Commissioning Show Conference Round-Up Newspaper by Commissioning Show 2012

Check out next year’s floorplan

Watch speaker sessions from The Commissioning Show SEE PAGE 2

SEE PAGE 5

Can you spot yourself in the crowd?

SEE PAGE 6

Cynthia Bower on improving quality of care

SEE PAGE 8

LONDON OLYMPIA CONFERENCE ROUND-UP www.commissioningshow.co.uk

Issue 4

Overcoming the challenges to implementing the reforms Five senior GPs debate the direct effects of commissioning at the Leaders Symposia, sponsored by Capita.

Show news brought to you by:

Lansley: The NHS can and will change ‘Commissioning is happening and we will see it through’ Health Secretary Andrew Lansley told a packed auditorium. The NHS can and will change because there are dangers in not doing anything. The transition will be tough, he admitted and it will take a while to work out a new way of doing things. Commissioners need to look for every opportunity to make care better in the NHS. He promised to back commissioners if they had to take politically tough local decisions about poorly performing hospitals or other care settings. ‘Rarely will care settings close down but some may see their role changed. Hospitals with long standing problems can no longer kick the can down the road. We can’t endlessly prop up organisations that can no longer stand on their own two feet,’ he said.

Clockwise – Beverley Bryant, Dr Peter Swinyard, Dr Charles Alessi, Dr Steve Mowle, Professor Steve Field and Dr Michael Dixon.

Five of the most influential leaders in healthcare gathered in the Leaders Symposia at the end of the first day of the Commissioning Show to discuss the challenges and solutions of the new reforms. Capita sponsored the Leaders Symposia, with Managing Director of Capita Health Beverley Bryant chairing the discussion. Dr Michael Dixon, Chair of the NHS Alliance, said: ‘One priority will be for commissioners and providers to have a dialogue in a way they have not had before in terms of creating mutual ways of improving health and care, cost and efficiency. Ditto for clinicians and managers who need to break down those barriers so that managers are no longer seen as part of the dark side and commissioners are no longer seen as going native. They will need to be able to form a really functional relationship.’ Dr Dixon added that CCGs should be allowed to experiment and innovate and find totally new ways of doing things, and that GPs should develop a new mindset that would enable them to make a real impact on patient care. Professor Steve Field, Chair of the NHS Future Forum, said: ‘I would like to see more integrated care, we need to stand up and do something about the most vulnerable in society, particularly the gypsies, the travellers and the homeless, and do something about it from the clinical leadership point of view. Also I would like all CCGs and clinicians to rally behind those values of the NHS of equality with the NHS treating everyone as equal.’

For Dr Charles Alessi, Chair of the National Association of Primary Care, the most immediate issue was engagement. He explained: ‘The world isn’t about CCGs and performance managing and coercing practices to do what CCGs want them to do, it’s about CCGs being a reflection of the will of practices. They are membership organisations and that really needs to be understood. The responsibility of CCGs will be to ensure they get the best commissioning support, deliver the best services and prioritise in the best way depending on the population they are serving.’ Dr Steve Mowle, Vice Chair of the Royal College of General Practitioners, said a big challenge for CCGs would be collaboration. He said: ‘We need to think about who are the main ‘go to’ people such as the third sector, charities and local area teams because we all need to work together to make this a sustainable NHS. The College believes more care needs to be shifted from secondary care, we need GPs to spend longer with their patients and think differently about their patients with long term conditions and we need to improve the quality of training in general practice.’ Dr Peter Swinyard, Chair of the Family Doctor Association cautioned: ‘The whole concept of GP-led commissioning reminds me of a warning that we should be careful what we wish for – because you may get it.

Thank you to our partners and sponsors: In association with:

Event sponsors:

Media partners:

Continues on page 3

Lansley also told commissioners that they would have no legacy debts when they became fully operational in April 2013. He also promised that there would be no top slicing of CCG budgets by the National Commissioning Board and that CCGs would not have to be constantly applying for re-authorisation. That was an urban myth, he said. Commissioners were leaders for change and Lansley said he was optimistic they would deliver improvements in NHS care by commissioning services such as innovative telehealth or by allocating money to a Year of Care budget.

Dr Charles Alessi, Chair of the National Association of Primary Care: ‘It’s quite extraordinary to compare where we are now to where we were a year ago – then we were talking about ‘if’, now we are not talking about ‘how’ but ‘how best’. That is significant and I think the buzz at this conference and the appetite to manage commissioning in the best way possible is palpable. It’s pretty clear there is a lot of enthusiasm for change and that we have real opportunities here. So the more we work around this and the more we actually encourage this process the quicker we are going to get to where we need to be.’

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Commissioning is organised by: 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, Show manager j.hall@closerstillmedia.com Lee Davies, Sales executive lee.davies@closerstillmedia.com Chris Jesson, Delegate manager c.jesson@closerstillmedia.com Sophie Holt, Marketing and PR manager s.holt@closerstillmedia.com Sarah Bray, Marketing assistant s.bray@closerstillmedia.com Julia Danmeri, Head of operations j.danmeri@closerstillmedia.com Vanda Vokes, Conference and speaker manager v.vokes@closerstillmedia.com Rebecca Royal, Event administrator r.royal@closerstillmedia.com Dan Ashby, Accounts d.ashby@closerstillmedia.com Andy Center, Chief Executive a.center@closerstillmedia.com Michael Westcott, Business Development Director m.westcott@closerstillmedia.com Phil Nelson, Commercial Director p.nelson@closerstillmedia.com

WATCH HIGHLIGHTS FROM THE COMMISSIONING SHOW 2012 ONLINE Many of the speaker sessions from The Commissioning Show are now available to watch online. Delegates are able to recap on seminars and debates they attended or catch up on the sessions they missed. The unique opportunity to hear from key opinion leaders and learn about the future of Commissioning can be watched via a series of videos from the two-day event by visiting The Commissioning Show website. Videos include the CCG leader’s big debate sponsored by HSJ and key speakers such as Cynthia Bower, Chief Executive of Care Quality Commission, address delegates and their concerns for the future. Delegates can watch conference content including the slide presentations by logging in to the Connect platform: www.commissioningshow.co.uk/connect. There is a link on the connect log in page to be sent a reminder of your log in details.

Jonathan Wood, Director of Finance j.wood@closerstillmedia.com

More sessions are being added to site as they are edited. Keep up-to-date by following us on twitter @CommShow.

Phil Soar, Chairman

Exhibitors can also access videos using their exhibitor zone log in details provided.

Measuring meaningful improvement in long term conditions The growing prevalence of long term conditions and patients with multi-morbidities will be a key challenge for commissioners, warned Gillian Leng, Deputy Chief Executive of the National Institute for Health and Clinical Excellence (NICE).

Commissioning Show delegate drives off in a brand new car One lucky delegate of this year’s Commissioning Show has won a brand new car. The winner, Dr Rekha Raja from Kenton Bridge Medical Centre has won the all new Toyota AYGO. The competition was available for all Commissioning Show delegates to enter and required them to visit 13 exhibition stands featured on the exhibitor roadmap leaflet, then asking the necessary question to receive their stamp. Speaking to Dr Raja, she described how shocked she was when she found out the good news: ‘I couldn’t believe it; I thought it was a joke. I’ve entered similar competitions but have never won anything.’ In regards to the show: ‘The two days were very useful; the exhibition stands I visited were educational and in-line with all the changes. I found out a lot about the CQC, which will help me in general practice.’ PCTI Solutions Ltd was one of the exhibitors involved with the competition. Jonathon Wilson, Marketing Manager from PCTI Solutions said: ‘The Commissioning Show was an exceptionally well placed conference. Part of our success was from our participation in the competition to win a car; this provided a large number of delegates visiting our stand and importantly enquiring about our innovative solutions. The competition was certainly a factor in driving traffic to our stand.’ The Toyota AYGO was supplied by Hills Garages (Woodford) Ltd.

Introducing FDB

In her talk she outlined NICE’s plans to produce guidance to support the management of patients with multiple co-morbidities. This includes developing more generic guidance, the development of decision aids to enable clinicians to more easily involve patients in deciding what Gillian Leng the priorities are for treatment and mapping their guidance into pathways which link the various common conditions. She said NICE was currently in the process of developing 180 quality standards for healthcare. Guidance represented a comprehensive set of recommendations while quality standards, were a set of precise, measurable statements designed to drive quality across a pathway of care. The quality standards will feed in to the Quality and Outcome Framework, the Commissioning Outcomes Framework, to CQUIN (Commissioning for Quality and Innovation), local audits and local contracts.

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. 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).

‘If you are a provider meeting your quality standard is going to help you demonstrate that you have a high quality service that meets financial incentives. Commissioners will need to look at quality standards which are based on guidance when they are setting contracts. A lot of commissioners have told us that they are taking quality standards and writing them into contract specifications.’

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.

Quality standards may have a financial premium attached to them in the future, she said.

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.

www.commissioningshow.co.uk

NHS COMMISSIONING BOARD CHIEF CONGRATULATES CCGS ON THEIR PROGRESS ‘I was here a year ago and it’s amazing just how much has been achieved since last year,’ Barbara Hakin managing director of commissioning development at the NHS Commissioning Board told the conference. “I congratulate you all because I know how much work you have been doing to get you to this point” Dame Barbara Hakin every practice.

‘Think back to how much wasn’t formed and hadn’t been sorted 12 months ago - we had a bill not an act and how much more policy we had to still get through and how much you had to do on the ground to get CCGs up and ready to go.

‘I congratulate you all because I know how much work you have been doing to get you to this point.’ Dame Barbara Hakin

commissioning system in the future. Dame Hakin mentioned the recent publication of the operating model of primary care commissioning and concluded by advising delegates to visit the NHS Commissioning Board website regularly to keep up to date with everything that is going on http://www.commissioningboard.nhs.uk.

Public health: a thousand flowers may bloom Alison Hill Managing Director of NHS Solutions for Public Health outlined to Commissioning Show delegates the building blocks that Health & Wellbeing Boards need to be putting in place. ‘Obviously Health & Wellbeing Boards are still under development, they are not yet statutory entities but there is a lot happening already. From what I have been hearing people are feeling very optimistic about the future because they feel they Dr Alison Hill can make a difference,’ she told Commissioning News. ‘It’s the first time that clinicians, councillors and local government officers are coming together round the table in such a formal way. There are huge challenges of course. For example if local government is working on an initiative that is anti-health then how is the Health & Wellbeing board going to challenge that? ‘Another real dilemma could occur where there are two tier

Experian provides a service committed to tapping into the population to find out exactly what patients require. This facility creates an ideal way for commissioners to plan for the future. Deliver targeted patient engagement Patients expect to be consulted about the choice of NHS services available to them. This changing pattern of behaviour is putting increasing stress on the NHS, heightened at a time of acute budgetary and resource pressure.

• Create a single patient view • Understand individuals to change behaviour • Interpret online behaviour • Deliver multi-channel targeted messages

We have the NHS Commissioning Board starting to form and all the rest of the architecture.

She also talked about commissioning support organisations which she said would be vital to the success of CCGs and the

Understanding patient needs to transform public services

To provide optimum choice and service to individuals and the local population, a sophisticated level of engagement is required. Experian provides accurate, up-to-date and deep understanding of people, place and community. We can help you to operationalise your strategy to:

Now we have CCGs coming into being ready to be authorised covering the whole country and

In her talk Dame Hakin outlined a number of areas of relevance to CCG establishment and the authorisation process. She explained how the NHS Commissioning Board is going to operate and some of the new appointments currently being made to the board and how the board will be supporting CCGs through its development programme and the guidance and tools it produces.

local government services. When public health is delivered by district councils how does that relate to the top tier where there are public health issues with social care, children’s services and transport, for example? ‘People are going to have to find new ways of working and ways of influencing others because Health & Wellbeing Boards aren’t going to be given any great powers. ‘It’s going to be an interesting and difficult relationship that people have got to finesse. They will have to learn how to work with each other, learn new language and learn to compromise. People will have to get used to partnership working

“I personally think a thousand flowers will bloom because I believe this reform will invigorate public health” Dr Alison Hill

‘There might be call from local government at some stage to give Health & Wellbeing Boards greater powers although just at the moment the government is very hands off and is giving local government the freedom to test how things work. ‘I personally think a thousand flowers will bloom because I believe this reform will invigorate public health.’

Evidenced based commissioning and provider management To commission the right services, organisations must understand their local population. This will enable services to be in the right location, at the right time, both now and in the future. To measure service delivery effectiveness, commissioners need to understand how well providers are delivering efficient services with the best possible outcomes for patients. Experian can support: • Strategic Needs Assessments • Risk stratification and predictive modelling • Service planning Safeguarding As CCGs take over the responsibility of PCTs, it is essential to have the necessary procedures to safe guard their patients and local population. We can help to: • Recruit and monitor staff • Mitigate data loss risk • Mitigate the risk of commissioning an unsustainable provider Drive efficiencies To deliver efficiency savings, commissioners need an automated evidence base to make timely and accurate financial decisions. We can help to: • Streamline payment processing • Identify duplicate invoices • Assess eligibility • Provide procurement insight For more information about Experian, visit www.publicsector. experian.co.uk.

Overcoming the challenges to implementing the reforms Continued from page 1

How many of us in general practice for over a quarter of a century have said …. ‘Oh, those administrators, they don’t know anything about general practice, they don’t know about patient care they just count beans, we could do it much better…’ ‘Well, now the secretary of state has said here you are, go and do it, here are the tools. ‘This is a challenge to general practice. This is an opportunity to work with secondary care providers in a way we have never done before and to understand that patient care is not just what we do with the patient in the surgery. The job of general practice is only for the very best in medicine. We are the best and what we have to do now is go out and prove it.’ The Leaders Symposia was sponsored by Capita and chaired by Managing Director of Capita Health Beverley Bryant.

www.commissioningshow.co.uk

Total attendance: 3096* over two days Plenary sessions from leading policy makers: Andrew Lansley, secretary of state for health and Dame Barbara Hakin, national managing director of commissioning development Over 200 exhibitor stands

Hundreds of seminars, discussion groups and practical workshops The only healthcare show to be supported by all the major primary care associations Show previews in HSJ, Primary Care Today and Commissioning Success

Attendance by day

What other shows do our delegates attend? 45%

Day one

57%

43%

13% 12%

12% 8%

NH S Co im n ar y C fed ar He e al Liv th e NA car e PC E Sm x Co po ar t H nfe re nc He eal th al ca e th re ca Liv re e In 4 NH E P m a u f t S fi Al cie blic ics M lian ncy Sec ce Ex to an Ih a Co po r av ge nf m e er e ev no e n en t a t in nce ts tte P in nd rac th ed e a tice la n st y 2 ot ye he ar r s Ot he r

2% 3% 3%

Healthcare delegates by organisation

Senior delegates by job title

21%

20%

19% 17%

16% 15%

13%

6% 4%

ea lth PC rtm Au T Ac t h or ut ent e i Tru of H ty st ea or l Ho th Lo sp ca ita l Ph l Au a th Ch rma ori ty c ar ity y g ro /a up ss oc ia tio Su n pp lie Oth rt er o se cto r

GP te St

ou Pr p ac tic e

CC G

8% 3%

Na Ass tio oc na iat l b ion od s & ie s Pr ac GP tic s e M an CC ag er G CC M an G ag Bo er an ard s d M Ex em Se ec b n PC ior Lo ut e T S M cal ive rs en an Au s io ag th r M em or Se an en ity co ag t nd em ar en yC t ar e Ph Le ad ar m s ac yL ea ds

3% 1%

14%

10% 11%

Day two

Service Improvement Manager, 3 Counties Cancer Network (NHS Gloucestershire) National Coordinator Urgent Care Clinical Dashboard, 5 Boroughs Partnership NHS GP, Ackers Chemist Practice Manager, Albion Street Surgery Head of Informatics, Anglia Support Partnership General Practitioner, Ashcroft Surgery Business Manager, Aylesbury Vale Clinical Commissioning Group CEO, Aylesbury Vale Clinical Commissioning Group GP Director, Barlby Surgery CCG Lead, Barnet CCG Head of Commissioning Disability, Barnsley Metropolitan Borough Council Deputy Partnership Director, Barnsley NHS & Council Commissioning Manager, Birmingham and Solihull NHS Cluster CCG Exec Committee GP, Blackburn and Darwen Care Trust Plus CCG Chair, Blackburn With Darwin Care Trust Plus CCG Exec Committee GP, Blackburn With Darwin Care Trust Plus Chair, Blackpool CCG GP Board Member, Blackpool CCG Clinical Lead, Boc Healthcare GP, Bolton Health Consortium GP Member, Bolton Health Consortium GP/LCG Chair, Borderline Local Commissioning Group Practice Manager, Brambles Surgery GP, Brent Health Centre CCG Lead, Brentwood CCG CCG Member/Lead, Brentwood CCG GP, Brocklebank Group Practice Clinical Lead, Bromley CCG GP Senior Partner, City & Hackney PCT Public Health Consultant, City of London Corperation Chairman Community & Children’s Services Committee, City of London Corporation GP, Colne Health Centre Authorisation Director, Commissioning Development - NHScba Commissioning Project Manager, Community Services cic GP, Crayford Surgery GP/Pathology Lead, Crayford Town Surgery Deputy Chair W & P CCG, Dorset PCT GP, Downing Street Group Practice GP, Dr Stuart Hanwell Health Centre Commissioning Manager, Dudley CCG Vice Chair & GP, Ealing CCG Head of LTC Pathways, Ealing Hospital ICO NHS Trust Practice Manager, East Barnwell Health Centre GP Engagement Manager, East London Foundation Trust Commissioning Manager, East Staffordshire CCG Member Cabinet For Adults Health & Community Wellbeing, Essex County Council Practice Manager, Farnham Road Practice General Practitioner, Figges Marsh Surgery GP/CCG Chair, Greater Huddersfield CCG Senior Policy Officer Alcohol and Drugs, Greater London Authority Assistant Director In Commissioning, Greater Manchester & Cheshire Cardiac & Stroke Net Chair Hackney Link, Hackney Link Operational Director, Halton CCG CCG Manager, Hertfordshire NHS GP Rep Herts Children And Young People Strategic C, Herts Valley CCG GP, Hillingdon CCG GP Partner, Hook Surgery Chair, Hounslow CCG Commissioning Support, Inner North West London PCT Network Coordinator, Inner North West London PCT General Practitioner, Yeading Medical Centre Practice Manager, Windmill Surgery Orthopaedic Registrar, Western Sussex NHS Trust

Commissioning 2012 cements its place as the “definitive event for primary care”

Take a look at the diverse visitor list in our delegate sample

Commissioning Show 2012 Key Facts Delegate attendance increased by 16%

3096*

attendees at The Commissioning Show 2012

70% of 2012 floor space has been rebooked for Commissioning 2013

from 2011 to 2012

75% of delegates were from outside of London

45% of delegates haven’t attended another healthcare show in the last two years *Includes 750 exhibitors

Show news brought to you by:

www.commissioningshow.co.uk

Commissioning Show 2013 ExCel, London - Floorplan 2013 Floorplan

Space: £399+ VA (per m 2 T ) Shell: £409+ VA (per 2 T

2012 prices are being held for a limited time Space: £399 +VAT (per m2) / Shell: £409+VAT (per m2)

2012 prices are being held for a limited time

ENTRANCE E

F10

Healthcare Commissioning Services

Clinical Commissioning Management

E11

F12 EMIS

X Genics

Hill Dickinson

Sanofi

BHR Pharmaceuticals

CATERING

I31

G40 5

CATERING

Ipsen

F50

Healthstats Technologies (UK)

2 2

F58

E55 5

F60 3

Dallas Burston Ashbourne

Slimming World

2 3

Mount International Ultrasound Services

Health Protection Agency

G70 F74

F76

F81

F80

4.5

Development Lab

L28

9 6

I40

4 24

3 12

GPTeamNet

BBI Healthcare

NHS Solutions

CATERING

J52

J50 MATCH

Personal Diagnostics

THEATRE 5

Productivity Through Technology

L42

Henry Schein Medical

J58 9

Map of Medicine

L50

L51

L60

CATERING

J70

L62

L61 12

L63

NRS Healthcare

K70

6 3

L70

THEATRE 6

Clinical Commissoning Support

4 8

4 40

L62

L56

K60

L52

Pain 3 Management Solutions

L52

British Red Cross 2

Keeler

J60

PRIMIS

I78

NHiS

Pharmarama

J51

3 3

K50

I68

I70

Codegate

L41

L40 5

J42

Advanced Haven Health Health & Care Properties

Browne Jacobson

4.5

L32

I62

H72

L38

Tillotts Pharma

MyTime Aerocrine Active

H70

I58

INRstar DAB Beachcroft

I61

J38

I52

H51

Bayer

Weight MedeAnalytics Watchers

3 Finegreen Membership Services Associates Engagement & Electoral Reform

I60 4

Telehealth T+R Solutions Derma

I50

J31

J40

I41

L32

L30

Lundbeck

Experian

I42

K30

Boehringer Ingelhelm 4

L22

4.5

4 8

Vantage Diagnostics

H62

F70 F72

H61

Clarity Informatics

Patient Access

WRVS

H60 4

3 9

H58

Elephank Kiosks

G61

Aviva

H51

Menarini Pharma

Broomwell

G60

Capita

H52

H50

F52 G51

F64

GlucoRx

Holt Doctors

I28

Wesleyan

G50

Appello

5 10

Healthcare Monitors

4.5

E51

L20

MSD

J30

Sollis

I30

Roche Diagnostics

F42

Teva UK

Alliance Phamaceuticals 5

K20

J28

G30

F40

THEATRE 3

E72

Mylife Diabetes

3 4

L10

Bristol-Myers Squibb

H30

F38

GP Supplies

E71

Attain MDDUS Commissioning Services

Quality Provider Services

SEATING AREA

Williams Medical

Astra Zeneca

F31

K10

F30

Health Intelligence

THEATRE 4

PSUK

J20

Isabel Healthcare

E69

H25

G26

Red Embedded Solutions

E68

5 30

Chiesi

MGP Stroke Association

F26

(Patient Services Long Term Conditions Integrated Care)

H20

F22 G21

E66

Clinical Commissioning

J15

THEATRE 2

Apollo 6 Medical Systems

(Patient Services Long Term Conditions Integrated Care)

I18

United Homecare Health at Home

G20

E21

Clinical Commissioning

I11

H12

E41

TPP

E31

J10

Bosch

Development Lab

12 48

F20

E27

I10

G11 G15 6

H10

IQ Medical

E25

6 Daisy Surgery Docman Line

The Commissioning Community 2

THEATRE 1

G10 G13

L68 3

L72

3 6

= Available stands = Booked stands

4 10

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Plan not to scale and subject to change. Correct at the time of print

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+vat Driving an increased number of prospective customers to your stand. Sponsor the roadmap competition and be one of only 12 exhibitors to increase the number of additional visitors engaging

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CAN YOU SPOT YOURSELF IN THE CROWD? Take a look at the latest pictures from The Commissioning Show 2012. Go to www.commissioningshow.co.uk to see more pictures of the show.

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profiling, case management, resource management, benchmarking, risk stratification and predictive modelling. We deliver linked patient data to support integrated care. Sollis solutions deliver actionable data that supports commissioners in service re-design. Like you, we never forget that at the end of every piece of data, there is a person.

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What did you think of the show?

Take a look at what some of our key opinion leaders, delegates and exhibitors made of the show….

Dr Peter Swinyard, Chair of the Family Doctor Association: ‘I think it has been a very good conference. There are a lot of interesting exhibitors and a lot of interesting people here. The number of delegates has held up at a time when we are all rather busy in our practices. ‘What has been interesting this year has been the continuity of care agenda which is the Family Doctor Association’s big agenda and we’ve had our session on it. It has been very good to bring to the fore to commissioners that continuity of care is cost effective.’

community, having GPs as leaders of care and improving the standard of primary care so that patients can stay at home and look after themselves and be healthier. Some commissioners I’ve heard from are tired but generally there is a degree of optimism that that commissioning will deliver some of our goals. But what I heard from the audience has been – let’s get real what are we going to achieve in the next few months? I think there isn’t going to be a huge change in April 2013 - most contracts for the next year are already done and dusted. What we will be doing over the next couple of years is making small changes and building relationships so we can build a shared vision in areas where we can make the big changes. Even if the structures change, if the relationships are built and people are valued, then that will be worthwhile.’ Faraz Ali, Assistant Practice Manager, Kings Road Medical Centre: ‘The Commissioning Show has helped my understanding of the future. The chance to network is very good. The sessions have been helpful, especially for me, the productivity through technology sessions have really helped me to see the development of technology and the changes it will make to the NHS.’

Professor Steve Field, Chair of the NHS Future Forum: ‘The Commissioning Show has provided a great opportunity to network with people; a lot of the delegates here haven’t perhaps been to other commissioning group meetings. One of the highlights of the conference for me was the GP who talked about how introducing a new way of working in his practice – his patient satisfaction improved and there was a reduction in A&E attendances and referrals. The take home message was - we have got an opportunity to really get involved in transformational care.’ Dr James Kingsland, a GP on the Wirral, former Chair of the National Association of Primary Care and recently appointed by the Department of Health as the National PBC clinical network lead: ‘When you enter the conference you notice the buzz. There is energy and an enthusiasm which is really welcome. In some of the work I am doing I am finding there is a creeping sense of despondency in some areas but this sort of conference really energises delegates and shows that there is a huge appetite amongst the primary care community to deliver these reforms. Despondency can arise if we just focus our efforts on the structural changes in the NHS and not the reform of care because we are not necessarily focusing on where we need to put most of our efforts. This sort of conference is designed to concentrate mind-set on the efforts to reform of care rather than building CCGs which is a means to an end not an end in itself. At next year’s conference we have got to move on to hearing about the results achieved by this structural change with people talking about how they have achieved some fantastic service redesign, developed a new care pathway which is improving quality or meeting the quality and productivity challenge.’ Dr Steve Mowle, Vice Chair of the Royal College of General Practitioners: ‘It has been great to be among so many enthusiastic, energetic commissioners. We are going through some very challenging times. The finances are going to be driving a lot of what we do and that’s quite worrying. If we can maintain our values of a sustainable NHS with universal healthcare for all then we will have done very well because the financial challenge that we are facing is going to be very distracting. I’m worried that we are going to be forced into short-termism because a lot of the things we are doing need to be big strategic changes around integrated care, moving care into the

Amit Sidhu, Contracts Manager, East London Foundation Trust: ‘A very different showvery well run. It’s great to talk to people in different industries, it’s important to get an overview of everything. It’s easy to be inward looking, but coming to The Commissioning Show you get the chance to see how other parts of the industry are coping with change. It’s important to see integration and different experiences of change.’ Stewart Findlay, Interim AO, GP, Bishops Gate Medical Centre: ‘It’s a great chance to meet people from all over the country and find out what other practices are doing. It’s a good opportunity to meet with people in a more informal, relaxed setting; you get a lot more out of the experience that way.’ Dr Jenny Stephenson, GP, Lead for Diabetes, Stannington Medical Centre: ‘A stimulating and evidence based show. It has given me a can-do feeling. Much wider remit than other shows. It builds on what I’ve already learnt; I feel it has put disease specific learning points into perspective.‘

Here’s what some of our exhibitors thought of the show...

United Health UK: ‘We are here as ‘commissioning support’ fits into our work space and it’s a good opportunity to meet with CCG’s and NHS representatives who are our potential customers.’ Graphnet: ‘The event has been excellent for industry networking. The management of the conference streams, to make them more staggered, has been really useful for visitor flow.’ GPTeamNet: ‘It has been constantly busy for two days which is fantastic – and it was exactly the people we wanted to see. I would say we will be taking a good 60 leads away from two days – which out of a possible 212 in England is outstanding. We had conversations with everyone and I would say 80% of them wanted to have a demonstration. We have booked a bigger stand already for next year.‘ Bosch Healthcare: ‘We met genuinely interested delegates, so our experience has been positive. GP’s were unaware of our products, so it was refreshing to have the opportunity to speak to new prospects.’ Numera: ‘This is one of the best planned and executed exhibitions we have attended in the past 10 years.’

Dr Charles Alessi, Chair of the National Association of Primary Care: ‘We need to remember the impatience that there is around getting results. This is interesting because CCGs aren’t in existence yet but everybody is saying they haven’t worked. They haven’t worked because they are not up and running yet. But I think this is also a positive because we are in a situation where people really have an appetite to actually try to get this process not only started but actually completed. ‘At next year’s conference we should be looking at where we have managed to get to. The discussion will need to be much more granular and much more about the detail of ‘how’. CCGs will have developed quite a bit – and that’s the aspiration surely.’ Jonathon Drew, Commissioning Manager, Torbay and South Devon CCG: ‘A broad range of topics, an especially useful talk on procurement.’ Hugo Luck, CCG Commissioning & Development, NHS South of England: ‘A good way of finding out about good practice and I have had a lot of answers to unanswered questions.’

Show news brought to you by:

www.commissioningshow.co.uk

NHS leaders spell out their hopes and fears for the future A panel of NHS leaders were asked about their greatest hopes and fears for the commissioning reforms during the HSJ debate. Stephen Dorrell, MP former health secretary and Chair of the Health Select Committee, said: ‘My hope is that effective, empowered commissioners introduce change and reflect the fact that information and clinical technology all point in the direction of the need for a completely different way of meeting the increasing demands being placed by patients on the system.

But she says general practice is the last bit of the health and social care system to come under the new regulatory model and she says the CQC is concentrating on making it as userfriendly as possible. The CQC is currently working on registering 10,000 primary care locations. Ms Bower says they have specific levers that they can use to improve practice and ensure that quality is good enough for the public. ‘So we always see ourselves as an organisation that works in partnership with others. We are an organisation that improves quality rather than someone who comes round with a big stick.

Stephen Dorre

ll, MP

Sir Robert Naylor, Chief Executive of University College London Hospitals Foundation Trust, said: ‘My first hope is that GP commissioning will have longevity and second that it will promote integration. We will need to fundamentally change the existing culture and to stop clocking up the cash register every time a patient comes into hospital. ‘My main fear is that GP commissioning will lead to ever increasing fragmentation. Certainly in discussions that I have with GP commissioners in London they are really “My greatest concerned about what fear is that they will have to face on a day-to-day basis. They are commissioning is not concerned with the big misinterpreted as strategic issues which I am being competitive concerned with i.e. looking transaction at the future of cancer care or cardiac centres. Clearly purchasing.” there needs to be a radical Stephen Dorrell, MP rationalisation of services which is already happening behind the scenes in discussions between providers. We have to work out how we are going to sustain ourselves in the future and be much more productive and we have to reorganise services in a much more cost effective way.’ Helen Bevan Chief of Service Transition, NHS Institution for Innovation and Improvement, said: ‘My hope is that CCG leaders will build the kind of energy that is needed to deliver a ‘re-imagined’ service and the radical changes that we need in the future to secure and deliver the outcomes that are needed. I also hope that CCG leaders can build the emotional and spiritual energy that we need to come together with our partners in local communities with a shared purpose and to understand the kind of future we want to have. My fear is that these efforts will run out of energy.’

xon

Regulation is not GPs’ favourite subject, admits Cynthia Bower, Chief Executive of the Care Quality Commission (CQC).

‘Our job is to look at outcomes for patients and people who use services. We try to involve people who use services as

‘My greatest fear is that commissioning is misinterpreted as being competitive transaction purchasing. If commissioning is just about buying what we do now as we did then it won’t come close to justifying the kind of things I’ve just been describing.’

Dr Jennifer Di

Preparing for CQC

Dr Jennifer Dixon, Director of the Nuffield Trust, said her fear was that commissioners would be strangled by bureaucracy and the financial situation. Her hope was that small GP enterprises would club together and become effective providers and leaders negotiating with both hospitals and the centre to achieve effective integrated care.

Jeremy Taylor, Chief Executive of National Voices, said he hoped that the reforms would drive huge improvements in primary, community and integrated care that supported people to manage their long term condition and that all this would be done in collaboration with patients, families and communities. ‘My fear is that we won’t do any of that.’

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much as possible in making our judgments about whether or not Cynthia Bower services are compliant with the law. Our focus is on how care is being delivered to people. We do our best to take swift action to deal with issues as they emerge. It’s very much our philosophy that the only person to assure quality is the caregiver or the professional clinician sitting in front of the patient. ‘At the moment we are saying we are likely to try and inspect general practice every couple of years although we are still testing that out. We already starting to pilot what compliance inspections look like which we hope will be very straightforward,’ she says.

Commissioning Show moves to new home The Commissioning Show’s second year success has prompted the meeting to relocate to London EXCEL in 2013.

The Mediracer®NCS can also be used to test for Ulnar Nerve Entrapment at the elbow. This addition to our range means that the Mediracer®NCS can be used to test for over 80% of the nerve entrapments affecting the arm. All of our services are supported by a team of consultant neurophysiologists. If needed, our neurophysiologists are able to provide reports on your patients’ testing. Our reports are provided within 48hours. Mediracer UK Ltd is very aware that we need to help our customers control their costs. We offer a contract purchase option at a rate of £69.95 (+VAT) per patient. This means that you will be provided with the hardware, electrodes and consultant neurophysiologists’ reports for one fixed cost, with no capital expenditure. We also provide ongoing on-site clinical support and training for you team, at no additional cost. Please let us know if you would like to see a demonstration of the Mediracer®NCS. Mediracer UK Ltd, Technology Centre, Wolverhampton Science Park, Wolverhampton WV10 9RU +44 (0) 844 800 2617 (office), +44 (0) 844 800 2618 (fax) www.mediracer.co.uk

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. 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 for more information about the venue. The Commissioning Show will be returning on the 12th and 13th June 2013 at London EXCEL.

SAVE THE DATE The Commissioning Show returns on the 12th and 13th June 2013 at London EXCEL

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