In the first of a series of regular blogs, Dr Shane Gordon, GP in Colchester and chief executive of the North East Essex GP Commissioning Group, gives an insight into preparing for the new commissioning system.
Another interesting week begins. So many things to get to grips with as a proto-consortium lead. This week I’m juggling commissioning our organisational development diagnostic, our in-house apprenticeship programme, getting to grips with the QIPP workstreams and our 200 page system QIPP plan, reading 200-page board papers, the 367-page Health Bill, negotiating the transitional governance structures with the PCT and starting to think about scary things like safeguarding. Sleep is for wimps!
Great news this month about getting our pathfinder status. This will focus minds in the consortium and the PCT – should help move things along faster. The Pathfinder launch event is this week – a good chance to network with the other consortium leads. I know there will be lots of familiar faces but some new blood too, which is great. Everyone has their war stories but always one or two great ideas. Heard a good one last week about using timesheets to drive up productivity for district nurses by 20 per cent – simple but apparently effective.
We’ve been inundated with offers of ‘help’ and training from every quarter. The difficult bit will be choosing which ones will really add value. There will undoubtedly be a national development programme but we will also need some bespoke development input. Our GP, nurse and practice manager leads have such vastly different experience that we will have to construct quite tailored development plans for each of them. The planned leadership competency framework should help identify the gaps.
We’re also preparing for one of our big set-piece events, our quarterly primary care ‘shutdown’. Top of the agenda is quality in primary care and starting to develop some answers to what are good outcomes in primary care and how do we measure them? I’m set for a challenging debate but I think this is key to future success.