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Monthly memo - April

What practice-based commissioners should focus on this month

What practice-based commissioners should focus on this month

PBC consortium tasks

• What does the new DH document Clinical Commissioning mean for your group? Might you consider becoming an integrated care organisation or other model? The document also recommends a compact or accountability agreement between consortiums and PCTs.

• Ensure ownership of each PBC priority by assigning a board member to each clinical commissioning area to see progress is made.


Clinical Commissioning: our vision for practice-based commissioning

Financial checklist

• Need to understand impact of introduction of HRG4 on budgets: arrange for PCT to speak to PBC group to improve working knowledge of this change.

• Determine opportunities in terms of unbundling as direct result of HRG4.

• Check local rate of movement to fair shares and implications of this.

• Confirm date for availability of indicative budgets: should be available by 1 May – see Clinical Commissioning document.

• Check that PCT has agreed management support or financial allowance for PBC and agreed remuneration for work done by clinical commissioners.

Outcomes and competencies

• National COPD clinical strategy (NSF) due out this month.


• To find out more about commissioning COPD services go to

• The British Lung Foundation also has regular updates on COPD developments

• See ‘Focus On… cutting the £1bn COPD bill', December 2008

Questions to ask PCT

• Will the PCT be making any more use of any willing provider models or local enhanced services to contract services, in light of what was said in the Clinical Commissioning document, which talked of the ‘overuse' of tendering?

• Are there any changes to accountability agreement for 2009/10?

• How will PBC clinicians be involved in key working groups within PCT?

• What organisational development was suggested for the PCT to work on for PBC following its World Class Commissioning assessment?

• When will the PCT's revised strategy following this WCC assessment be available?

This monthly memo has been produced in association with Catch On Group, a company appointed by the DH to support PBC.

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