Turning collaborative models into reality

8 June 2018

The journey from national strategy or policy paper to implementation is often a tortuous and lengthy one. Indeed, some flagship ideas are never tested in the heat of the frontline.

Well over three years after the Five Year Forward View launched a variety of new care models on an unsuspecting NHS, the pressure to deliver is starting to grow.

Primary care providers, hospitals and commissioners still grappling with the complexities in guidance and legislation as they develop collaborative care at scale are running out of time.

That’s why Robert McGough, partner with Hill Dickinson, and other speakers at PCC’s forthcoming events on ‘Partnership with a purpose: making collaboration work’ will be emphasising the practical.

McGough says: “Local health economies have to consider how they are going to practically implement their new care models. It is complex and a lot of areas are stalling because of the complexities and the interrelationship between guidance and legislation. Primary care is at the centre of this. We are going to be seeing larger primary care organisations delivering at scale whether through merger of practices, new forms of collaboration or foundation trusts.

“I’m looking forward to discussing with people attending these events just how far they have got in, identifying the perceived barriers and then using practical examples to demonstrate how we can overcome many of the challenges that undoubtedly exist.”

McGough plans on bringing representatives from organisations who are developing new approaches in their system to each event. They will share the lessons from what went well and what they would do differently if setting out again.

He says: “There is somewhat of an industrial revolution going on in primary care. We are seeing new providers taking over failing practices – and even some successful practices. I want to set out for participants how they can take a collaborative approach and overcome the gaps that exist between the law and national policy. Change is slowing in a lot of areas because of confusion caused within those gaps.”

Commissioners, he suggests, need to be clear about how they can work with providers and also commission services in this new collaborative environment when the legal architecture of the commissioner/provider split is still with us.

“That means they have to grapple with decisions such as whether to go for early procurement while making sure they don’t act outside their powers.

“If you are a provider organisation you need to ask yourself how you are going to work with commissioners – both clinical commissioning groups and NHS England. You’ve also got to work out with a range of partners and stakeholders just how formal your collaborative arrangement will be: there’s a big difference between a memorandum of understanding and a formal contract covering risk sharing around finances and delivery.”

Other speakers at the events in London. Birmingham and Manchester over the coming months include GP and primary care consultant Mike Smith and McGough’s colleague, Ruth Griffiths. She will explain how primary care is key to developing any new model of care.

You can find more information on the events and register here.

Download the July 2018 edition of Commissioning Excellence.

Support updates Our news

Latest News

NHS England launches open call for solutions for general practice premises policy

17 August 2018

The general practice premises policy review, led by NHS England and Department of Health and Social Care, has launched a call for solutions.

NHS England wants to hear a wide range of proposals, to ensure general practice premises are fit for the future. They are keen to hear about solutions designed to address specific issues, as well as those which would require more significant changes to policy. The call for solutions can be accessed on the NHS England Website and will be open until 5 September 2018.

Read More

Supporting children and young people with special educational needs and disabilities

17 August 2018

Find out how you can support children and young people with special educational needs and disabilities (SEND) by ensuring that their needs and requirements are met throughout their journeys in health and transition from childhood to adulthood.

The SEND quick guides do this by assisting health commissioners and providers with joint commissioning of services. They provide guidance on developing processes to ensure that children and young people with SEND are fully supported in the best ways possible.

Read More

What patient participation groups need to know about GP online services

17 August 2018

A guide on GP online services gives patient participation group (PPG) members some top tips on how to engage their practice in registering more patients for online services.

Read More

Delegated commissioning application process and checklist for 2019/20

16 August 2018

NHS England has published a checklist and finance template to be completed jointly by the CCG and the relevant NHS England director of commissioning operations when CCGs apply for full delegation.

As of 1 April 2018, 178 CCGs have delegated commissioning responsibilities. NHS England has invited the remainder of CCGs operating under joint or the greater involvement co-commissioning models to apply for full delegation before 1 November 2018.

Read More

Data links route to cancer diagnosis and treatment

16 August 2018

New data from Public Health England illustrates how the way that cancer patients are diagnosed may affect their treatment options. Data shows that patients diagnosed through screening, GP referral or two-week referrals are likely to have more treatment options.

It links individual patients’ route to diagnosis, including screening, GP referrals, and emergency presentations, with the treatment patients go on to receive.

Read More