We commission hospital services, urgent and emergency services (including out of hours GP services and ambulance services), community services and mental health services.
The development of commissioning intentions is an annual activity that seeks to ensure commissioners have clear oversight to work towards improving local health outcomes and to let providers, such as hospitals, know of the contractual changes that will be implemented in the forthcoming year.
Commissioning intentions are not intended to set out all activity that will be undertaken in a given year but they provide context for commissioning changes; list commissioning changes that improve quality of service or value for money; and signal to providers where resources may be changing or new delivery models may be implemented.
Planning to meet the needs of the population
Planning in the NHS is complex; the NHS is a national service with standards and targets that need to be met in Bristol, North Somerset and South Gloucestershire, as elsewhere in the country.
An example of these targets is that at least 95% of patients going to A&E should be seen and treated within 4 hours.
In addition to these national standards and targets the CCG also needs to make sure that local health services are planned and commissioned to meet the needs of local people.
Some local health services will not change much year to year, while there are services we may want to change to make sure they deliver the best care for patients.
Our Commissioning Intentions 2019/20
Our commissioning intentions for 2019/20 outline the interventions we are planning, to improve the way we commission, review and transform services. We will continue to respond to the Five Year Forward View and build on the progress already made to deliver sustainable and consistent care standards.
Priorities for 2019/2020
This year, our commissioning intentions describe our aim to progress towards an integrated approach to care across the Bristol, North Somerset and South Gloucestershire health system. This means that we will work with our partners and provider organisations to ensure care is joined up and consistent across the whole of our area and that we work across organisational boundaries to provide the most efficient services for our population.
We intend to work with our providers to develop sustainable services that provide consistent levels of care across the whole area, while also addressing the needs of individual communities.
As a result, this year we plan to:
- recommission adult community health services for the whole of Bristol, North Somerset and South Gloucestershire.
- develop our localities, focusing on the needs of individual populations, while also ensuring consistent standards and shared resources.
- develop a sustainable solution for health and care services in Weston-super-Mare as part of our ‘Healthy Weston’ programme of work.
Commissioning and Contracting Intentions for 2017/2018 and 2018/2019
Locally and nationally, the NHS system is facing major challenges to meet demand for services within resources available. It is only by working together that we can address these issues.
This is why NHS Planning Guidance outlined the expectation that every health and care system (commissioners and providers) will come together to create an ambitious plan for accelerating the delivery of the national NHS FiveYear Forward View – this is called an Integrated Care System (formerly known as the Sustainability and Transformation Partnership)..
Within Bristol, North Somerset and South Gloucestershire our Integrated Care System is called the 'Healthier Together' partnership. Healthier Together involves all health and social care organisations across the area working collaboratively to ensure we meet the needs of the population.
Each year commissioning intentions are subject to patient, public and stakeholder feedback and subsequent prioritisation. We publish opportunities for you to contribute your views in the Get Involved section of our website.
We also produce an annual report where you can find information such as member practice reports, performance reports, accountability reports and annual accounts.