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<p>The Dudley team managing this contract consists of staff representing the disciplines
of commissioning, procurement, contracting, finance and analytics. The team has sought
appropriate external expert advice in relation to public health, law, governance,
procurement and finance.</p><p> </p><p>In addition, the team is part of the intensive
support programme provided by NHS England which was set up to support the commissioning
of new care models and to design the new standard National Health Service contract
for this purpose. This is a long-term contract designed to bring services together
into one population-based arrangement that will focus on delivering long-term outcome
improvements for the population that are sustainable. Dudley is using this new national
contract.</p><p> </p><p>The capacity and capability of the team was tested during
Checkpoint 1 of the NHS England/NHS Improvement Integrated Support and Assurance Process
(ISAP) and green rated. The ISAP was established specifically to deal with complex
and novel procurements of this nature. Their actions will be further tested at Checkpoints
2 and 3 of the ISAP in order to ensure that the process they have gone through is
sound and that a sustainable contract is established.</p><p> </p><p>Dudley Clinical
Commissioning Group (CCG) has made no specific estimate of the costs of changes resulting
from the establishment of the new Multispecialty Community Provider. However Dudley
CCG currently holds in excess of 170 contracts. This number will be reduced substantially
with a consequential reduction in the associated transaction costs.</p><p> </p><p>As
part of the commissioning process, we would expect commissioners (and providers where
appropriate) to have forecast the Whole Population Budget (WPB) value for the duration
of the contract. These forecast values should take account of expected future cost
and activity pressures, for example anticipated changes in population size, demographics
as well as inflation in health and care provision costs (as reflected in national
planning assumptions). NHS England will be publishing documentation to support commissioners
in forecasting WPB values for the duration of the contract. Dudley CCG has conducted
its own financial modelling.</p><p> </p><p>Commissioners then need to assure themselves
that these plans are balanced, affordable within commissioner allocation constraints,
and result in a WPB that reinforces the sustainability of the wider local health and
care system.</p><p> </p><p>The method used to develop budget projections should be
transparently recorded, recognising that this information may need to be shared for
future procurement activities and contract documentation.</p>
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