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The Department is transforming the commissioning health and care services in the NHS to drive unprecedented improvements in patient outcomes. We worked with commissioners and their partners to develop a vision for world class commissioning and a set of 11 organisational competencies. Delivery of this vision will take place within an assurance system. This will improve performance and development, and reward commissioners as they move from their current position towards world class standards.
Practice-based commissioning (PBC) is a policy intended to give more decision-making power over NHS resources to general practitioners (GPs), and allow them to design and deliver completely new services or commission others to do so. It has a number of underlying policy objectives including delivering more cost effective and convenient forms of treatment outside hospital. Practice-based commissioning is a key strand of recent NHS reform policy in England alongside Payment by Results, patient choice and enhanced competition between providers. This briefing looks at the development of PBC in England, examines the pace of implementation and offers some analysis of the impact – current and future – on NHS services.
(Published November 2007, 10 pages)
The NHS Institute for Innovation & Improvement has now launched the new Commissioner Module for the No Delays Achiever. The new functionality is designed to support commissioners in working with their providers to achieve 18 week patient pathways. If you are a commissioner you can now compare multiple provider data to help you work with your providers in identifying and tackling variation and delay. As ever, the library of service improvement tools, techniques and case studies can also help commissioners find the most effective ways of working with their healthcare partners. Other improvements in response to user feedback include clearer organisation of graphs, a new ‘getting started’ section, an enhanced feedback function, and improved overall design.
www.nodelaysachiever.nhs.uk
For a full outline of modifications:
www.nodelaysachiever.nhs.uk/news
The NHS Institute’s No Delays Priority Programme is establishing two communities of practice as part of the evolution of its existing commissioning network to examine and tackle current commissioning challenges. Each Community will consist of around 15 members, meeting initially in London and Coventry. Places are limited, so apply soon.
This report sets out to determine whether practice based commissioning (PBC) is working from a financial management perspective. As well as key findings, the report explores the barriers to effective implementation of PBC, and includes case study examples of solutions and notable practice, recommendations and prospects for the future.
(Published November 2007, 76 pages)
In 2002 the Department of Health announced a fundamental change to the way in which NHS hospitals in England are paid for the work they do. Under this new system – Payment by Results (PbR) – hospitals are reimbursed for the activity they carry out using a tariff of fixed prices that reflect national average costs. The government is currently considering whether and how the system can be improved and extended to more services in the future. This briefing explains how Payment by Results works, examines the evidence on whether the system has achieved, or is likely to achieve, the policy aims set for it, and describes the government’s current proposals for the future of PbR.
(Published October 2007, 8 pages)
The King’s Fund has released a ground-breaking software tool that helps PCTs use routine data to predict the risk of emergency re-admission to hospital. Many PCTs in England have found PARR very useful in their attempts to reduce emergency hospital admissions and allocate resources more effectively.
Treatment Centres (TCs) offer safe, fast, pre-booked day and short-stay surgery and diagnostic procedures in areas that have traditionally had the longest waiting times, such as ophthalmology and orthopaedics. TCs will play an important part in modernising the NHS and delivering a patient-centred health service. Whether NHS-run or managed by companies in the independent sector, the additional capacity TCs provide will be crucial in bringing down waiting times and giving patients more choice about when and where they are treated.
Services for people with learning disabilities and challenging behaviour/mental health needs is an updated version of the guidance originally produced by Professor Mansell and his project team in 1993. This good practice guidance sets out the actions that should be taken in order to effectively meet the needs of people with challenging behaviour. The guidance contained in this document supports the agenda set out in 'Valuing People' (2001) and the focus on personalisation and prevention in social care.
(Published November 2007, 43 pages)
Best practice guidance to improve oral health in disabled children and adults. This document builds on the principles within Choosing Better Oral Health and uses the evidence-based approach within Delivering Better Oral Health as a guide to assist all who provide and commission dental services for people with disabilities.
(Published November 2007, 53 pages)
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