Post by kickingfrog on Feb 12, 2012 13:56:19 GMT
Commissioning for the future
Learning from a simulation of the health system in 2013/14
Candace Imison, Natasha Curry, Martin McShane
Summary
The reforms set out in the coalition government’s White Paper have wide ramifications, particularly for GPs.
NHS Lincolnshire decided to help GPs to understand the issues and behaviours that might emerge as a result of the reforms by running a simulation exercise with The King’s Fund.
Commissioning for the future offers observations about individual and organisational behaviours and about system dynamics as a whole.
The participants were provided with a briefing for a fictitious county – Bigshire – that was not dissimilar to the environment in which they were working. In order to create a realistic scenario, participants represented organisations across the whole health system, including:
GP consortia
NHS and private provider organisations
the health and wellbeing board
HealthWatch
the NHS Commissioning Board
Monitor
CQC.
The simulation took place over a day, representing a year of simulated time. Throughout the day, regular interventions were published and participants were required to react to them. Some interventions were applicable to the whole sector, while others were specific to one organisation or type of organisation.
Observations on the day and reflections provided by the participants are pulled together into a number of key themes – the behaviours and support needs of GP consortia; the role of the NHS Commissioning Board, Monitor and CQC; the role of the NHS and private providers; the role of the health and wellbeing board and HealthWatch.
The main observations were:
the personal and organisational development challenge for GPs is significant
cross-consortia relationships were slow to develop and consortia struggled to manage their constituent practices
the role of the National Commissioning Board expanded rapidly
the dominant acute provider was absorbed by financial planning and very internally focussed
public health and the patient voice were largely ignored as the health and wellbeing board and HealthWatch became marginalised.
This simulation provides valuable insight into some of the potential risks and opportunities of the new regulatory and management structures being implemented.
Learning from a simulation of the health system in 2013/14
Candace Imison, Natasha Curry, Martin McShane
Summary
The reforms set out in the coalition government’s White Paper have wide ramifications, particularly for GPs.
NHS Lincolnshire decided to help GPs to understand the issues and behaviours that might emerge as a result of the reforms by running a simulation exercise with The King’s Fund.
Commissioning for the future offers observations about individual and organisational behaviours and about system dynamics as a whole.
The participants were provided with a briefing for a fictitious county – Bigshire – that was not dissimilar to the environment in which they were working. In order to create a realistic scenario, participants represented organisations across the whole health system, including:
GP consortia
NHS and private provider organisations
the health and wellbeing board
HealthWatch
the NHS Commissioning Board
Monitor
CQC.
The simulation took place over a day, representing a year of simulated time. Throughout the day, regular interventions were published and participants were required to react to them. Some interventions were applicable to the whole sector, while others were specific to one organisation or type of organisation.
Observations on the day and reflections provided by the participants are pulled together into a number of key themes – the behaviours and support needs of GP consortia; the role of the NHS Commissioning Board, Monitor and CQC; the role of the NHS and private providers; the role of the health and wellbeing board and HealthWatch.
The main observations were:
the personal and organisational development challenge for GPs is significant
cross-consortia relationships were slow to develop and consortia struggled to manage their constituent practices
the role of the National Commissioning Board expanded rapidly
the dominant acute provider was absorbed by financial planning and very internally focussed
public health and the patient voice were largely ignored as the health and wellbeing board and HealthWatch became marginalised.
This simulation provides valuable insight into some of the potential risks and opportunities of the new regulatory and management structures being implemented.