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East of England Sustainable Development Masterclass Elizabeth Podd, Deputy Director of Commissioning How can sustainability managers work more closely with local commissioning teams to deliver sustainable development outcomes? Locally Who are our commissioners? Mid Essex CCG & 14 other CCGs NHS England – Local Area Team NHS England – East Anglia Team (Essex County Council) Commissioning Flow Parliament, Government, Secretary of State for Health Department of Health NHS England £99,909 million Revenue £320 million Capital 27 Area Teams of NHS E 211 Clinical Commissioning Groups Hospitals Community Services Transport Continuing Health Care Everything else! GPs, Dentists & Oral Surgery, Opticians, Offender healthcare, Armed Forces Specialist Services eg Burns, Neonatal Unit, Renal Dialysis, Local Authorities Sexual Health Services, Social services The Commissioners – Collectively, CCG, NHSE, ECC Individually – Chief Medical Officer, Chief Nurse, Chief Pharmacist, Commissioning Managers, Contract managers, Finance Managers, HR, IT, Communications, Administrators. ECC – Commissioning Managers, Public Health ??Sustainability Managers?? Who are we? Deputy Director of Finance Deputy Director of Commissioning Senior Contract Manager & Contract Manager Head of Information Services Caroline Holmes, Head of Clinical Coding and DQ Kevin Garner, Income and Costing Team Who else do we liaise with? • • • • • Operational team Clinical Governance Human Resources Training department Trust secretary • ?? Sustainable Development team?? Clinical versus Financial Balance Fertility Treatment £10mill Orthopaedic trauma £30mill Lucentis for DMO £20mill Reconstructive plastic surgery £30mill Psychological treatments £5mill Bariatric surgery & abdominoplasty £10mill Cancer surgery £20mill Emergency care £30mill Overseas patients emergencies £ 3mill You only have £100 million to spend – how would you prioritise it? But what about ………….. Environmental Social MONEY £$£$£$£$£$£ How can sustainability managers help? 1. Make yourself known 2. Assist with contractual requirements – embedded into operational practice Contractual Requirements 1. Key Performance Indicators 2. Information Schedule 3. Service Development & Improvement Plan 4. Data Quality & Improvement Plan How can sustainability managers help? 1. Make yourself known 2. Assist with contractual requirements 3. Clinical pathway design Clinical Pathway Design Local Essex Equipment Services – collaborative purchasing, repair & reloan Procurement – quality vs price We need your help with TRIPS – Burns & ideas Trauma, Offender National Best Practice tariff NICE guidance 5 Year Forward View How can sustainability managers help? 1. Make yourself known 2. Assist with contractual requirements 3. Clinical pathway design – 5 Year Forward View & Local service design 4. Advertise your plans & blue sky thinking Advertise & Dream Sustainable Development Management Plan – advertise & discuss Run sessions in whole Trust teaching time to explain to the clinicians & ask for their ideas Make yourselves known around the Trust & available to “brainstorm” Share good practice through this forum How can sustainability managers help? 1. Make yourself known 2. Assist with contractual requirements 3. Clinical pathway design – 5 Year Forward View & Local service design 4. Advertise your plans & hold blue sky thinking sessions 5. Include sustainability questions in investment paperwork Investment Paperwork Models of Care Travel Procurement Facilities Management Workforce Community Engagement Adaptation to Climate Change Estimated Carbon Benefit How can sustainability managers help? 1. Make yourself known 2. Assist with contractual requirements 3. Clinical pathway design – 5 Year Forward View & Local service design 4. Advertise your plans & hold blue sky thinking sessions 5. Include sustainability questions in investment paperwork Discussion
