Our 2015 support for your organisation

4 February 2015

Dear colleague

I’m writing to update you on PCC’s 2015 work programmes and to advise you where we are already providing or could provide support to your organisation. 

PCC is a not-for-profit social enterprise with roots in the NHS and a long track-record of working with NHS commissioners and providers.

We work with all the key players involved in the delivery of the Five Year Forward View and transformation of NHS care including CCGs, NHS England regional and sub-regional teams, and primary and community care providers. We are also working with local authorities and increasingly with secondary care providers.

PCC is supporting regional and sub-regional transformation programmes in the north of England, Midlands and East and Thames Valley areas and is currently setting up a programme of events to facilitate co-commissioning of primary care around the country following workshops for commissioners in Surrey and Sussex and Thames Valley.  

PCC brings skills and expertise in a number of areas to bear on the NHS priorities to transform services and find long-term efficiencies by treating more people out of hospital, preventing unnecessary hospital admissions and providing better co-ordinated and more integrated care. Our focus on primary and community care, our expertise in primary care contracting and commissioning and our fast-growing support for federations and other emerging organisations, gives us access to several of the levers needed to achieve the transformation required by the Five Year Forward View.

We are already working with the leaders of mature federations and the new National Association of Provider Organisations to plan the next stages in the development of broader based organisations with wider professional involvement across primary, community and secondary care – the new models of care envisaged by the forward view. Recently PCC’s chair David Colin-Thomé chaired a roundtable bringing together primary and community care experts to debate the enabling factors and barriers to multispecialty community providers (MCPs).

Find out more about work we’re involved in and some of the issues we help commissioners to address in our regular newsletter Commissioning Excellence.

Following are brief descriptions of our key work areas.

Primary care commissioning development

A major programme of events is scheduled for 2015 to provide training and knowledge sharing in commissioning approaches and contracting for primary care, support for premises development enabled by the newly announced £1 billion primary care infrastructure development fund, understanding of funding and finance flows, management of performers and the softer skills needed to manage teams, develop relationships and lead change.

This programme allows commissioners to learn and work together, taking account of the different rates and degrees of co-commissioning in different areas of the country. Facilitated development sessions support commissioners to develop their vision for primary care, grasp the principles of outcomes, or value, based commissioning, develop the role of clinical leads, support lay chairs and enable the wider engagement that will be key to transformation and provider development.

Outcomes based commissioning

PCC ran a number of successful events and workshops on outcomes based commissioning in 2014, building on partnerships with, among others, Right Care, whose Value Packs are already enabling CCGs to align commissioning priorities and plan service improvements.

This programme continues this year, supporting commissioners to move from activity-based approaches to commissioning systems of care. Training workshops allow commissioners to understand the importance of working with patients and the public to set priorities, develop outcomes, consider the concept of outcome based accountability, and agree the measures that underpin outcomes.

Collaborative working and provider development

Half of all general practices are already part of federations or working in less formal groups to plan their journeys to formal collaboration. PCC is working with a number of these groups, initially facilitating relationships and agreement of mission and values. We also bring in experts and leaders of existing federations to advise on the issues that determine appropriate organisational forms able to support their ambitions. We are building on our recent roundtable by considering design principles for MCPs and encouraging federations to broaden their scope at an early stage.

This programme also draws on our personal and team development expertise, giving emerging collaborative groupings access to the skills needed to build successful organisations. As leadership will be the most important ingredient in the development of new provider organisations, we have launched a Confident Leader programme allowing new or aspiring leaders of new care organisations to acquire the knowledge and skills they need.

Working with patients and communities

Patient and public participation and engagement are fundamental to the success of transformation programmes, integral to outcomes based commissioning and vital to the development of new provider organisations. Understanding the statutory duty to consult is crucial in avoiding the risk of legal challenge, particularly in an environment where economic factors are forcing commissioners to make difficult choices about where to invest and disinvest.

PCC’s Working with Patients and Communities (WPC) programme provides awareness training for boards, commissioners and anyone whose role involves or depends upon successful engagement. It covers important areas of knowledge, including understanding of the statutory requirements and current guidance, but also helps commissioners and providers to develop an engagement culture and to develop the practical skills to work with patients and communities. This includes understanding the process for co-developing outcomes, advice on working with other parts of the health economy to tap into existing sources of knowledge and engagement, and supporting providers to develop and network existing patient participation groups.

Personal and team development

PCC offers a number of services for personal and team development, the cross-cutting skills that support our other work programmes. These skills are fundamental to successful collaboration, engagement and relationship building, and vital for managing change and for developing healthy organisational cultures.

PCC offers workshops to teach the principles and use of facilitation techniques, negotiation training, how to be a successful agent of change, and influencing skills. It also runs team development workshops using Myers Briggs type indicators to learn about preference types and the influence these have on team dynamics, workshops promoting the role of the leader as coach to support and develop staff, and provides executive coaching.

Working with you in 2015

Our workshops and events will run in every region of the country during 2015. Our national adviser network supports PCC support package holders and works on directly commissioned work.  We would welcome discussions as to how we can support you over the next year.

Existing PCC customers can contact their local adviser for more details of support this year. Some of our forthcoming events can be found on the 2015 event calendar.

For further information about how we can support your organisation, or to arrange a meeting please contact Wendie Groves on 07919  001733 or at wendie.groves@pcc.nhs.uk.

Yours sincerely

Helen Northall

Chief executive

Primary Care Commissioning (PCC) CIC 

Topics & resources

Latest News

Communities and health

20 February 2018

The role of communities in improving health is receiving increasing, and long overdue, attention in health policy and practice. Stronger recognition of the role communities can play and greater involvement are needed if there is to be a successful move to population health systems. A briefing from the King’s Fund is a starting point for those wishing to understand more.

Read More

Systems integration to boost NHS communication

20 February 2018

NHS staff will be able to communicate with each other through better integrated systems, thanks to new plans announced by NHS Digital. The plans will eventually see users being able to log into a range of applications and services, integrated with Microsoft Azure Active Directory (Azure AD), using their NHSmail credentials.

The initiative will integrate NHSmail, which uses Microsoft Exchange and Skype for Business to securely share patient information, with Office 365.

All NHS employees can use NHSmail, as can those organisations commissioned to deliver NHS services.

Read More

Next steps in updating guidance on ME and chronic fatigue syndrome

20 February 2018

A workshop last month marked the formal start of NICE’s collaborative work to update its 2010 guideline on the diagnosis and management of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS).

The workshop was held so that stakeholders, including patient groups for people with ME/CFS and their carers, could help NICE identify at an early stage the issues they consider most important for the development of the new guideline.

Read More

What should the new CCIO do first?

20 February 2018

The NHS has appointed an emergency care consultant as chief clinical information officer, a nearly new post with only one previous occupant. Simon Eccles has already tweeted his top five priorities. What should he put at the top of the list? Vote on this week’s NHS Networks poll at www.networks.nhs.uk

Read More

Conflict of interest – beyond self-assessment

20 February 2018

Conflicts of interest pose a significant risk to CCGs and emerging integrated care systems (ICS), which could leave commissioners exposed to reputational damage or result in decisions being open to challenge. Managing conflicts is a discipline requiring judgement, insight and the ability to evaluate risk. Talking through scenarios with colleagues is the best way to develop these capabilities. PCC delivers local workshops where members of CCG governing bodies work together to discuss potential issues. Boards that take part are able to identify potential concerns, understand how to approach issues and increase their confidence in local governance arrangements when taking decisions. Find out more about our conflict of interest workshops, which can be delivered on your premises. To discuss your requirements with one of our advisers email enquiries@pcc-cic.org.uk.

Read More