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Tuesday, January 20, 2009
Friday, December 12, 2008
Practice-based commissioning: reinvigorate, replace or abandon?
Practice-based commissioning (PBC) is one of the cornerstones of health policy reform, but has it delivered its intended benefits? Its objectives were to encourage clinical engagement in service redesign and development, improve services for patients and make better use of resources. Through in-depth interviews with GPs, hospital and primary care trust staff in four sites, this Kings Fund report assesses the progress of PBC and identifies the barriers that are limiting success. Using the evidence from the four case studies and from previous research, it suggests ways forward for policy-makers.
(Published November 2008, 80 pages)
Commissioning weight management services for children and young people
This guide has been developed to support local areas in commissioning weight management services for children and young people. It is designed to reflect the move towards world class commissioning and joint commissioning of children’s services, and complement the existing suite of Healthy Weight, Healthy Lives publications.
It will also support commissioners towards achieving the world class commissioning competencies.
(Published November 2008, 114 pages)
Practice based commissioning GP practice survey
This is the fifth quarterly practice survey, covering a sample of practices from each primary care trust (PCT), conducted between September and November 2008. 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 December 2008)
Commissioning IAPT for the whole community: Improving Access to Psychological Therapies
This document is intended to assist commissioners (including practice-based commissioners), to deliver Improving Access to Psychological Therapies (IAPT) services that are effective and appropriate for the whole community, using innovative ways of meeting the needs of local people. It is drawn from the work of the IAPT special interest groups (SIGs).
(Published November 2008, 57 pages)
The role of the Primary Care Trust board in world class commissioning
This DH document forms part of the wider WCC board development programme. It provides an update on the role and purpose of the PCT board in the context of world class commissioning.
This document aims to provide consolidated guidance on:
- the role and functions of the PCT;
- the role of the PCT board;
- the composition of the PCT board;
- the competencies and characteristics of a high-performing PCT board; and
- key sources of further guidance.
Targeted Mental Health in Schools Project
This guide supports the strategic integration of all agencies involved in the delivery of child and adolescent mental health services (including schools) so that they can work together to deliver flexible, responsive and effective early intervention mental health services. It is for everyone involved in deciding which services to deliver in their Targeted Mental Health in Schools (TaMHS) pathfinder project, including headteachers, commissioners in the local authority and primary care trust (PCT) and TaMHS project managers.
(Published November 2008, 104 pages)
Commissioning and Behaviour Change
Unhealthy behaviours – smoking, alcohol misuse, poor diet, lack of exercise – lead to ill health, with resulting costs to individuals, to the NHS and to society as a whole. PCTs are expected to commission support to help people change their behaviour to adopt more health lifestyles – but what should that support be? The Kicking Bad Habits programme was launched to identify effective interventions. Drawing on a series of working papers and seminars, this report assesses existing and innovative methods the health service can use to persuade people to adopt more healthy lifestyles, including providing information, personal support and financial and other incentives.
(Published December 2008, 52 Pages)
PBC Development Framework
The Department of Health has established a PBC Development Framework, which SHAs, PCTs and practice-based commissioners (PBCs) can now use to appoint appropriately skilled organisations to provide a range of PBC capability development support.
(December 2008)
Other documents and conferences
Effective Care - Effective Communication: Living and Dying with COPD
National Audit Office Report on End of Life care: patients should die at home, not in homes
Transfer of Learning Disability SC Funding and Commissioning from the NHS to Local Government
Children and young people in mind: the final report of the National CAMHS Review
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Thursday, November 13, 2008
World Class Commissioning and Audit Commission Auditors’ Local Evaluation (Use of Resources from 08/09)
This letter from Mark Britnel, Director General of Commissioning & System Management, and Andy McKeon, Managing Director of Health, Audit Commission, outlines how the Audit Commission Auditors’ Local Evaluation (Use of Resources from 08/09) will provide a basis to help PCTs develop under the World Class Commissioning assurance system.
(Published November 2008, 2 pages)
Three new NICE Commissioning Guides
The National Institute for Health and Clinical Excellence (NICE) has published three new commissioning guides to help the NHS in England effectively commission evidence-based care for patients. The guides cover services for:
- Accurate diagnosis of the epilepsies in adults
- Antenatal and postnatal mental health
- Peer support for women who breastfeed
- Obits media with effusion
- Patient education for people with type 2 diabetes
- Smoking cessation for people having elective surgery
- Diagnosis and initial management of stroke
- Diagnosis and initial management of transient ischaemic attack
Tutorial for using commissioning tool.
Mental Health Act Briefing: Children & Young People
As of November 3 2008, PCT and children’s trust commissioners will need to be aware that they have a new legal duty under sections 39 and 140 of the Mental Health Act 2007 to inform the courts and local authorities where beds and facilities for under 18 year olds have been (or could be) commissioned. Children under the age of 16 should not be placed on adult wards at all by December 1.
Taking the long term view: the Department of Health’s strategy for delivering sustainable development 2008-2011
It is vital that the Department of Health commits to the issue of sustainable development for the long-term. The case for doing so is clear; we must ensure that by delivering better care and well-being for present generations, we are also ensuring that we are contributing to a strong and healthy society for generations of the future.
(Published October 2008, 57 pages)
NHS must rise to technology challenge
The NHS is failing to make it more convenient for the public to receive the care they need, by not making use of everyday technology and innovation that consumers would welcome, say two new reports by The King's Fund.
(Published October 2008)
Commissioning IAPT for the whole community: Improving Access to Psychological Therapies
This document is intended to assist commissioners (including practice-based commissioners), to deliver Improving Access to Psychological Therapies (IAPT) services that are effective and appropriate for the whole community, using innovative ways of meeting the needs of local people. It is drawn from the work of the IAPT special interest groups (SIGs).
(Published November 2008)
Improving outcomes in cardiovascular disease; a guide for practice-based commissioners
This timely guidance reviews the evidence base for promoting prevention and optimising treatment in CVD. It then outlines how PBC groups can use savings to fund a more systematic approach to the management of CVD in primary care.
(Published September 2008, 20 pages)
Self-referral pilots to musculoskeletal physiotherapy and the implications for improving access to other AHP services
Report of work to explore the impact of opening up access to musculoskeletal physiotherapy through self-referral where it had not previously been part of usual service provision. The report also considers the implications for access to other allied health professions services. Findings highlight benefits to patients and services.
(Published October 2008, 32 pages)
Integrated care pilot programme - prospectus for potential pilots
The Primary and Community Care Strategy announced that the Department would pilot new clinically-led models of integrated care. This prospectus invites innovative applications from clinicians, care professionals and managers. It sets out the scope of the programme and the process for selection.
(Published October 2008)
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Friday, October 10, 2008
How to Achieve World Class Commissioning Competencies
As part of the World Class Commissioning Programme, PCTs will be undertaking the first round of the Assurance System in autumn 2008. They will be assessed against the 11 competencies for World Class Commissioning. The purpose of this guide is to offer 'tips' to help PCTs progress to achieving the competencies.
Published October 2008, 53 pages
Improving outcomes in children and young people with cancer
Letter containing the document Key messages for commissioners of cancer services for teenagers and young adults, developed by the National Cancer Action Team (with advice and support from an expert working group) at the request of the Children and Young People Improving Outcomes Guidance (CYPIOG) Advisory Group to support the implementation of National Institute of Health and Clinical Excellence (NICE) guidance, Improving outcomes for children and young people with cancer.
Published September 2008, 13 pages
Commissioning Specialist Library
The pilot Commissioning Specialist Library went live on 15 September 2008. The library is free, and aims to be a one-stop shop providing timely and efficient access to high quality information resources for all those involved in commissioning for health and wellbeing. It endeavours to include the best available evidence, examples of good practice, policy and data to support world class commissioning.
Commissioning cycle
The Information Centre have produced an interactive information map for every stage of the commissioning cycle.
Commissioning Safe and Sustainable Specialised Paediatric Services
This report provides a unique approach to the commissioning of specialised paediatric services. The results will be of particular interest to those involved in commissioning or delivering specialised paediatric services, but it has broader implications. It provides for the first time a clinically agreed system for representing the nature of the relationships between specialised services. It sets out which services need to be delivered from the same location and which do not. This will be of real significance to anyone assessing the configuration of paediatric services and indeed any services that relate to them - both wider children’s services and services to adults.
Published September 2008, 36 pages
Review of urgent and emergency care services
The review looked at urgent and emergency care from the point that the need for care is identified up to the point that this need is resolved, for example, through treatment, reassurance, or admission to hospital. It also looked at what measures were in place for follow-up care once the need for urgent care had been met (for example, arranging for a falls assessment for an older person who has fallen at home).
Published September 2008
Payment by Results for Kidney Dialysis Project Group
This interim report has been produced by the renal PbR project group which has been working on the development of tariffs for renal dialysis. Guidance has been developed to inform the 2008/09 reference cost exercise and the aim is to develop a mandatory tariff for dialysis for 2010/11.
Published September 2008, 22 pages
NHS spending
Primary care trusts (PCTs) spend around 75 per cent of the NHS budget in England. How do they decide on their spending priorities?
Published September 2008, 8 pages
NTA launches new guidance for Tier 4 commissioning
The National Treatment Agency for Substance Misuse (NTA) has published guidance to help local commissioners and service providers plan for and purchase effective drug treatment services in the Tier 4 – residential treatment – sector.
Published September 2008, 35 pages
Transforming services for children with hearing difficulty and their families: a good practice guide
Further to the publication of ‘Improving Access to Audiology Services in England’ in March 2007, this document provides good practice and evidence to help commissioners and service providers to make changes to the way that paediatric hearing services are delivered, and in particular to reduce waits for patients with the most common hearing difficulties.
Published September 2008, 47 pages
Other documents and conferences
World Class Commissioning Programme - August update
Local 18 Week patient experience surveys Health and Care Services for Older People: Overview report on research to support the National Service Framework for Older People
Seven Ways to No Delays
Making a bigger difference; A guide for NHS front-line staff and leaders on assessing and stimulating service innovation
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