Developing the NHS Commissioning Board

Initial thinking on the design of the new NHS Commissioning Board was published today with the launch of ‘Developing the NHS Commissioning Board’.

The document aims to give a sense of direction to stakeholders, partners, pathfinders and staff who may potentially work for the Board.

In the foreword to the document, Sir David Nicholson, Chief Executive of the NHS and Chief Executive designate of the new Board, said:

‘Building this new system over the next two years whilst delivering for our patients, increasing productivity and improving the quality of care, is a major challenge.

‘But I firmly believe that the end we are trying to achieve – a stronger, more innovative and more coherent commissioning system – will be critical to sustaining the NHS in the years to come.’

‘Developing the NHS Commissioning Board’ describes the Board’s potential culture, style and leadership. It also outlines the processes needed to ensure it achieves maximum health benefit for the nation from the resources invested.

While all of the proposals remain subject to the passage of the Health and Social Care Bill, the publication of this document will allow the design principles to be challenged and tested through co-production.

Many features of the proposed commissioning system are new, but there is also important continuity with the current system. The vision for improving outcomes builds on the improvements the NHS has made in areas such as reducing waiting times, tackling infections and reducing mortality. And it also builds on the vision for systematically improving the quality of care set out in ‘High Quality Care for All’.

In his foreword, Sir David Nicholson also said:

‘We will always seek to ensure things are done at the right level of the new system, consistent with the principle of subsidiarity.

‘So clinical commissioning groups will be the engine of the new system and things will only be done at a different level of the system where there is evidence that this produces better results. The role of the centre will be to support and hold local groups to account, not to domineer or micro-manage.

‘The new system also clearly demonstrates the principle of clinical ownership and leadership. From clinical commissioning groups at the most local level, right up to the organisation of the Board nationally around the five domains of the “NHS Outcomes Framework”, clinical leadership is written into the DNA of the new system.’

Read ‘Developing the NHS Commissioning Board’

In Commissioning, David Nicholson, News, NHS Commissioning Board, Pathfinder Learning Network | Tagged ,

6 Responses to Developing the NHS Commissioning Board

  1. Jim Waddington says:

    What role will the NHS Commissioning Board have in regard to what is presently the PTS (Patient Transport Service)?

    • Monty Keuneman says:

      There is existing Department of Health guidance on eligibility for Patient Transport Services. The NHS Commissioning Board will if appropriate update the guidance.

      Providers of regulated activities, as set out in the Health & Social Care Act 2008 (Regulated Activities) Regulations 2010, are required to register with the Care Quality Commission (CQC) the independent regulator of Health & Social care for England. NHS Trusts and NHS Ambulance trusts have been regulated by the Care Quality Commission (CQC) since April 2010 and independent ambulance services have been regulated since April 2011. Where providers are not compliant with the regulations, the CQC has a range of enforcement powers that allow it to take flexible and proportionate action.

      Monty Keuneman
      NHS Commissioning Board Implementation Team

  2. Surjit Kainth says:

    Having left the NHS from my practice in Norton Canes Cannock South Staffordshire,
    I have kept in touch with the New Proposals and am very happy to see the Progress that is being made in to Quality and outcomes for dentistry, I would consider coming back to the NHS once the Pilots have been evaluated, NHS Commissioning Board is up and running.
    Can you advise me further on How this will be possible in the future?

  3. Prof Tom Quinn says:

    Will National Clinical Directors continue to exist in the new structure, and will Sir Roger Boyle be replaced? These posts have provided real leadership for improving patient outcomes.

    • Monty Keuneman says:

      The NHS Commissioning Board will be organised nationally around the five outcome domains of the NHS Outcomes Framework. This reflects the importance of professional and clinical leadership to the Board’s success. There would be national professional leads for each of the five outcome areas, reporting to a Medical Director and Nursing Director at national level.

      The Board will have a statutory duty to exercise its functions with a view to securing continuous improvement in the quality of health services. In particular it must aim to secure continuous improvement in outcomes, as defined by the NHS Outcomes Framework. The Board will therefore prioritise the pursuit of quality, helping to ensure consistent national standards across the NHS. The ambition is to put healthcare outcomes and professional and clinical leadership at the heart of the Board’s business.

      Monty Keuneman
      NHS Commissionnig Board Implementation Team

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