Everyone Counts

Everyone Counts: Planning for Patients 2013/14 

NHS Commissioning Board, 19 December 2012 (Additional guidance has been added after this date.)

• Guidance to support the incentives and levers that will be used to improve services from April 2013 and other documents including 
• Supporting planning 2013/14 for CCGs including "plan on a page" template and guidance
• Everyone counts: planning for patients 2013/14 – Technical definitions
• CCGs: Planning template for 2013/14
• Clinical commissioning group and provider objectives for reduction in clostridium difficile: 2013/14
• Supporting information:
• NHS allocations for 2013/14
• ‘Support packs’ for CCGs and LAs
• Who pays? Determining responsibility for payments to providers - updated Sept 2013
• Better data, informed commissioning, driving improved outcomes: clinical data sets
• CCG outcomes indicator set
• Quality premium 2013/14 – Guidance for CCGs  updated -
• Draft NHS standard contract
• Commissioning for quality and innovation (CQUIN) – 2013/14 draft guidance
• Read the NHS Confederation briefing.
• Read the NHS Clinical Commissioning briefing

CCG Responsibilities and Standing Rules

The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012
3 December 2012

Setting out patients’ rights and the Board’s and CCGs’ responsibilities, including:

• Persons for whom a CCG has responsibility
•  Services to be commissioned by the Board 
• Mental health after-care services 
• Standing rules: commissioning contract terms 
• Standing rules: NHS Continuing Healthcare and NHS funded nursing care 
• Standing rules: choice of health service provider 
• Standing rules: waiting times 
• Financial duties of the Board and CCGs in relation to administration

NHS CB Public health functions outlined

Public health functions to be exercised by the NHS Commissioning Board
DH 15 November 2012

• Details of the public health services to be commissioned by the NHS CB, including immunisation, routine screening, children’s public health services, child health information systems and sexual assault referral centres.

NHS Mandate

NHS Mandate
DH 13 November 2012

• The first Mandate between the Government and the NHS CB, setting out the ambitions for the health service.
• Read the Briefing for CCGs by the MK CCG Knowledge Officer

Public health functions of the NHS Commissioning Board

Public health functions to be exercised by the NHS Commissioning Board
NHS Commissioning Board, 8 November 2012

• An outline of the public health functions and key deliverable including:
• Immunization and Screening programmes
• Cancer screening programmes
• Children’s public health services (from pregnancy to age 5) (health visitors, FNP programme, Breastfeeding, Excess weight in 4-5 year olds, Hospital admissions caused by unintentional and deliberate injuries in under 18s, Infant mortality, Tooth decay in children (5 yrs)
• Child Health Information Systems
• Public health care for people in prison and other places of detention
• Sexual assault services

Local government and NHS working together

Concordat between: Local Government Association and NHS Commissioning Board 
29 October 2012

• The leaders of LGA and NHS CB agreed to produce joint annual plans setting out how they will work together to ensure joined-up, high-quality health, social care and safeguarding services for everyone.

Authorisation update

Final authorisation decision-making process
NHS Commissioning Board, 20 September 2012

• A Board paper seeks the approval of the Board to further proposals on how the moderation, conditions and decision elements of the CCG authorisation process will operate.

Understanding procurement

Procurement of clinical services: Briefings for CCGs
NHS Commissioning Board, 14 September 2012

• Introduction: why do CCGs need to understand procurement?
• How does procurement fit with the different stages of commissioning?
• What are the procurement options?
• Which rules apply to a procurement process?
• How should a procurement process be conducted?
• Summary of the decision-making process

Enhanced services under the NHS Commissiong Board

Local commissioning arrangements for enhanced services
NHS Commissioning Board, 16 August 2012

• A description of the new local commissioning arrangements via the NHS Commissioning Board  for enhanced services from April 2013.

Who commissions what?

Commissioning Fact Sheet 

NHS Commissioning Board, 31 July 2012

• An outline of services to be commissioned by CCGs, NHS Commissioning Board, Local Authorities and Public Health England.

Just one of the resources on the Resources for CCG s page of the NHS Commissioning Board website 

NHS Commissionig board public consultation

Our NHS care objectives: A draft mandate to the NHS Commissioning Board 

DH, 4 July 2012

• Public consultation document to underpin the NHS Commissioning Board mandate.

NHS Commissioning Board mandate

Our NHS care objectives: A draft mandate to the NHS Commissioning Board 

DH, 4 July 2012

• Public consultation document around the NHS Commissioning Board mandate which explains and seeks comments on the approach taken.
• Consultation closes 26 September 2012
• The consultation document is published alongside a draft of the first mandate with four annexes, including a draft ‘choice framework’ illustrating the Government’s intended approach to explaining the choices that will be available for people using NHS services in England
• A technical annexe to the NHS Outcomes Framework explains the proposed methodology for deriving levels of ambition for each domain of the NHS Outcomes Framework including
• Preventing people from dying prematurely (eg PYLL, life expectancy, mortality rate)
• Enhancing quality of life for people with long-term conditions ( eg employment, carers, unplanned admission, mental illness dementia)
• Helping people recover from illness or injury (eg emergency admission and readmission, PROMs, reablement services)
• Ensuring patients have a positive experience of care across all health services
• Treating and caring for patients in a safe environment and protecting them from avoidable harm (eg VTE, MRSA, C Diff)
• Outcome drivers- Alcohol misuse, Diabetes, Emergency admissions, Fruit and vegetables consumption, Hypertension, Obesity, Tobacco use

The Single Operating Model

Securing excellence in commissioning primary care
NHS Commissioning Board, 22 June 2012

• A description of the work of  the the NHS Commissioning Board after 1 April 2013 when it takes on many of the current functions of PCTs with regard to the commissioning of primary care health services, as well as some nationally-based functions currently undertaken by the Department of Health.
•  The main report describes the model while separate documents outline the tasks & functions,  key facts, and Q&A.

CCG learning portal

CCG learning and support tool
NHS Commissioning Board, June 2012

• A series of web pages signposting the key learning and development opportunities available to proposed CCGs organised by the domains of authorisation. 
• Includes resources for individual leaders, senior teams, governing bodies, extended teams and Whole CCGs 
• Resources from key national bodies includingthe NHS Commissioning Board Authority, NHS Institute for Innovation and Improvement, the Royal College of General Practitioners, the NHS Leadership Academy and the NHS Alliance / NAPC.

Local Area Teams of the NHS Commissioning Board

NHS Commissioning Board: Local area teams 

DH, 20 June 2012

• Details of the functions and geographic coverage of Local Area Teams (LATs)

NHS Commissioning Board papers 31 May 2012

NHS Commissioning Board meeting – 31 May 2012

• Papers include CCG configuration, indicative running cost allowance and authorisation waves

Bulletin for Proposed CCGs no2

 Bulletin for Proposed CCGs No 2 

 NHS Commissioning Board, 24 May 2012

• Proposed CCG configuration and member practices published 
• CCG indicative running cost allowances 
• CCG authorisation waves agreed 
• CCG authorisation: Wave 1 workshops 
• CCG authorisation: Recruitment of assessors
• Assessment centres and development process underway 
• Commissioning support services pass second stage of review
• Communications and engagement commissioning support services 
• Commissioning support: Informed customer events for CCGs 
• NHS Commissioning Board: New appointments and organisational design 
• Any qualified provider 
• Payment by results: a new guide 
• Free places offered to CCGs at commissioning conferences

Authorisation process - a description

Authorisation process for CCGs
NHS Commissioning Board, 10 May 2012

• A letter and a set of slides which describe the authorisation process for CCGs.

See also - NHS Commissioning Board Resources for authorisation

Objectives of the NHS Commissioning Board

Strategic objectives for NHS Commissioning Board Authority
DH, 23 April 2012

• According to a letter from the Health Secretary to the NHS Commissioning Board Authority the Department of Health will hold the Authority to account for its performance against four strategic objectives, relating to:
• transferring power to local organisations
• establishing the commissioning landscape
• developing specific commissioning and financial management capabilities
• developing excellent relationships.
• According to the HSJ the letter follows concern the NHSCB may attempt to retain more control over CCGs than intended by the health secretary.

CCG Authorisation: Draft Applicants' Guide

A number of papers relating to CCG authorisation and development have been published as Board papers for the National Commissioning Board meeting on 13 April 2012 including:

• CCG Authorisation : Draft guide for applicants
• Recruitment Strategy 
• An Integrated Finance and Accounting System 
• Emergency Planning 

Also
Have a look at the article in HSJ (26 March 2012) on "CCG authorisation requirements and timetable requirements." The article includes links to a Department of Health presentation and NHS Institute Handbook.