NHS Sheffield is the Sheffield

1
THE COMMISSIONING CYCLE AND PATHWAY REVIEW PROCESS
2
A clinically led review and redesign process that
considers

• Clinical Best Practice
• Current and projected need
• Audit and effectiveness data
• Efficiency and performance data
• Financial flows, bench marking and value for
  money
• Strategic fit local / central / political

3
Continued

• Includes real public / Patient engagement
• Considers hard to reach groups
• Sets desired outcomes and monitoring milestones.

4

• AND
• Should be a continual process!

5

• Enablers
• Clear Local strategy sufficiently aligned to
• central strategy ABH 1 and ABH 2
• Clinical Buy-in
• Management Buy-in

PCT / PBC Groups
6

• Supportive Infrastructure - Matrix Working
• Clinical
• Public Health
• Strategy
• Performance
• Finance
• Audit and Effectiveness

7

• AND
• A Commissioning Partnership
• PBC / Providers
• Need to manage potential tension with a free
  market approach

8

• The Commissioning Cycle and Pathway
• Review Process.
• Review and Redesign Groups
• Inclusive
• Declared conflict of interest
• Clear PPI
• Set Clinical specification but not procurement

9

• The Process

Diagram 1
10

• The Process

Diagram 2
11

• The Process

Diagram 3
12

• Concept of Better Outcomes for Patients
• Ian Philp