Practice Based Commissioning & Patient & Public Involvement: The New Frontier

PBC offers an opportunity for GP practices, Primary Care Trusts and local people to work together developing more appropriate pathway-based care and more efficient services. The report 'Practice Based Commissioning & Patient & Public Involvement: The New Frontier' explores this area.

However despite a general feeling that users should be involved, views of local communities are rarely taken on board with PBC.

Surveys carried out by NHS Alliance and Developing Patient Pathways suggest that some practices a experiencing barriers to involving patients in the early phases of PBC, despite adequate mechanisms.

(Published July 2007, 26 pages)

Enhanced services

Enhanced services are services not provided through essential or additional services, or essential and additional services delivered to a higher specified standard. They were negotiated into the GMS contract as a key tool to help PCTs reduce demand on secondary care. Their main purposes are to expand the range of local services to meet local need, improve convenience and choice, and ensure value for money. They were designed to provide a major opportunity to expand and develop primary care, and give practices greater flexibility and the ability to control their workload.

(Updated August 2007)

The Primary Medical Services (Directed Enhanced Services) (England) Directions 2007

(Updated August 2007)

Payment by Results (PbR) for stroke and transient ischaemic attack (TIA) services

The aim of this fact sheet is to help those affected by Payment by Results (PbR) understand how it works and ensure that the system operates in the best possible way for people in need of stroke care. This fact sheet begins by explaining the PbR tariff and looks at the key issues for stroke and TIA services. PbR is a way of paying for services commissioned on behalf of NHS patients provided by NHS Trusts, NHS Foundation Trusts (FTs), Independent Sector Extended Choice Network providers and PCTs. There is a national price list for all activity within the scope of PbR – this is the “national tariff”. Providers are paid according to the amount of activity they do, multiplied by the relevant tariff price. Activity x Price = Income

(Published July 2007, 13 Pages)

Bidding for capital finding for the Campus Reprovision Programme 2007/08

Following the announcement of capital funds to assist the campus reprovision programme, a letter has now been sent to PCT Commissioners informing them of the bidding process to apply for this year’s capital funding for reproviding campus learning disability services in the community.

(Published August 2007)

NHS Comparators

NHS Comparators (NHSNet Site) is a national resource, initially focused on supporting Practice Based Commissioning. It supports comparisons at GP practice, Primary Care Trust, Strategic Health Authority and national levels, enabling users to investigate aspects of local commissioning activity, costs and outcomes. It is designed to supplement information available by local systems, not to replace local systems. The initial releases have limited functionality and a modest range of comparators but this will increase quite quickly over time.

In search of quality in practice-based commissioning

This article describes people-based commissioning, to be distinguished from the more technical and short-term approach characterised as pocket book commissioning, and argues that people-based commissioning should be the preferred approach, which needs to address public health and mental health needs of the community.

Quality in Primary Care 2007; 15 (4) p. 235-239

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Working with the independent sector and managing out of area treatments

Not for profit and for profit sectors are currently working both alongside and in competition with NHS provider organisations. How all parts of the service system interconnect will in future be crucial for service users and carers.

Mental Health Review Journal, 2007; 12 (2) p. 25-29

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From general practice to general provider: how to do it

As the primary care landscape changes following recent proposals for expansion and greater services, astute individuals and teams are taking the opportunity to expand their horizons. One such individual is Dr Peter Godbehere, who, together with several other local practices, formed a private business providing additional health services.

Management in Practice, 2007; 8 p. 26-27

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Cost effectiveness of … screening for Chlamydia

The objective was to investigate the cost effectiveness of screening for Chlamydia trachomatis compared with a policy of no organised screening in the United Kingdom.

BMJ , 2007; 335, (7614) p. 291-294

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A Problem Shared

This article describes the products and services of the Greater Manchester commissioning business service and other such agencies which support PCTs and practice-based commissioners. Providing such support as needs analysis, commissioning strategy, service and pathway redesign, market management and contracting, performance reporting and contract management.

HSJ, 2007: 117 (6072) p. 22-25

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Other documents and conferences

Conference: HSJ Commissioning for Health & Wellbeing

Strategic Health Asset Planning & Evaluation (SHAPE)

News: National Solutions to 21st Century Healthcare

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