June Pathfinder Learning Network event table discussion: building a track record for ongoing assurance
- 1. Building a track record for ongoing assurance Table discussion from Pathfinder Learning Network event ā 7 June 2011
- 2. Key questions How can we capture the work pathfinders are already doing? How can we best demonstrate the impact of clinical commissioning? How can we build a track record / good evidence base to support authorisation and beyond? Table discussion from Pathfinder Learning Network event ā 7 June 2011 Building a track record for ongoing assurance
- 3. Key issues resulting from the discussion Authorisation should not be a oneāoff event but an ongoing process of assuring and demonstrating responsibility Need to assess form, function, potential. Where consortia will delegate , need to assess their assurance processes Consortia should be given projects now to learn and demonstrate, but PCTs are blocking in some areas How do we show work done pre-authorisation? And demonstrate impact of clinical commissioning in the future Authorisation should take best parts of World Class Commissioning, but tackle the serious flaws with it, eg reduce the bureaucracy There are some fundamentals that consortia need to deliver on: i) finance, ii) improving health of local population, including public health, iii) primary care There are different challenges across the country so there may be a need for local targets Table discussion from Pathfinder Learning Network event ā 7 June 2011 Building a track record for ongoing assurance
- 4. Considerations for policy development Table discussion from Pathfinder Learning Network event ā 7 June 2011 Building a track record for ongoing assurance How does the NHS CB assure itself of the consortia assurance processes for delegated functions? How do you measure āpotentialā ? Authorisation needs to have a significant face-to-face element . And it needs to be developmental ā not just pass / fail. What can / should we measure in addition to finances / health / primary care improvement. Innovation, QIPP, Behaviour change, Structure fit for purpose? Strength of partnerships? Should there be a set of national targets augmented by local targets ? Current development plans are relevant but we need to ensure they are stretching enough.
- 5. Ideas for sharing Table discussion from Pathfinder Learning Network event ā 7 June 2011 Building a track record for ongoing assurance Peer review/peer pressure has shown it can work in the past. Possibly a relevant and powerful tool for ongoing GPC authorisation / assurance Different performance management tools, e.g. Balanced Scorecard has been successfully embedded in some trusts