The CCG developed commissioning intentions for 2016/17 as follows.
Our review of the services we commission included some specific areas of focus to strengthen the arrangements going forward. These included:
- Review the Treatment Room bundle to better reflect activity and cost.
- Reduce unnecessary administration where possible.
- Move to capitation payments where the incentive is appropriate.
- Achieve population coverage and reduce the requirement for gap-filling alternative provision.
- Increase bundling of services where appropriate, no opt out options within specifications.
- Consider individual practice and at-scale deliverability.
- Build in second phase of PMS rebased funds.
Specific proposals for 2016/17 commissioning of enhanced services were developed with these objectives in mind.
Proposals were also developed in consultation with the LMC and considered by the CCG Primary Care Programme Board and the Primary Care Commissioning Joint Committee with NHS England. The general approach, and specifically the level of investment, was agreed by the CCG Remuneration Committee, the membership of which is lay member only in line with our process on managing conflicts of interest.