to go live in April next year. A further third will probably be authorised by next April but with conditions. The National Commissioning Board will commission services for the remaining third until they are ready to go live.

But Dr Dixon says despite these concerns he is very positive about the future and is confident that there is considerable talent among the new clincial commissioners.

it one way or another for years” Dr Mike Dixon

‘The model is right and we have been nudging towards it one way or another for years. We have historically had a very centralist, very managerialist, very secondary care-centric NHS and all those forces who want to keep it that way will now have to move over.’ Dr Dixon says delegates who attend the 2012 Commissioning Show will be wanting to find out more details about the CCG authorisation process, the process of CCG governance and commissioning mechanisms. They will also be looking to network with other commissioners and find out how they are progressing and how they are overcoming any problems they are facing. ‘The penny is going to drop soon that in April 2013 the NHS reforms are for keeps and things really are going to change. A lot of people are going to need to get their feet under the table and find out what is going on,’ he says.

Stop press The Commissioning Show has been nominated as the UK’s best launch event at the upcoming EN Awards, the Oscars of the events industry.

Thanks to our partners In association with:

Event sponsors:

Media partners:

BENCHMARKING SERVICE WILL HELP PRACTICES TO STAY ON TRACK Practice benchmarking software which enables GP practices to monitor their performance statistics at the touch of a button is being launched soon by Commissioning Show sponsor, X-Genics. The service is a development of the X-Genics eManager ‘total compliance’ system designed to help GP practices comply with everything from health and safety regulations, clinical governance standards and to carry out HR tasks such as appraisals, inductions and complaints handling. The new Practice Benchmarking service allows practices to view their performance statistics in easy to read graphs and compare themselves with other practices. A Web Dashboard provides an instant overview of the practice’s regulatory compliance and flags up any incidents and alerts. Accurately monitoring statistics such as patient key performance indicators and staffing levels will help practices to improve performance and profitability as well as complying with the myriad requirements of the QOF, the GMS contract, the Good Medical Guide, the RCGP accreditation scheme, and Care Quality Commission regulations. Practice Benchmarking is currently being piloted in around 40 surgeries and as more data is added practices will be able to measure themselves not just against the national average, but also against other practices in their region, practices of a similar size, or other members of their CCG. X-Genics chief executive Bharat Patel says: ‘The Web Dashboard enables GPs to see where their entire business is in terms of compliance at a single glance. Instead of having to keep hundreds of paper files the practice can have just one software system that does all the work and automatically creates reports, ready for any audit from any regulator. ‘If practices value their licence to trade they will need to keep their fingers on the pulse of all the regulations and legislation that they must comply with but which are changing all the time. Our Web Dashboard and Practice Benchmarking is a free service as an extension of our software, eManager, which does all this seamlessly and automatically for them.’


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Commissioning is organised by CloserStill Media

Unit 17, Exhibition House Addison Bridge Place London W14 8XP www.commissioningshow.co.uk Tel: 0207 348 5250 Ralph Collett Show director Ralph.collett@closerstillmedia.com James Hall Sales manager j.hall@closerstillmedia.com Dan Harding Event executive d.harding@closerstillmedia.com Alice Andrews Delegate manager a.andrews@closerstillmedia.com

www.commissioningshow.co.uk

2012 – An Olympic Year for SystmOne

Counting down to implementation

Every Olympian taking part in this year’s games will have started out with a dream, a dream they thought was almost impossible. In 1998, TPP started out with such a vision, to make healthcare integrated through technology. Working with a community service and a GP practice to share information for diabetic patients, TPP turned shared care into a reality with their product, SystmOne.

meet their IT requirements and fulfil the NHS vision of shared care.

Moving towards implementation will be the main thought on the minds of clinical commissioning group (CCG) leaders when they come to the 2012 Commissioning Show in June.

SystmOne is the obvious choice for CCGs. Clinicians get gold standard service and support along with excellent functionality like shared administration and built-in reporting.

Their main concerns will be around the practicalities of getting themselves ready to start commissioning, says Dr Charles Alessi, chair of the National Association of Primary Care and a member of the Clinical Commissioning Coalition run jointly with the NHS Alliance.

Fourteen years on, TPP has grown its own Olympic team. An award-winning company, they now support more than 100,000 NHS users nationwide. They also support the centralised SystmOne server, currently hosting 24 million patient records (300 times the number of people who would fit into the new Olympic stadium!) For TPP, 2012 is about further realising the dream. We already have 1800 GP practices using SystmOne with new commissioning groups joining us every week. We have the speed, stability and experience that CCGs need in order to

Fiona Phillips to share her story on dementia Alzheimer’s Society Ambassador Fiona Phillips will be giving a talk about her experience of caring for a loved one with dementia in a talk at the Commissioning Show.

So if you and your practice are dreaming about bigger and better things this year – don’t settle for second best. Switch to the leader in hosted systems, the Olympic-standard company already at the heart of the NHS. Visit us at The Commissioning Show 2012 to find out more about our plans and how we can support you and your commissioning group both now and in the future.

Vanda Vokes Conference and speaker manager v.vokes@closerstillmedia.com

Phil Nelson Commercial Director p.nelson@closerstillmedia.com Jonathan Wood Director of Finance j.wood@closerstillmedia.com Phil Soar Chairman

‘Now we can use AQP in a way in which everybody will be comfortable with. CCGs may use it or not as they wish,’ says Dr Alessi. Dr Alessi, who is speaking at the Commissioning Show, says that delegates will be wanting to find out more about what commissioning means, understanding how to commission, how to

‘In April next year we are going to be in a much better place because all the problems with implementation of the Bill are being dealt with now,’ says Dr Alessi.

In 2009 Ms Phillips presented a Channel 4 Dispatches programme about her father’s slow degeneration and investigated whether financial support and respite care is adequate for carers who look after people with Alzheimer’s Disease. She has also written a book, Before I Forget, which chronicled their relationship.

Andrew Ketteringham, director of external affairs, Alzheimer’s Society adds: “After her father’s diagnosis, she became a patron of the Alzheimer’s Society and Age Concern and has campaigned for better support for the carers of dementia sufferers.” The number of people with dementia is projected to rise from 700,000 to over 1 million by 2025 and 1.7 million by 2051.

‘We are keen to make people aware of who we are, what we can offer and how things will change.’

Miss Phillips says: “I know first hand the devastating impact Alzheimer’s has for both sufferers and their families. Many carers make big sacrifices of jobs, free time and family life to look after their loved ones. But are we doing enough to support them?”

In another study, tailored cognitive behavioural therapy packages reduced anxiety in patients with chronic obstructive pulmonary disease, improved self-management and reduced exacerbations and unnecessary admissions. Chris Naylor, the report’s lead author and Fellow at the King’s Fund said: ‘The prevailing approach towards improving care for people with long-term conditions is at risk of failing unless we look at patients’ needs as a whole, including their mental health needs. To achieve this mental health provision cannot simply be tacked on to physical care but needs to be an integral part of it.’

The first new oral anticoagulant for stroke prevention in atrial fibrillation in 50 years Pradaxa® For prevention of stroke and systemic embolism in adult patients with nonvalvular atrial fibrillation with one or more of the following risk factors:

The HPA’s executive director of health protection services, Paul Cosford, and director of microbiology services, Professor Eric Bolton, will give an overview of the agency’s new role in a session in the Health and Well Being Stream of the Commissioning Show on 27 June. Dr Phil Luton, the HPA’s business and marketing manager, says they are keen to explain their role to commissioners. ‘In the new Dr Phil Luton NHS we will be competing for contracts like everyone else. We already have a share of the market for providing microbiology services to NHS trusts across England and Wales. But we want to explain more about our specialist and in-depth capabilities for protecting public health.

• Previous stroke, transient ischaemic attack or systemic embolism (SEE) • Left ventricular ejection fraction <40% • Symptomatic heart failure, ≥ New York Heart Association (NYHA) Class 2

The report Long-term conditions and mental health: the cost of co-morbidities can be downloaded at www.kingsfund.org.uk/mentalhealth

Accommodation at the Commissioning Show 2012

• Age ≥75 years • A ge ≥65 years associated with one of the following: diabetes mellitus, coronary artery disease or hypertension

Please refer to the SPC before prescribing this product, particularly in relation to side-effects, precautions and contra-indications. 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 Boehringer s Drug Safety on 0800 328 1627 (freephone). Legal category: POM Further information is available from: Boehringer Ingelheim Limited, Ellesfield Avenue, Bracknell, Berkshire. RG12 8YS

Are you looking for accommodation in London for your stay at the Commissioning Show?

For an educational pack, go to www.pradaxa.co.uk/SPAFeducationalpack or call the Pradaxa® information line on 0845 601 7880

Did you know you can get preferential rates on a range of hotels through our accommodation partner Event Express? There are also great value options for NAPC members.

Date of preparation: March 2012 Job code: UK/DBG-121156

FREE “EARLY BIRD” TICKETS

A growing volume of research evidence suggests that more integrated approaches with closer working between professionals responsible for patients’ mental and physical health could improve outcomes while also reducing costs.

An example of this integrated approach was achieved at Hillingdon Hospital, London, where including a psychological component in breathlessness clinic achieved savings of £837 per person following reductions in A&E presentations and hospital bed days.

STROKE PREVENTION

The agency provides data and information to government, advises people working in healthcare, has a network of specialist microbiology laboratories, investigates outbreaks of disease and plans for emergencies that could threaten the health of the population.

Her mother died after developing an early-onset form of Alzheimer’s and Miss Phillips quit her high-profile job presenting ITV’s former flagship breakfast show in 2008 to care for her father when he too then developed the disease.

Failure to identify these problems and provide effective support is resulting in poorer outcomes for patients and is increasing cost of care for long-term conditions by up to £13 billion, says the report published by The King’s Fund and the Centre for Mental Health.

The report recommends that commissioners prioritise integrating mental health support with primary care and chronic disease management Chris Naylor programmes, with closer working between mental health specialists and other professionals.

The HPA will be one of the largest components of PHE and its staff will continue to offer services and advice on reducing the dangers to health from infections, poisons, chemical and radiation hazards.

Jo Farrimond Accounts j.farrimond@closerstillmedia.com

ssi Dr Charles Ale

‘I’m optimistic that the Health and Social Care bill will be going through by June. Meanwhile in the Coalition we are speaking with a united voice and will challenge the things we are not happy about. Most of our impetus at the moment is working to ensure we have a process that is fit for purpose.

The Government’s aim is that PHE will deliver services to protect the public’s health through a nationwide integrated service, provide information and intelligence to support local public health services and support the public in making healthier choices

Rebecca Royal Event administrator r.royal@closerstillmedia.com

People with long-term conditions such as diabetes or heart disease are two to three times more likely to experience mental health problems than the general population, researchers have found.

Health Protection Agency to merge into Public Health England

Julia Danmeri Head of operations j.danmeri@closerstillmedia.com

Michael Westcott Business Development Director m.westcott@closerstillmedia.com

The Coalition recently forced the Government into a U-turn on the use of AQP with commissioners now entitled to decide if and when they open up services to competition.

The Health Protection Agency (HPA) is intended to become part of Public Health England (PHE) in April 2013 as part of the public health reforms.

Sophie Holt Marketing and PR manager s.holt@closerstillmedia.com

Andy Center Chief Executive a.center@closerstillmedia.com

One of the challenges will be for CCGs to understand what their responsibilities are around the use of any qualified provider (AQP).

Integrating mental and physical health care could save billions

use Health and Well Being Boards and what authorisation means. ‘At the moment CCG leaders are not feeling confident. We are still at the stage where we are going through a messy transition. It’s inevitable.

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Visit the Commissioning Show website... www.commissioningshow.co.uk/accommodation to find out more. 19438 BIP SPAF Brain commioning A5 Ad.indd 1

12/03/2012 15:14


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Capita Leaders Symposia...

What will the future of healthcare look like?

www.commissioningshow.co.uk

Expert surgeries will provide commissioners with customer insight for evidence based commissioning

Healthcare leaders from all over the UK will gather in London on the 27th June for the Commissioning Leaders Symposia.

Sponsored by Capita, the evening event will bring together senior figures from both primary and secondary care to discuss the most pressing priorities for the health service. Key note speakers will add their slant to the debate, lending their own opinions on the route map for CCGs as 2013 approaches. A drinks reception will provide the perfect opportunity for the debate to continue in a less formal environment and to network with old colleagues and new.

If you would like to attend the evening reception and symposia, please email delegate manager Alice Andrews a.andrews@closerstillmedia.com

Emily Sparks, Head of healthcare, Experian

Much of the information the company collects is geared towards understanding consumers’ lifestyles and circumstances which can provide a sound foundation for commissioning and assessing eligibility for services

Emily Sparks head of healthcare at Experian, explains: “The unique attributes of our data are the level of granularity – understanding “me and my household”, not just a wide geographical area. We can provide an understanding not just of “me and my healthcare” but also of what’s my everyday lifestyle like? What is my preferred method of engagement? Do I travel in to a commuter belt during the day? Or do I prefer to have services there? It’s all about using data to tailor services around the individual and having the evidence base to do that.

EVIDENCE into PRACTICE™ is a fully facilitated, clinical change management programme provided by MSD on a fee-forservice basis, which aims to ensure that people with diabetes and those at increased cardio-metabolic risk receive optimal care through effective implementation of national and/or local guidelines.

Currently over 250 practices are registered with the EVIDENCE into PRACTICE™ programme across 40 Primary Care Trusts. This covers more than 1.6 million NHS registered patients and over 1100 healthcare professionals.

Predominately aimed at clinical commissioning group (CCG) and PCT Cluster board members and finance directors the surgeries will offer one-to-one sessions with an expert partner who will be able to demonstrate how commissioners can use insight to commission more personal and efficient services. .

“The data we collect gives commissioners a picture of the expected health needs of their area”

product or brand promotion and all facilitators operate in an open, transparent and unbiased manner. The facilitators are accredited PRINCE 2 project managers to practitioner level and work with practice teams to ensure the timely achievement of programme milestones.

The programme offers a structured approach to the management of people with cardio-metabolic disease and is co-ordinated by field-based MSD facilitators who work with practice teams to ensure they achieve programme milestones.

Experian, an information services company which has three decades of experience in managing and interpreting consumer and business data, will be running an expert surgery at the Commissioning Show.

Experian claims it probably knows more than any other organisation about UK citizens, their residency, circumstances and demographics and has considerable experience of working with primary care trusts (PCTs) helping them to tailor the services they offer and deliver them in the most efficient way.

Service saves practices £14,000 in year one

“The data we collect gives commissioners a picture of the expected health needs of their area ,the wider determinants of health and how these relate to the geographical provision of services.” For example, Experian has helped PCTs use data to understand which people use A&E inappropriately, which people have moved to make sure GP lists are accurate and understanding the types of people who are likely to attend screening. If a CCG needed to provide cardiovascular disease screening in 10 pharmacies Experian could provide data to help commissioners better calculate which would be the most suitable pharmacies that would be able to capture the population that needed that type of service. They can also help with physical location planning. Health needs assessments for new developments, for example, can help commissioners calculate what kind of people will be expected to move in to an area and what healthcare services they are likely to need. “In the expert surgeries at the Commissioning Show we will be able to show delegates the kind of local data that we have and how this can be used to help their individual CCGs to commission more efficient services,” says Ms Sparks.

Watch out for a new Connection

The goal of EVIDENCE into PRACTICE™ is to provide healthcare professionals with information, training and tools that are designed to assist them in their daily practice to help them improve their patient outcomes and further their continuing professional development. Our methods centre on the understanding and implementation of national and/or local guidelines at a practice level. EVIDENCE into PRACTICE™ is independent of pharmaceutical

To date the programme has driven: • Significant improvements in both NICE endorsed1 and QoF aligned2 risk factor target achievement

Introducing FDB First Databank (FDB) provides clinical drug knowledge that helps healthcare professionals make patient specific medication related decisions. The FDB drug knowledge base forms a critical part of primary care patient administration systems guiding prescribing behaviour to avoid allergic reaction and other adverse drug events. Also utilised in out of hours care systems, secondary care e-prescribing systems, pharmacy dispensing and stock management systems, FDB’s world renowned drug knowledge base is a trusted resource and comes with a strong track record of success.

• Reductions in secondary care Diabetic Medicine Outpatient admissions and CVD admissions • Average Year one savings of £14,365 per practice, driven by reductions in secondary-care activity2 • Improvements in modelled life expectancy and quality-adjusted life expectancy driving reductions in health inequalities1 If you would like more information then we would be delighted to welcome you to our workshop “Delivering on Quality, Productivity and Prevention in cardio-metabolic disease through an Innovative clinical change management programme.” at this year’s Commissioning Show. 1. MSD data on file. 2. NHS Greenwich data on file.

Please visit us at www.evidenceintopractice.co.uk or contact: T: 01992 455 400, E: evidenceintopractice@merck.com

GP magazine report live from Commissioning 2012 News and views from the Commissioning Show will be going straight onto the desks, twitter feeds and inboxes of 42,000 GPs and primary care professionals. The GP team will be reporting live from

the show floor on all the latest news and views on success stories and clinical best practice in the Integrated Care and Long Term Conditions streams. Make sure you add @GPonlinenews and @CommShow to your follow list so you don’t miss out.

Point of Care testing at the Commissioning Show

The Commissioning Connect platform is coming soon for all 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.

Reducing referrals and optimising therapy are two of the themes addressed by Point of Care testing at the Commissioning Conference in Olympia.

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!

Recognised speakers will be presenting practical examples of saving resources in diagnosing both heart failure and DVT. These have been achieved through locally driven business cases leading to easily implemented primary care commissioned services. The result is reduced referrals to hospital, significant cost saving and better patient care. This session will be hosted at 2.00pm on the 27th June.

Find out more at www.commissioningshow.co.uk

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The following day the topic of optimising current anticoagulation services in AF will see practical strategies employed to cost-effectively manage this long term condition. Warfarin optimisation remains a key focus for such patients where good control is achievable. This symposium is scheduled for 10.00am on the 28th June. Roche Diagnostics will be present at stand G41, near the main lecture theatre. Please come and visit us to see how these examples could help your locality.

SEE ALL THE LATEST SHOW NEWS AT www.commissioningshow.co.uk

In 2011 FDB launched the Multilex DOSE module which proposes doses in line with best practice and also validates manually entered doses, helping to prevent one of the most common areas of error (NPSA, 2007). In January 2012 FDB became the first drug database provider to be awarded accreditation by NICE for the processes used to develop evidence in clinical decision support systems. This accreditation recognised the quality of the processes used to develop FDB’s drug knowledge base which is used in the core product Multilex, in the web based and mobile referential drug solution FIRSTLight and the latest solution suite Medicines Optimisation. Medicines Optimisation is a revolutionary new concept which takes drug knowledge, FDB’s core drug safety experience and maps it across two other key areas - Best Prescribing Practice and Best Drug Price. With the patient’s own unique profile at the core of every acute and repeat prescribing event Medicines Optimisation is geared to drive quality and cost efficiencies at patient, practice and population level. FDB’s system vendor partners are also developing solutions which will generate medicines management dashboards and workflow based patient interventions. The NHS medicines budget is receiving increasing scrutiny to deliver the cost savings mandated by government. With FDB medicines optimisation solutions variation in prescribing practice can be identified real time, ‘postcode lottery’ prescribing can be tackled and patients with long term conditions can be captured with ease for improved condition management. All indications are that FDB’s new solutions are coming to market at a critical time to support the emerging CCGs. By ensuring that patients get access to medicines which are not only safe for them, but also will give them the best outcome, the immediate benefits from the limited prescribing budget are maximised, while in medium term the costs across the wider healthcare economy are driven down through better quality outcomes. Visit FDB on stand AA51 at The Commissioning Show.


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Enhance delegate traffic to your stand, become an expert surgery sponsor and benefit from pre-bookable 1-2-1 meetings.

PIZZA EXPRESS

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Become a session sponsor to deliver key messages to commissioners through insightful case studies

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C61

MDDUS Philips Healthcare 3

3

Become a stream sponsor and gain exceptional branding exposure

F81 Niche Health

Royal Navy

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C62

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8.5 8.5 Medical D71

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4

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Air 6 Products Healthcare

4

A51

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3

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E81

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D74

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Map of Elephant 3 Medicine Kiosks

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PIZZA EXPRESS

STAIRS TO: Integrated care and Managing long term conditions streams

Please contact us quickly so we can ensure your brand is part of the definitive event for UK commissioning. Call the team on 0207 348 5254 or email sales@commissioningshow.co.uk

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The definitive event for GP Commissioning is back this June Registration is now open for one of the UK’s largest GP events. With the changes well underway that will bring about a primary care-led health service, you can join over 3000 GPs and primary care professionals leading the way in delivering better patient service. Take a look at the latest programme for our conference sessions and speakers. But the Commissioning Show is about much more than listening to the key issues debated by some of healthcare’s most influential figures. It’s really about the commissioners themselves and the experience they can offer each other, all the successes and cautionary tales from those on the road to authorisation - however far along. Commissioning gives you the perfect platform to put your burning questions to policy makers, experts, local authorities and most importantly your healthcare peers. So what do you need to know to deliver the best service for your patients in 2012 and beyond?

DAY 1 - 27 JUNE

Managing Long Term Conditions

Integrated Care

Productivity Through Technology

CCGs of the Future

Chair’s welcome

Chair’s welcome

Patient and professional perspectives on living with LTCs

If “culture eats strategy for breakfast”, how do we change it?

Session sponsored by - MSD Diabetes

Sponsored session

Meeting the intelligence needs of CCGs

Session sponsored by - IQ Medical

The anatomy, physiology and embryology of health and wellbeing boards

Networking

Networking

Sponsored session

Networking

Session sponsored by Boehringer Ingelheim

Improving patient care and service efficiencies through partnership working

Here’s one I made earlier: Case studies on integrated care

Networking

Protect your income whilst improving patient access

Lunch

Lunch

QIPP showcase: LTC management that works

Continuity of GP care, the bedrock of integration

Session sponsored by - Roche

Session sponsored by - Bayer

Lunch

Networking

Chair’s welcome

Moving towards authorisation: Cumbria in 2013

Systems to support the next generation of commissioning

Lunch How can GPs avoid conflicts of interest

Networking Another ‘talking shop’? A case study on the rise of the decision-making HWB Lunch

Predictive modelling to reduce risk and admissions

Preparing for CQC

What will success look like? Measuring performance on health

Session sponsored by - First Databank

Workshop sponsored by - XGenics

Session sponsored by - Health Protection Agency

Networking

Setting up the optimum commissioning support

Networking

Networking

How to overcome tribal loyalties? Panel discussion on cooperative HWB working

Identifying opportunities for CCG efficiencies

The co-production model – a shared population approach to health and wellbeing reflecting all interests and assets

Panel debate: QOF and LTCs: do points improve outcomes

The big wins for integration

Capturing patient opinion to shape dynamic services

Measuring meaningful improvement in LTC: how will we do it?

Integration in practice

Mental Health care management enabled by technology Plenary session: Secretary of state for health Leaders symposia and reception - Sponsored by - Capita

Managing Long Term Conditions

Chair’s welcome

Innovative approaches to managing LTCs

Integrated Care

Chair’s welcome

Productivity Through Technology

Chair’s welcome

Networking

Insurance risk and service risk: what do you need to know?

How can HWBs transform services and outcomes?

Session sponsored by - Roche

Networking

Exploiting technology to drive efficiency

DAY 2 - 28 JUNE

Chair’s welcome

Integrated high quality care: NHS Future Forum’s vision for making it happen

Session sponsored by - Astra Zeneca

Networking

Networking

Patient experience: the new kid on the block

Mental Health Services: How do we commission together?

Who can add value to commissioning for LTCs

Chair’s welcome

HWB: Productive relationships

5 high impact changes that achieve integration

Session sponsored by - Bayer

Lunch

CCGs of the Future

Lunch

Sponsored session Networking Telehealth to challenge the status quo - the need for evidence

Networking Developing multi-disciplinary working within commissioning Lunch

Lunch System leadership and integrated commissioning, experiences from the front line

Mobile solutions. Communication at the point of care Predictive modelling for commissioners

Session sponsored by Boehringer Ingelheim

Session sponsored by - MSD Diabetes

Networking

Networking

Sponsored session Networking The Future of Public Health – a new landscape Lunch

Seeking outside help with commissioning: outsourcing options Sponsored session

Birmingham: improving outcomes in a complex environment Sponsored session

Session sponsored by - United Health Networking Plenary session: Chief executive of the NHS

Networking

y

nja Michael Soba

HWB: Productive relationships

Chair’s welcome

Networking

Chair’s welcome

Andrew Lansle

Networking

A programme featuring the who’s-who of Commissioning: Andrew Lansley, Secretary of State for Health Sir David Nicholson, Chief Executive of the NHS Dr Michael Dixon, NHS Alliance Mike Ramsden, Chief Executive, NAPC Dr Nick Hicks, Director of Public Health, Milton Keynes NHS Dr Charles Alessi, Chair of the NAPC Goran Henriks, Chief executive of learning & innovation, Jonkoping County Council Ailsa Claire OBE, Transition Director Patients and Intelligence, NHS Commissioning Board Dr Hugh Reeve, Chair of Cumbria Clinical Commissiong Group Peter Brambleby, Joint Director of Public Health, NHS Croydon & Croydon Council Dr Sam Barrell, Chair of Baywide Clinical Commissioning Group Stuart Cowley, Director: Personalisation & Partnerships, Wigan Council Ian Blunt, Senior Research Analyst, Nuffield Trust Dr Jamie Macpherson, Partner at Coventry’s Springfield Medical Practice Kim Carey, Corporate Director for Adult Care & Support David Colin-Tomé, DCT Consulting Edna Robinson, Chair of The Big Life Group, Managing Director of the Clinical Commissioning Community Programme. Phil Da Silva, QIPP Right Care Programme Paul Hodgkin, Chief Executive, Patient Opinion Dr Gillian Leng, Deputy Chief Executive, NICE

Dr Rosie Benneyworth, GP, Somerset Clinical Commissioning Group Andy Brogan, Wellbeing Practice Lead, Vanguard Consulting Dr Alison Hill, Managing director NHS Solutions for Public Health and Director SEPHO Sir Muir Gray Michael Sobanja, CEO NHS Alliance Julie Wood, NSH Alliance Hazel Stutely OBE, Exeter University Professor Chris Drinkwater CBE, Independent Chair, Newcastle Bridges CCG Mandy Wearne, Director of service experience, North West Health Region Sue Harris, Worcester County Council Ray Johannsen Chapman, SLAM Stephen Johnson, Head of Long Term Conditions, DH Lindsey Davies, President of the FPH Don Redding, Director of policy, National Voices Stephen Foster, Chair Health Care Professionals Commissioning Network Dr Howard Freeman, GP, Assistant Medical Director at NHS London Dr Mike Warburton, Director, Capita Alan Lotinga, Director of Health and Wellbeing at Birmingham Council Professor Steve Field, NHS Future Forum James Kingsland, National Clinical Commissioning Network Lead Plus many more... Final speaker programme is subject to confirmation

Nick Hicks

en Dr Mike Ramsd

Johnny Marsh

all

olson

Sir David Nich

WHAT’S NEW FOR 2012? Listen, learn, debate: New for 2012, the facilitated learning area will allow you to join a facilitated workshop where you can work with colleagues and other groups on real life scenarios. Lead by a professional facilitator, each session will have a set task to complete as a group, with the objective of leaving with practical solutions that can be implemented in your locality.

Commissioning’s hottest debates: Commissioning 2012 will be covering the hottest topics of the day, though we may not know what they all are yet! Our round table programme will allow delegates, partners and experts to table hot topics and watch the debate unfold. These lively, less structured discussions are an ideal way to gain insight into current practice and opinion.

The social network An innovative delegate booking platform opens up new opportunities for networking, both in the run up to the show and beyond. Delegates will be able to create a bespoke conference programme for themselves, combining their selections from the formal sessions with facilitated networking and face to face meetings with peers.

Get face to face with your commissioning heroes: New for 2012, the facilitated networking area will allow delegates to build their own programme of meetings around the main conference programme. Identify experts and peers with practical experience in your key areas. You can even create your own sessions around the topics that matter most to you and invite like-minded colleagues to join you.

You can view full programme details online at www.commissioningshow.co.uk but here are just some of the highlights... MOVING TOWARDS AUTHORISATION A CCG pioneer shares its experiences of moving towards authorisation in 2013, offering practical tips to those facing the same challenges. Dr Hugh Reeve, chair of Cumbria Clinical Commission Group and GP Partner, Nutwood Surgery, Grange-over-Sands.

e

Dr Hugh Reev

5 HIGH IMPACT CHANGES THAT ACHIEVE INTEGRATION: LEARNING FROM INTERNATIONAL BEST PRACTICE The Nuffield Institute published a seminal report on integrated care, which analysed how four successful health economies have made integration happen. This session provides insights and lessons for CCGs wanting to achieve the same. Dr Rebecca Rosen, Senior Research Fellow, Nuffield Trust

Dr Rebecca Ro

sen

PATIENT, CARER AND PROFESSIONAL PERSPECTIVES ON LIVING WITH LONG TERM CONDITIONS This session explores the perspectives of professionals and contrasts them with the perspective of a person and carer with experience of living with a long term condition that is reaching epidemic proportions - dementia. Dr Donal Hynes, Co-Vice Chair NHS Alliance, Professional Executive Committee Chair, NHS Somerset, Medical Director, Somerset PCT Cluster and Fiona Philips, Ambassador, Alzheimer’s Society

Fiona Philips

MEASURING MEANINGFUL IMPROVEMENT IN LTC: HOW WILL WE DO IT? Dr Gillian Leng, Deputy Chief Executive, NICE Gillian Leng

ANOTHER ‘TALKING SHOP’? A CASE STUDY ON THE RISE OF THE DECISION-MAKING HEALTH AND WELLBEING BOARDS Wigan has used an approach in developing its Health and Wellbeing Board that has majored on new commissioning leadership relationships. GPs and Councillors have been building the foundations of a common purpose and vision for health and wellbeing. As CCGs come into being the intention is that the Health and Wellbeing Board is placed to be able to put strategic commissioning for change and improvement directly into action. Integrating wellbeing, social care and clinical pathways is at the centre of the work. Stuart Cowley, Director: Personalisation & Partnerships, Wigan Council

Stuart Cowley

FREE LIMITED “EARLY BIRD” TICKETS. Book now quoting Comm_Free on 02476 719 686 or visit www.commissioningshow.co.uk/book


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New commissioning success bi-monthly magazine aimed at helping clinical commissioners get the best outcomes If the Health Bill goes to plan, the future of funding in the NHS lies with the CCGs and their commissioning boards at group area level and practice managers for individual practices - there will of course be some cross-over with PMs who also represent at board level. PCTs are now involving CCGs in NHS contracting, with a view to transferring functions in full by April 2013 (when the PCT will be completely abolished). But transferring of functions is happening now, with more advanced CCGs already powering forward and implementing strategy for commissioning. This year will see a high shift in funds transferred to CCGs with plans and outlines already in place. This is why it is important to begin discussions with CCGs now, and be in the minds of commissioning boards who will overlook budget transferring. Commissioning Success is leading the way to provide that communication path. With the implementation of commissioning in the NHS, the former PCTs will eventually slide away to be replaced by Clinical Commissioning Groups (CCG). The listening exercise last year

resulted in the changes to the levels of responsibility being placed at the CCG (then known as GP consortia) - at present a £60bn budget for primary, secondary and acute care will rest with the board members of the CCG, who will work under their respective commissioning board. Launching in March 2012, Commissioning Success will be the only commissioning title specifically targeted at helping CCG board members, participants in commissioning, and all related health networks and shadow boards manage the NHS reforms successfully. It will be a must-read for anyone interested in clinicallyled commissioning. Whether they’re on a the board of a clinical commissioning group, participating in commissioning, a provider or interested from the side-lines, Commissioning Success magazine will help them stay one step ahead of the Government’s plans to give clinicians power over £60bn of the NHS’s budget. To find out more, contact: Julia Dennison, editor - 020 7288 6833, George Petrou, commercial manager - 020 7288 6833 Or visit, www.commissioningsuccess.com

TELEDerm® - High quality, low cost tele-dermatology TELEDerm® is an award-winning service providing GPs with high quality, low cost diagnosis of skin lesions. GP’s using TELEDerm® achieve increased diagnostic accuracy, resulting in: • A 75% reduction in referrals of patients to secondary care • Up to 50% reduction in spending per patient • Reduced pressure on 18 week hospital waits.

TELEDerm® is quick and easy to set up, in line with NICE Guidance and the Cancer Reform Strategy and available exclusively from The MOLE ClinicTM – the UK’s leading private skin cancer diagnostic clinic and the only private provider of tele-dermoscopy services regulated by the Care Quality Commission. Visit us on stand AA31 or contact Anna Henderson, TELEDerm® NHS Commissioning Manager, on 07970 694 683, annahenderson@themoleclinic.co.uk

6 out of 10 Head Lice Treatments prescribed on the NHS are failing for Patients NYDA 92% dimeticone Dual Formula is being recognised by HCPs as a superior, clinically proven head lice treatment offering a 94.7% cure rate after one application Many Health Boards and PCTs have not reviewed or updated their formulary guidelines for parasitical infestations in more than four years, even though guidelines for the management and control of head lice infestations (PHMEG, HPA, DTB, CKS and BNF) have changed dramatically over this period. As a consequence, healthcare professionals continue to prescribe ineffective head lice treatments. DTB8 reported NYDA 92% dimeticone achieved better treatment outcomes than Hedrin 4% dimeticone lotion. An RCT showed a cure rate for NYDA at day 9 of 97.2%. This compares favourably with two RCTs on Hedrin 4% dimeticone lotion, which showed a cure rate of 70% after two treatments - one week apart.

How Patient Access is transforming primary care themselves as “emotionally exhausted”. With rising patient expectations and new responsibilities loaded on by the Health Bill, it’s hard to see how things will get better. Meanwhile commissioners are struggling to balance their budgets and still improve the service to patients. Uneasily aware that much of the demand in emergency departments could and should be managed in primary care, they wonder what to do. QIPP seems like an extra burden they could well do without, and there’s little evidence of what might work. Hope for the best (again)? You are familiar with the problem, as a patient, doctor or staff in primary care, or hard pressed commissioner. Patients routinely rate GPs among the most trusted professionals in the UK, yet this comment on NHS choices is typical: “Excellent GPs in the practice, but it’s almost impossible to see them.” In fact, over a third of all complaints on the website concern access, easily the highest proportion. Stories abound of failure to get through on the phone, being told to ring back the next day, or offered an appointment two weeks away. Yet many doctors are working themselves to the bone. 46% of 500 interviewed by BMJ Open Research in Essex described

Plain Healthcare offers referral facilitation and clinical communication systems for both healthcare and corporate organisations

If you would like further information on how you can join PULSE and access Pulse Privilege - our premium employee scheme*, earn up to £3250 in bonuses* by recommending your friends, receive faster payment with our new daily payroll scheme and more then please call: Acute: 0207 959 1100 E: Jobsfordoctors@pulsejobs.com Mental Health: 01992 305 640 E: mental.health@pulsejobs.com Permanent: 01992 305 604 E: permservices@pulsejobs.com

parliamentry yearbook_2012.indd 1

Very simply, the GP phones the patient as the first response to all or most patient demand. When this is developed into a whole system of operation in the practice, astonishing things start to happen. Patients are delighted to be contacted so quickly by their own GP (usually well under an hour). GPs are finding a new lease of life, and going home on time. Commissioners are choosing to support the change as the

Patient Access as a movement and a social enterprise has been set up to make this innovation available to all. At the commissioning show Jill Foster, one of our practice managers, will be explaining • How it focuses the practice round patient needs, not into filling 10 minute slots • How it generates capacity for doctors to see the most needy patients fast • How saved time turns into less stress and saved cost If you can’t wait until June, join many other practices and CCGs in talking to us about how to transform access for your patients, and make the whole of primary care work better. Don’t risk the many pitfalls through trial and error, as lots can go wrong, but ask us to help you develop your own solution, on well tested principles. We offer an 8 week intervention which will change things for good. Visit us on stand CB1

The best benefits New year brings Innovation through package and a new wave of Telehealth products choice of vacancies? commercial support and services As an approved Government Procurement Service Agency and with unrivalled relationships with both NHS and Private clients across the UK and Channel Islands, we will endeavor to find the most suited position for you. We are looking for professionals in the following fields: Accident and Emergency, General Medicine, Surgery, Paediatrics, Obstetrics and Gynaecology, General Practice, Psychiatry and Psychology.

plain healthcare

To find out how we can support your organisation just call 0845 676 2066 or visit www.plain.co.uk

But an innovation has come to light in recent months which addresses all these problems. Invented by at least 20 GP practices over a period of ten years or more, it is starting to make waves among GPs and commissioners.

evidence links it to 20% lower use of emergency care, in studies over 2 years and up to 350,000 patients.

At PULSE Doctors we pride ourselves on not only offering you a choice of short term, long term contract and permanent vacancies but also delivering the best benefits package!

Visit us on stand A12

PathFinderRF is an innovative on-line referral facilitation and clinical communication system that enables Commissioning Groups and other Primary Care Organisations to manage referrals and the communication of clinical information from general practice to specialist and community services. It is based on a system developed by the award-winning Nene Commissioning Group and supports evidence-based, consistent and cost effective care across a locality or region.

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* Ts and Cs apply.

NHS PRO-CURE has kicked off 2012 with a series of high-profile projects supporting commissioners. Our specialist team is leading the procurement for a national children’s epilepsy surgery service , ‘111’ single-point-of- access initiatives, healthcare and dentistry in prisons and payment by results procurements for drug and alcohol support services. PRO-CURE works with Primary Care Trusts (PCTs) and Clinical Commissioning Groups (CCGs) to meet their objectives and support the delivery of high quality healthcare and better outcomes for patients. Experienced NHS procurement professionals, our team can guide commissioners step-by-step through the most effective competitive procurement or any qualified provider (AQP) process, supporting the shaping of service specifications and maximising value for money. We also offer commercial advice, project and performance management. For more information, contact Caroline Thomsett, Assistant Director of Corporate Services, on 0118 916 7945 or caroline.thomsett@pro-cure.nhs.uk

Visit us on stand B73

Employment law helpline for practices A SPECIALIST employment law helpline operated by MDDUS will help practices cope with the increasing demands of commissioning. The service is available to practice managers within MDDUS group schemes or members who have employment responsibilities.

PathFinder PathFinder 23/02/2012 09:33

An experienced team of in-house advisers is on hand to provide specialist employment law and HR advice for those experiencing difficulties with employment matters. The advice service operates mainly during core hours but is available 24/7 for urgent enquiries. And as the service is unlimited, members can speak with the team regularly for follow-up on developing situations. MDDUS employment law adviser Liz Symon said: “This service is already proving very popular with our members who are looking for advice and support that complies with the latest employment

law legislation. “Contractual issues have been a real hot topic for our members when contacting MDDUS for advice and we also receive a number of calls on policy issues such as maternity and sick pay. We expect these issues will be brought to the fore as more practices become involved in commissioning in line with the planned NHS reforms. This will likely mean an increased demand for the expert service we provide at MDDUS.” In addition to the helpline, MDDUS is also offering to practice schemes - where all employing GP/GDP partners are members of the Union - the option of a Legal Support, Representation and Indemnity package (LRI) which will be available for a small additional fee per head of employer. The LRI package provides access to assistance in matters that go beyond simple advice and guidance.

Telehealth Solutions provide a range of products and services that facilitate the integration of care pathways, from public health, managing long term conditions and promoting efficiency in general practice. Telehealth can be used for early discharge programmes and delivering a range of services, including cognitive or physical rehabilitation, mental health services or medication titration, in addition to tele-consultation. Home monitoring of patients with long term conditions can significantly reduce emergency admissions. This enables patients to remain stable for longer periods of time by providing a clinical intervention at an earlier stage, and support more integrated, cost effective, quality driven, patient-centred services. GPs and nurses can now prioritise visits, and manage caseloads more proactively and effectively, which in turn helps them to further improve on the quality of care. To find out more please call 0800 8600 768 and visit us at www.telehalthsolutions.com or find us at stand B12.

Getaway Down Under Australasia’s leading medical recruitment agency, Ochre Recruitment has both permanent and locum general practice positions available throughout Australia and New Zealand. Our commitment to excellence and quality means that we will ensure you find the most suitable placement to suit your career, family and lifestyle requirements. With the ability to sponsor doctors for immigration purposes and an in depth knowledge of the process to gain Australian Medical Registration, Ochre Recruitment makes it easy for you to jet across to Australia for that working hiatus away from the UK. So if you are in to a getaway ‘Down Under’ then look no further than Ochre Recruitment. Visit us on stand AA23


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60 seconds with: Co-production is the new approach Dr Raj Kumar, chair and founder of the NHS Clinical Leaders Network (NHS CLN) Dr Raj Kumar is an innovative GP in Cheshire, who has pioneered award winning clinician-led innovative change initiatives in service delivery both locally and nationally. He is also a senior clinical lead for commissioning within the Department of the Health Informatics Directorate. He founded the NHS CLN in 2006 and the organisation, which promotes transformational change amongst frontline clinician leaders, now has over 4000 doctors, nurses and allied healthcare professional members across England.

Why did you found the NHS CLN? Because there was a continuing need to support frontline clinical leaders to develop and network and gain access to local and national organisational and policy leads.

Does change need to happen? Standing still is not an option. The majority of clinicians would say, yes, it does.

Is the NHS sustainable in its current form? Most clinicians and the government know that it is not.

Is the current pace of change appropriate? Yes - if we only dip our toes in the water, we may not be able to bring about the levels of large-scale change that is required, to sustain the NHS.

Why is there so much opposition to the Health and Social Care Bill? I suspect that a compelling narrative for change has not necessarily filtered down effectively from the centre to the frontline clinician who engages with and influences the public and the patient.

Where will the NHS be in five years time? Some of the ideas that have been proposed will effectively stand the test of time but one may find that the final product may not necessarily be the one that we originally set out to deliver.

The most inspiring person working in the NHS today is… Professor Steve Field, who leads the Future Forum ‘listening exercise’. He is an inspirational clinical leader who was given a challenging agenda.

for health and wellbeing

Health and Wellbeing Boards will need to create a new ‘coproduction’ way of working if they are to improve health outcomes and reduce inequalities. The way this new model will function will be explained in a session at the Commissioning Show by Dr Alison Hill, managing director of NHS Solutions for Public Health. The upheaval resulting from the restructuring of both the NHS and the public health sectors and reduced resources will create significant challenges for those working to improve health outcomes and reduce inequalities at a local level. But Dr Hill says this transition will be an opportunity for Health and Wellbeing Boards and their partners to work collaboratively to establish and focus on delivering agreed priorities. Clinical commissioning groups will have a key input into the public health agenda but they are going to have to learn how to work across local government and in partnership with Health and Wellbeing Boards. Those working in public health are going to have to develop new relationships with elected members and will need to adopt a

New alliance for Commissioning

new business model that is pragmatic, practical and delivers solutions to commissioners and providers. Elected members of Health and Wellbeing Boards will be in the driving seat but the new arrangements will only work if they all stakeholders are fully on board and committed.

Dr Alison Hill

Dr Hill’s talk will outline the groundwork that Health and Wellbeing Boards will need to do to develop a new infrastructure to ensure effective delivery of public health, harness all available assets and change the way organisations work together at a local level. ‘The co-production model is about collaboration and budget pooling and delivering a shared vision by all the partners in a locality,’ says Dr Hill.

Flexible Case Management drives productivity

The Commissioning Show is delighted to welcome the NHS Alliance to our already impressive list of event partners. The Alliance will join the likes of event partner the NAPC and the FDA in helping to develop a first class seminar and speaker programme for the event in June. NHS Alliance chair, Dr Mike Dixon will be chairing the Managing Long Term Conditions stream and has spoken elsewhere in this publication about the value of attending for delegates looking to clarify their knowledge of the CCG authorisation process and understand how other groups have overcome any problems they faced. On day two, the Managing Long Term Conditions stream will be led by Michael Sobanja, chief officer of the NHS Alliance. Event director Ralph Collett commented: “Our association partners, with their key role in representation, and the development and dissemination of good practice, are invaluable to the success of the Commissioning Show with a They ensure that we deliver the right speakers and content to truly address the concerns of the GPs and healthcare managers who attend, whether they are looking to understand authorisation, engage with Health and Wellbeing Boards or to improve patient engagement and care pathways. They also ensure we can deliver the calibre of speakers delegates would expect from the largest event on the commissioning calendar and this year is no exception with the secretary of state and the head of the NHS giving key note sessions.”

psHEALTH’s Adaptive Case Management (ACM) software is tailored to your services. The implementation of effective local pathways, integrated care and other good ideas are too often held back by traditional Patient Administration Systems (PAS). Making changes to an old fashion PAS often kills innovation due to lack of flexibility, cost and time associated with making system changes. Our ACM software allows you to map pathways and outcomes and then quickly convert them into a working system. Our cloud-based solutions require no upfront investment and can easily work with traditional PAS. Together we can open a world of innovative service design, including use of mobile and tablets. Case studies show we deliver productivity improvements in excess of 30% that means better outcomes for your patients at lower cost to your organisation. Visit us on stand D56 or call Mindy Daeschner on 0845 50 50 120. www.pshealth.co.uk

Identifying opportunities for CCG efficiencies PKF, Chartered Accountants and Business Advisors, are at the forefront of providing specialist financial services to clients in the medical profession. Winners of the 2011 General Practice Awards “Accountancy Firm of the Year”, a preferred provider of accountancy services to Londonwide Enterprises Ltd, and tax advisors to BMA members, PKF have specialist healthcare teams at their offices throughout the country. PKF’s healthcare partners and management consultants are working with CCGs to establish cost-efficient and effective protocols and governance. PKF advise on all the financial issue facing GPs from setting up Community Interest Companies to advising on surgery developments, partner changes, refinancing and budget negotiations. PKF prides itself in a personal, friendly

and efficient delivery of specialist accounts and taxation services and assisting clients with commercial decision-making to maximise the opportunities from the reformed NHS and minimise the impact of increasing tax rates and pension constraints. Valerie Martin-Long, national director of healthcare services at PKF, is speaking on “Identifying the opportunities for CCGs to make savings and efficiencies” and will be pleased to answer individual questions at the PKF stand I31 at the Commissioning Show 2012. Valerie can be contacted on Valerie.martin-long@uk.pkf.com

What is the most rewarding aspect of your work? Contributing to seeing frontline clinicians take responsibility and lead service change and improvement with resultant visible improvement in patient care and outcomes.

FREE “EARLY BIRD” TICKETS www.commissioningshow.co.uk/book


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