The commissioning principles set out below are based upon the vison set out in the NHS Long Term Plan and the Salford Locality Plan. The principles will be used to guide the Salford Primary Care Commissioning Committee’s (PCCC’s) approach to commissioning primary medical services. 

The principles take account of national contracts and NHS Salford CCG’s: conflict of interest policy, procurement strategy, organisational values and PCCC terms of reference. These considerations will ensure the best decisions are made for patients and taxpayers, in accordance with ‘the 7 principles of public life’.

As with all its commissioning responsibilities, the CCG demonstrates its accountability to local people, its members, wider stakeholders and the NHS in a number of ways. These are laid out in the CCG’s Constitution.

It is our ambition that over the next five years:

  1. Salford will have the safest, most effective healthcare and wellbeing system in England; with consistently high quality service standards and outcomes. These services should be provided in a timely, equitable and person centred way.
  2. The PCCC will support general practice in Salford to be an attractive place to work. This will include encouraging and supporting general practice to: embrace digital technology, innovation and new ways of working; adapt, train and up-skill the workforce to meet patient need; reduce its carbon footprint; and work from modern and fit for purpose premises. The PCCC will consider the impact of commissioning proposals upon bureaucracy and workload in general practice and seek to minimise the burden.
  3. Investment decisions will focus on strengthening capacity and improving access to general practice (e.g. implementing additional roles across primary care networks). The PCCC will maximise opportunities to commission primary medical services at scale where this is expected to improve patient experience or be more efficient and effective.
  4. The PCCC will consider the evidence about local health care needs and assets. In understanding these, the PCCC will support primary medical services in Salford to meet the needs of a growing and increasingly diverse population. This will include prevention, promoting patient choice, inclusion, equality and support for vulnerable groups. The PCCC will ensure commissioning decisions improve the economic, environmental and social wellbeing of the Salford community.
  5. The PCCC will ensure that general practice services are commissioned from providers that are able to demonstrate high quality, safe and holistic care (in line with the Salford Standard), which results in good outcomes for patients and value for money for the NHS. The same opportunities will not be available to providers that are unable to demonstrate these attributes.
  6. The CCG will connect, involve, empower and engage the local population. The PCCC will take into account patient views when making primary medical services commissioning decisions.
  7. The CCG will encourage and support primary care networks to play a pivotal role within the integrated care system, thus giving general practice a strong voice. This will support the improvement of patient pathways in secondary and community services.
  8. The PCCC will embrace opportunities to commission primary medical services in an integrated way where this has benefits for patient care and helping people stay well, e.g. through pooling budgets for health and social care services, or commissioning community services to be delivered on a neighbourhood basis from multidisciplinary integrated teams.
  9. The PCCC will consider new contracting mechanisms when they are expected to improve patient experience or be more efficient. This includes practices working collaboratively in primary care networks to deliver agreed outcomes and to share resources such as staff and back office services.
  10. The CCG will proactively work with partners (including primary care networks, Salford Primary Care Together - as Salford’s GP provider organisation, the Salford and Trafford Local Medical Committee and the voluntary sector) in a transparent and supportive manner.
  11. The CCG, as a commissioner of primary medical services, cannot assume responsibility for, or become involved in, matters relating to the management of GP practices (including practice disputes and legal matters). However, action will be taken where such matters affect patient care and/or delivery of contractual requirements.
  12. When commissioning decisions need to be made regarding primary medical service contracts, there will be full consideration of each of the available options in order to determine the approach that is most likely to meet the needs of the population and most likely to deliver the strategic ambitions of the Salford Locality Plan. This may not always be re-procuring a ‘like for like’ service.

NHS Salford Clinical Commissioning Group

Primary Care Commissioning Committee

Dec 2019