Commissioning Upper GI Services in New NHS
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1 Commissioning Upper GI Services in New NHS Oct 2013
2 Commissioning Upper GI Services NHS England s Role Role of the new Clinical Reference Groups Current Issues / Work Programme for Oesophago Gastric Clinical Reference Group
3 Commissioning Specialised Services Responsibility of the NHS England - 12bn budget for specialised services from April '13 Specialised services are Directly Commissioned, alongside primary care, screening, military health & offender health Previously commissioned by multiple PCTs / Specialised Commissioning Groups - so significant variation in requirements / policies 3
4 What is Specialised All care provided by Specialist Cancer Centres for specified rare cancers (includes Upper GI cancers) Complex surgery for specified common cancers provided by Specialist Cancer Centres Certain specified interventions provided by specified Specialist Cancer Centres (includes thoracoscopically assisted oesophagectomy, laparoscopic gastrectomy for cancer) All Chemotherapy All Radiotherapy
5 Geography of NHS England There are 27 Area Teams 10 Area Teams take a lead on Specialised Commissioning There are 12 Strategic Clinical Network Areas / Clinical Senate Areas 4 Regions (London, North, Midlands, South) 5
6 6 NHS Presentation to [XXXX Company] [Type Date]
7 Strategic Clinical Networks 7 NHS Presentation to [XXXX Company] [Type Date]
8 Clinical Reference Groups (CRGs) Specialised Services Directly Commissioned by NHS England Lead development of the products required for the effective commissioning of specialised services. 75 Clinical Reference Groups Clinical Leadership in Specialised Commissioning Patient & Stakeholder Views 8
9 Commissioning Specialised Services And 5 Programme of Care: Mental Health (Secure and specialised mental health) Internal Medicine (Digestion, renal and hepatobiliary and circulatory system) Cancer and Blood (Infection, Cancer, Immunity and Haematology) Trauma (Traumatic Injury, Orthopaedics, Head and Neck and Rehabilitation) Women & Children (Women & children s health, congenital and inherited diseases) 9 NHS Presentation to [XXXX Company] [Type Date]
10 Scope Innovation Portfolio Quality measures Information Algorithm Products Policies QIPP Service specification CQUINs
11 Oesophago Gastric CRG Membership Seat Name Chair Bill Allum Commissioner Nathan Hall Senate Cheshire & Mersey Vacant North East, North Cumbria Michael Griffin Gtr Manchester, Lancs & S Cumbria Jeremy Ward Yorkshire and The Humber Peter Sedman West Midlands East Midlands East of England London NW London NE London S South West Thames Valley Wessex South East Coast Vinod Menon Sukhbir Ubhi Richard Hardwick Muntzer Mughal Sarah Slater James Gossage Richard Krysztopik Kinnari Patel Stuart Mercer Ahmed Hamouda Affiliated Orgs RCR Mark Harrison British Society of Gastroenterology John decaestecker PPE PPE PPE PPE Association of Cancer Physicians Hugo Ford Anthony Ingold Samantha Cleal Alan Moss Vacant
12 Current Work-Programme (OG CRG) Updating existing Oesophago Gastric Cancer Specification Clarification of 60 Oesophageal and gastric resections per year. Includes curative and palliative oesophageal and gastric cancer operations and surgery for Gastrointestinal Stromal Tumours (GISTs). Reinforce the need for specialised OG Centres to continue to work closely with their referring units Requirement for Core membership of the specialised MDT in relation to surgeons increased from 2 or more to 3 or more 12
13 Current Work-Programme Complex Benign surgery should this be commissioned as a specialised service? Gastroparises Key Clinical quality indicators to support commissioning of OG Cancer Centres? Endoscopic Therapy Patient Friendly version of Service Specification Advice to Clinical Commissioning Groups
14 Specialised Services Review Process led by 10 Area Teams Review Compliance to key requirements of service Specifications All service specifications to be within provider contracts from 1 October 2013 or Services to request derogation where key requirments not being met Derogation is time-limited and subject to agreement of action plan 14
15 Looking Ahead Development of NHS England specialised services strategy Are current services clinically sustainable and financially sustainable?
16 Hepatobiliary & Pancreas CRG Chair: Graeme Poston Commissioner: Ursula Peaple Service Specifications: Hepatobiliary and Pancreas Liver Transplantation Pancreatic Cancer
17 More Information Stakeholder registration
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