SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Transition of commissioning responsibilities from PCTs to CCGs
Establishment of the NHS Commissioning Board and governance structures
established to carry out the Board‟s role in London
Changes to the role of Local Involvement Networks (LINks) and the development of
Healthwatch
Establishment of Health & Wellbeing Boards and Clinical Senates.
Shaping a healthier future has planned for and is responding to these changes as they take
place, ensuring an appropriate fit with new arrangements as part of the NW London‟s overall
response to the changes.
Further detail of programme governance arrangements, including membership of the
different Boards is provided in Appendix A
3.4 Programme timeline
The overall programme timeline is broken down into five phases as shown in Figure 3.2 and
each phase is then the key activities for each phase are then described.
Figure 3.2: Shaping a healthier future programme phases
Identifying the need
for change & vision
for the future
Identifying options for
change, engaging
with stakeholders
Explaining options &
understanding views
Refining & agreeing
the change
Preparing
for change
Nov – Jan 12 Jan – Jun Jul – Oct Oct – Feb Feb 2013 on
Confirm case for
change & vision
Pre consultation Consultation Post consultation
Transition to
implementation
Confirm case for change and vision - during this phase, the programme:
Established governance, resourcing and work streams for programme
Agreed the programme plan
Published the case for service change
Agreed the vision for acute and out of hospital care
Developed the benefits framework
Began stakeholder engagement with clinicians, commissioners, providers, patients
and other local stakeholders.
Pre-consultation - during this phase, the programme:
Developed acute clinical standards and clinical models
Developed options for consultation moving from a long list using hurdle and
evaluation criteria and conducting sensitivity analysis
Supported CCGs to develop their out of hospital strategies
Continued engagement with the full range of stakeholders, including three
stakeholder events to inform the work of the programme
Developed robust processes that led to successful reviews by NCAT and OGC
Evidenced compliance with the “Four Tests”
Planned the public consultation and developed consultation documents
Developed the pre-consultation business case
Carried out pre-consultation elements of equalities review.
3. Introduction to Shaping a healthier future and purpose of document 18