3rd National Conference for Radiology Managers

Making the most of the new commissioning

arrangements

A provider perspective

Peter Sharpe

Chief Executive - Cobalt

Organisation logo to be added here if desired

Cobalt – Who are we?

Medical Charity - Established 1964

The Cobalt Unit

(Cheltenham Oncology Centre)

Supported the Gloucestershire

Breast Cancer Screening Service

Development of oncology services in

the 3 Counties

Funding for research, development and education.

Cobalt – Who are we?

A diagnostic imaging provider

Mobile MRI -1994

Cobalt Imaging Centre - 2006

PET/CT

High-field Open MRI

3.0T MRI.

Cobalt – Who are we?

A diagnostic imaging provider

Mobile MRI

3.0 Tesla

1.5 Tesla

Integrate services.

Cobalt – Who are we?

A diagnostic imaging provider

24,000 examinations per annum

Purchase radiologist sessions from the NHS

48 hour turnaround for reporting

No teleradiology - Radiology presence

Support research

Education and training events

Full 10% audit.

Cobalt – Who are we?

Majority of our work is for the NHS

Majority is from competitive tendering

Seamless patient pathway.

Independent

Provider NHS Acute Trust

Radiologists Staffing Training

MDT Research IT – PACS

The New NHS Structure

Specialised Commissioning

National Commissioning Board

Clinical Commissioning Groups

Any Qualified Provider – AQP

What is AQP – Key Principles

Provider qualify and register to provide services via an assurance process – Tests for fitness

Commissioners set pathways and referral protocols

Referrers offer patient choice of qualified provider

Competition based on quality, not price

(National tariff).

Any Qualified Provider

Commissioned Services

MRI CT NOUS

Radiology Survey

Yes 36%

No 12%

Not sure 52%

Do you think AQP will affect

your hospital imaging demand?

15.0%

30.8% 20.6%

33.6%

Job Role

Radiographer

Radiologist

Business Manager

MRI Superintendent

Radhika Darbari

UK MRI Research Project

April 2013

Any Qualified Provider

Challenges Competitor not partner

IT – N3, NHSMail, Choose & Book, SUS Reporting, Image transfer (IEP)

Fragmentation of the pathway

Impact on existing providers

No guaranteed volume

Marketing

Training & Education

Conflict of interest.

Any Qualified Provider

Qualification Process

Stages

Compliance Checking

Assessment of Delivery

Local qualification by commissioners

www.supply2health.co.uk.

Any Qualified Provider

Opportunities

Greater diagnostic capacity

Lower waiting times

Innovation

Focus on patients

Lower cost?.

Competitive Tendering

Guaranteed/intent to refer patients

How do I know about services in my area? You may be approached

Official Journal of the European Union (OJEU)

Other procurement websites

Less strategic approach to capacity

Spot purchasing

Cost driven Lack of consistency.

Competitive Tendering

The process

Balance of quality & cost

Tendering processes more evidence based

Greater emphasis on innovation

Many bidders meet the required specifications

Challenge to sell in the confines of tendering.

• Expression of Interest

• Pre Qualification Questionnaire

• Invitation to Tender

Competitive Tendering

Imaging Services Accreditation Scheme – What is it?

Standard developed and owned by The Royal College of

Radiologists and The College of Radiographers

Scheme managed and delivered by the United Kingdom

Accreditation Service (UKAS)

Launched June 2009.

Competitive Tendering

Imaging Services Accreditation Scheme

- Synergies with other requirements

Comprehensive `mapping’ against a range of accreditation standards:

Care Quality Commission (CQC) core standards

Regulatory standards

Current best professional practice (NICE and relevant professional body requirements).

Competitive Tendering

Imaging Services Accreditation Scheme

Domains -

Clinical

Facilities, resource and workforce

Patient experience

Safety.

How can ISAS Help?

How you develop services around patients How you ensure your service is: Safe Efficient Adopts best practice and innovation Complies with national standards

Supports tendering with evidence.

It provides an endorsement for your service

Competitive Tendering

Standing out from the crowd

Making the most of the new commissioning

arrangements

Conclusion

Be proactive

Focus on quality

Patient Access

Patient experience

Referrer experience

Governance and audit processes

Innovation.

Evidence