Influencing clinical commissioning through networks

CSP English Regional Networks (ERN) – Development EventSeptember 2012

Dawn SmithAHP Advisor

NHS Clinical Commissioning Community

Clinical Commissioning Community

Key messages

• A good foundation• Reaffirming what physiotherapists have to offer• Making the case for informal networking• Some challenges for effective networking

(influencing)• What the Clinical Commissioning Community has

to offer• What the Clinical Commissioning community asks

of physiotherapists

Your good foundations

• A professional network that has potential to reach out to engage with other networks across regions, professions, sectors and levels

• ‘Physiotherapy works’ – evidence based briefings

• AHP QIPP commissioning toolkit• CSP influencing toolkit

Reaffirming what physiotherapists have to offer

• You do not need the title of ‘commissioner’, ‘leader’ or ‘manager’ to engage with clinical commissioning

• If you make a decision about how to use an NHS clinical resource, you are part of the clinical commissioning community

You do need

• A passion for better quality care and outcomes for patients

• A commitment to a more efficient and effective NHS

• To be driven by reducing costs of services through innovative service redesign

• To believe that multi-disciplinary commissioning is essential to delivering better outcomes

Why should Physiotherapists participate in clinical commissioning?

“AHPs can really contribute to saving money long term by minimising physical and psychological care needs and helping to keep people out of hospital, or minimising the time they are there. They are essential to the achievement of sustainable, affordable healthcare and can drive up quality whilst reducing both immediate and long term care costs”

North East Allied Health Professions Collaborative

What commissioners say

• “Where are you AHPs when we need you?”• “The AHPs there were so frightened the

meeting was washout”• “Death by detail; so much jargon the

commissioner passed out!”• “Keeping up with the Jones’s; it took so long to

try to get a meeting with every profession that we didn’t end up inviting anyone in the end.....”

North East Allied Health Professions Collaborative

The case for informal networking

• Clinicians working deep within organisations are central to the achievement of effective commissioning and QIPP, but may be on the margins of formal influencing structures

• Formal structures may be limited in membership and often populated by the same roles

The challenges for effective networking (influencing)

• Getting noticed (in a good way!)• Do educate commissioners on the your

contribution– Population needs– Your contribution to pathways – Workforce, education and training

• Do provide robust evidence of quality, innovation prevention and productivity

• Do be accessible• Do form relationships through clinical networks

(formal and informal)• Do collaborate - commissioners will be looking to

commission pathways across disciplines, organisations and sectors to deliver against outcomes

• Do offer solutions for service redesign as a means of finding savings, improving quality, addressing gaps, duplication and missed opportunities for prevention

• Don’t lobby for specific organisations/services• Don’t lobby for one disciplinary ‘widget’ out of

context of the whole pathway• Don’t involve commissioners in fights between

providers of other parts of the pathway – form alliances and sort it out

What the Clinical Commissioning Community has to offer

• Sponsored by the Department of Health (DH) • CCC supports the implementation and

development of clinical commissioning by connecting Primary Care Contractors, Nurses, AHPs and GP leaders

• Two offers–Networks– ‘Soft intelligence’ process

Networks

• Informal networks allow free discussion and participation that may not happen through committee-type, formal structures

• Informal networks are effective in connecting you to those who occupy positions in formal networks

14

NCCN - recognised by the Department of Health and the NHS Commissioning Board as a vital support network for the development

of clinical commissioning

HCPCN connecting with and across disciplines

AHPs network & professional

networks connecting with AHP

community

Local, regional and national communities of service providers, users, partner agencies and commissioners

Dialogue

Dialogue

Dialogue

Soft intelligence

Soft intelligence

Soft intelligenceDH P

olic

y Te

ams a

nd N

HS C

BNHS Clinical Commissioning Community

4 SHA regional networks

The AHP national commissioning network

• http://www.networks.nhs.uk/nhs-networks/ahp-national-commissioning-network

• AHPs in any grade or role are participating in this network to see and be part of discussions between AHPs about clinical commissioning.

• It is an ideal forum in which to ask questions of other AHPs about their experiences of improving services and about how they are being influential in effective commissioning

The healthcare professions commissioning network (HCPCN)• http

://www.networks.nhs.uk/nhs-networks/healthcare-professionals-commissioning-network

• In this network, healthcare professionals are coming together in order to inform commissioning and collaborate to convey the message that successful healthcare commissioning needs to be multi-disciplinary.

• AHPs participating in this network have the opportunity to raise the profile of the specific AHP contribution to clinical pathways and to Quality, Innovation, Prevention and Productivity (QIPP).

• This network is also a useful means of receiving timely alerts about events, development opportunities and to input to consultations about clinical commissioning.

The national clinical commissioning network

• http://www.networks.nhs.uk/nhs-networks/national-pbc-clinical-leaders-network

• Members of this network have adopted the role of clinical champions. • They will be in roles that enable them to connect quickly and effectively

with colleagues across professions, services and geographical areas to draw-in and coordinate information across the clinical commissioning community.

• Their aim is to give a consistent message and to act as a resource for the clinical commissioning community.

• Participation in this network is through an application form available on the website

• We will broker relationships to build collaboration and knowledge sharing between established formal networks and informal communities of practice

• As a consequence, lower profile, but equally important agenda are highlighted, enabling the spread of innovation for service areas where there are less formalised structures

• Offering clinicians support, a national profile and a voice

• A place to get noticed … if you want

Soft intelligence process• What do we mean by soft intelligence?Data in the form of opinions, feedback, ideas and thoughts collected from the whole clinical system engaged in developing effective commissioning practices• Where do we collect it?From anyone making decisions about how to use clinical resources, via individuals, networks, organisations, events, workshops and one-to-ones• What do we use it for?The data feeds an iterative process of dissemination and feedback to ensure a flow of information and learning between the policy, management and clinical commissioning communities

CCC asks…

• How will you activate your networks to flow information and participation into others to extend your voice and influence?

• Raise the profile of the CCC networks across your regions and get the physio voice heard

• Named connectors by region • A named professional link with the NCCN• Get your evidence into the soft intelligence