The Commissioner Volume 4 Issue 10 October 2009
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Tuesday, October 13, 2009
Commissioning local breastfeeding support services
This DH commissioning guidance aims to assist commissioners and primary care trusts (PCTs) in providing coherent services that will promote breastfeeding and reduce inequalities, as set out in Healthy Lives, Brighter Futures: the strategy for children and young people’s health (Department for Children, Schools and Families and Department of Health, 2009, para 3.43), and to work with local Children’s Trust partners in delivering Public Service Agreement (PSA) 12.
It aims to: consolidate the case for breastfeeding care and support as an integral part of local strategies to improve child health and reduce health inequalities; signpost commissioners to sources of policy, practice and evidence; and set out some key considerations in relation to World Class Commissioning competencies within the three phases of the commissioning cycle.
It is recognised that commissioners will be operating in varied contexts - some will already have well-developed joint commissioning and Children’s Trust arrangements in place, while others will be at different stages of development.
Published October 2009, 58 pages
The WCC assurance handbook
The WCC assurance handbook sets out guidance on the content and process for SHAs and PCTs in implementing the assurance system for world class commissioning.
The Year 2 WCC assurance handbook is designed to focus on the key changes for the world class commissioning assurance framework, content and process for this year. While it does not repeat all the details of last year’s handbook (particularly where content remains the same), it provides sufficient overview to stand alone.
Published September 2009, 112 pages
Practice based commissioning: GP practice survey wave 8
This is the eighth quarterly practice survey for 2009, covering a sample of practices from each primary care trust (PCT), conducted between June and August 2009. The aims of the survey are to get feedback from practices on their perception of the support offered by their PCT and on the clinical and financial engagement of practices with PBC. The survey is part of a group of indicators that will be assessed together to give a picture of PBC implementation.
Published September 2009, 28 pages
Integrated care pilots: an introductory guide
This introductory guide to the national programme of integrated care pilots and evaluation provides a summary of the work each pilot will be doing as they implement and test their models of integrated care.
Published September 2009, 20 pages
Let’s Get Moving
The commissioning guidance sets out an evidence-based behavior charter model Let’s Get Moving encouraging local commissioning of physical activity interventions in primary care.
Published September 2009, 85 pages
Patient Resources
Two thirds of PCTs still to agree provider model
According to a survey of 83 PCT provider arms, one third said their service model had been agreed by their PCT board and the SHA before 1 October.
Published October 2009
Independent sector treatment centres
Independent sector treatment centres (ISTCs) provide services to NHS patients but are owned and run by organisations outside the NHS. This briefing paper explains why ISTCs were introduced, and how they are funded, staffed and regulated.
It assesses their impact so far, including the quality of their services and whether they provide good value for money. Finally, it examines what their future may be now that the contracts ISTC providers hold with the Department of Health are beginning to expire.
Published October 2009, 10 pages
Evaluation top tips for commissioners and practitioners
This is a new paper from the Greater Manchester Public Health Practice Unit.
The paper aims to give commissioners and service providers a framework to enable a more efficient method of carrying out evaluation. It explains the purpose of evaluation, types of evaluation with examples, and discusses service user involvement and engagement.
Published September 2009, 16 pages
Auditors’ Local Evaluation and Use of Resources 2008/09
Each year, the Audit Commission assesses how well NHS trusts and primary care trusts manage their resources and deliver value for money. For 2008/09, these assessments have been based on the Auditors' Local Evaluation (ALE) for NHS trusts and Use of Resources (UoR) for primary care trusts. We have published a national report outlining the scores and how they should be viewed in the context of the overall financial performance of the NHS in 2008/09, which is one of a continued improvement in financial stability. NHS foundation trusts are assessed by Monitor.
Published October 2009, 84 pages
Conferences
Commissioning workshops to discuss commissioning services for inflammatory bowel disease (IBD). 9th November 2009. For further detail email Sarah.Moore@kintoa.org
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Thursday, September 17, 2009
The Commissioner Volume 4 Issue 9
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Improving access to child and adolescent mental health services
This joint DH/DCSF guide states how the 18 weeks referral to treatment standard, (NHS Operating Framework for 2009/10) applies to non-emergency consultant-led CAMHS services and pathways. This guide does not set any new standards or targets. It shows how accessible low-wait CAMHS can be achieved and provides good practice examples.
Published August 2009, 36 pages
WCC summer update - July/August 2009
This letter from Gary Belfield gives a progress report on the world class commissioning (WCC) programme for July and August. It includes updates on the launch of assurance year two, the PBC National Clinical Network, a new film showcasing PBC in action, some new support and development resources and an update on the programme of Integrated Care Pilots (ICP).
Published August 2009, 4 pages
Health Inequalities Intervention Tools
To support Primary Care Trusts and local authorities, the Association of Public Health Observatories and Department of Health have developed the Health Inequalities Intervention Tools. These tools are designed to support evidence-based local service planning and commissioning, including Joint Strategic Needs Assessments.
How to use NICE guidance to commission high-quality service: consultation
Following two stakeholder workshops held earlier this year, NICE has developed a “How to” guide on how NICE guidance can be used to support the commissioning of high-quality care and services. This guide is due to be launched at the NICE conference in December 2009. NICE are inviting you to comment on this guidance
Prevention package for older people resources
This suite of downloadable prevention package resources, from the DH, is designed to support PCTs, SHAs and Local Authorities in prioritising and effectively commissioning services that support the health, well-being and independence of older people.
Published July 2009
Commissioning for carers
The guide was funded by the Department of Health and serves as blueprint for better commissioning for carers. Accompanying the main guide is a shorter action guide for decision-makers. This is aimed at directors of adult services, chief executives of primary care trusts (PCT) and elected members. Key recommendations in the guides include: think ‘carer’ in all commissioning and joint strategic needs assessments (JSNA); improve outcomes, independence and choices for both carers and those they care for; involve carers of all groups and communities in decision-making and planning processes; strengthen the carer support provider market, using a variety of funding approaches.
Published September 2009, 50 pages
Transfer of Learning Disability Social Care Funding and Commissioning from the NHS to local Government
Since 1 April 2009, funding and commissioning responsibility of social care for adults with learning disabilities transferred from the NHS to local authorities. Further guidance on capital transfers and other financial and practical issues is provided.
Published 2009
Aiming high for disabled children: delivering improved health services
Providing effective health services for disabled children will improve outcomes for them and their families, ensure the child receives the best quality of care and provide better value for money. This report examines best practice around the country. It draws on examples of services for disabled children that meet users’ needs, respond to the government agenda and are effective from both a quality and a cost point of view.
Published September 2009, 20 pages
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Wednesday, August 19, 2009
The Commissioner Volume 4 Issue 8
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Health select Committee review of commissioning
The Health Select Committee has decided to undertake an inquiry into commissioning in the NHS.
The terms of reference for the inquiry are as follows:
- "World-Class Commissioning": what does this initiative tell us about how effective commissioning by PCTs is?
- The rationale behind commissioning: has the purchaser/ provider split been a success and is it needed?
- Commissioning and "system reform": how does commissioning fit with Practice based Commissioning, "contestability" and the quasi-market, and Payment by Results?
- Specialist commissioning;
- Commissioning for the quality and safety of services.
Organisations and individuals are invited to submit written evidence to the inquiry.
The link between health spending and health outcomes for the new English primary care trusts
This report describes a model which takes into account population need in a way that has not previously been undertaken. The authors note that their work has a number of limitations including the use of a rather narrow outcome indicator (mortality) and the need to assume a relatively stable pattern of spending by PCTs across programmes over the recent past. Notwithstanding these limitations, the study offers clear confirmation that current expenditure by PCTs on some important programmes of care is highly cost-effective and illustrates how programme budgeting data can be used to generate information which might usefully inform PCTs' spending decisions.
Published June 2009, 64 pages
PBC 2 years on: moving forward and making a difference
In 2007, a straw poll of GPs and practice managers by The King’s Fund and NHS Alliance found that primary care trusts (PCTs) were struggling to put in place the basic building blocks of practice-based commissioning (PBC). Two years on, has PBC moved forward and is it making a difference to patient care? A new poll has found continuing commitment to PBC and optimism about its potential but progress is still hampered by a lack of local vision, a lack of clarity over roles and responsibilities and bureaucratic governance processes. Moving into an era of restricted financial resources, it will become increasingly important for PCTs and practices to work together. Real clinician engagement – underpinned by locally developed visions, structures, agreements and lines of accountability – is key to the development of effective partnership working.
Published July 2009, 16 pages
Commissioning for Stroke Prevention in Primary Care
The new NHS Improvement publication “Commissioning for Stroke Prevention in Primary Care: the role of Atrial Fibrillation” which has been developed following a national consensus meeting of opinion leaders in the field, to develop a concerted strategy towards the management of AF in primary care.
This document considers the evidence that a review of AF management in primary care is needed to develop more systematic strategies for the identification, diagnosis and optimal treatment of patients with AF to reduce the risk of stroke. It is aimed at cardiac and stroke networks, PCTs, commissioners, medical directors, cardiac and stroke leads, public health colleagues, and GP’s.
Published June 2009, 16 pages
Commissioning interventions to reduce alcohol-related harm
This DH guidance is designed to direct commissioners in areas where tackling alcohol harm is an identified priority, to the resources and guidance, which will assist them in commissioning interventions to reduce alcohol-related harm in their local community. It offers ways to improve commissioning, looking at each World Class Commissioning competency and all stages in the commissioning cycle.
Published July 2009, 90 pages
Prospects for NHS funding: 2011-2017
NHS spending in England may have more than doubled in real terms since 1999/2000, but the prospects for future funding now look bleak. Although there is consensus that the NHS faces a tough financial future, there is no agreement about just how cold the financial climate will be. Starting with a look at historical funding for the NHS, The King’s Fund and the Institute for Fiscal Studies set out three plausible future funding scenarios and their consequences. The paper concludes with an assessment of each scenario and the options for funding up to 2017.
Published July 2009, 28 pages
Shared vision for mental health - consultation
Good mental health is fundamental to the well-being and prosperity of England. In the last decade, greater investment and reforms have transformed mental health care, but now we need to go further.
We need to target the root causes of mental illness and support the local development of higher quality, more personalised services.
New Horizons sets out ideas for achieving this. It explores the prevention of mental illness and earlier intervention when things go wrong. It also looks at how services can become more innovative and work more effectively together.
Primary care and community services: improving GP access and responsiveness
Part of the world class commissioning suite of practical guides, this document builds on existing good practice within the NHS to support PCTs in improving the accessibility and responsiveness of local GP services.
Published July 2009, 70 pages
Other documents and conferences
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Monday, July 13, 2009
The Commissioner Volume 4 Issue 7
Feed for Podcast Standard Podcasts [ 6:11m]The Commissioner Volume 4 Issue 7
Practice-based commissioning in action: a guide for GPs
Practice-based commissioning offers front-line clinicians the opportunity to play a major role in the development and delivery of strategies and activities that improve local health and well-being. However, many GPs don’t know how to get started, to make their ideas for change a reality.
This Department for Health Guide provides easy to follow advice, practical examples and details of where to find further support. Although primarily designed for those just starting out with PBC, it also contains information and useful tips of interest to those that have already made progress but are looking to expand their activity further.
Published June 2009, 28 pages
Patient and public engagement – the early impact of World Class Commissioning
Primary care trusts have reported significant changes in the last two years to the way they organise patient and public engagement in commissioning, amounting to the beginnings of a cultural shift, the Picker Institute says today. However, the change in culture may, at this point, be mainly within the PCTs’ own management, rather than something that has impacted on the public or changed the nature of services. The public have yet to have a strong influence on the content of most patient and public engagement (PPE) strategies.
Published June 2009, 38 pages
Organisational Health
Organisational and system health; a new perspective on performance improvement? A new report from NHS Institute and Matrix Insight gives an accessible introduction to concepts of organisational health, details of case studies and a summary of implications for the NHS.
Published 2009, 33 pages
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