The Commissioner Volume 3 Issue 7 July 2008
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Friday, July 11, 2008
Commissioning to make a bigger difference – A guide for NHS and social care commissioners on promoting service innovation
How do we know that what we plan to do will lead to a service innovation or … make a bigger difference? These guides illustrate methods and tools to help NHS teams answer this question. Using methods and tools that support a specific 5-step process framework, with a special focus on world-class commissioning, and a ‘Culture for Innovation’ section describing seven factors that organisational studies show are linked to innovative output.
(Published June 2008)
Next steps in NHS reform, report of an expert working group
The pace of change and reform in the NHS has been relentless as government and those who work in the NHS seek ways to improve the service. The King’s Fund set up an expert working group to examine how effective the current incentives were in achieving this aim. The group focused on the role of PCTs as commissioners and on practice-based commissioning but discussed other issues, including patient choice. This paper includes specific proposals for government, the Department of Health, strategic health authorities and primary care trusts. These conclusions should feed into Lord Darzi’s review and help to clarify the next steps for the NHS.
(Published June 2008, 40 pages)
World class commissioning assurance system
The delivery of the world class commissioning vision and competencies will take place within a commissioning assurance system. There will be one national system of commissioning assurance, locally managed by strategic health authorities (SHAs). There will be flexibility to set local priorities. Commissioning assurance will be designed to help primary care trusts (PCTs) identify areas of development and move towards filling gaps in their capabilities.
NHS Next Stage Review: Our vision for primary and community care
The Department for Health’s vision is for primary and community care to provide high quality, personal care and support, treating people when they're sick and helping them stay healthy, where and when they need it most.
Primary and community care services are regarded with pride at home and admiration abroad. Thanks to the dedication of family doctors, community nurses, health visitors, allied health professionals, social care professionals, pharmacists, dentists and opticians, most patients enjoy good quality care, close to home. There are high levels of satisfaction with services and trust in the staff who provide them.
We need to ensure that high-quality care is a consistent part of everyone's experience of primary and community care. Services need to evolve to reflect changes in healthcare and society. This document sets out a vision for how services will continue to grow and develop over the next ten years. It is a vision of a continuously improving service, where essential standards are guaranteed and excellence is rewarded.
(Published 2008)
Shifting the Balance of Care to Local Settings
Government health policy has been encouraging a shift in the balance of care from hospital to community settings. The Department of Health commissioned The King's Fund, in partnership with Loop2, to undertake a simulation-based project entitled SeeSaw to understand how this shift in care could be achieved. This report outlines the simulation process and describes the event itself. The majority of the report, however, focuses on the learning that emerged during the event and in all the subsequent discussions on the implications for policy-makers, managers and professionals working in the NHS, in social care, and in the independent sector.
(Published June 2008, 72 pages)
The future of commissioning
This supplement contains five articles on various aspects of commissioning. The topics covered are: patient and public engagement; quality assurance; practice based commissioning and joint working.
Health Service Journal 2008; 118 (6110): 1-9 (12 June 2008 Suppl.)
Ask your local health librarian to get hold of this supplement
Financial risk in health purchasing: risk pools
The point of minimum financial risk is reached by placing between 20 per cent and 40 per cent of the inpatient budget into the risk pool. Allocating only five per cent of the budget to a risk pool requires a population base equivalent to the whole of England to achieve a one per cent tolerance on the risk pool. Moving 35 per cent of the practice based commissioning [PBC] inpatient budget into a primary care trust [PCT] held budget leads to between three per cent and eight per cent risk associated with the PCT retained budget for the largest and smallest PCTs in England respectively, i.e. only risk pools consisting of groups of PCTs are sufficiently large to mitigate financial risk.
British Journal of Health Care Management 2008; 14 (6): 240-245
Ask your local health librarian to get hold of this article
Financial risk in practice based commissioning
The financial risk associated with healthcare budgets is high. To operate within a financial tolerance of less than three per cent a PBC [practice based commissioning] group will need a population of greater than 50,000 (budget £15 million). The point of minimum financial risk is reached by placing all admissions costing more than £3,000 into a larger risk pool. A core of 47 HRGs [health resource groups] accounting for 30 per cent of the budget, are the only HRGs with sufficient volume for a PBC group to discern whether a statistically significant reduction in costs has been made.
British Journal of Health Care Management 2008; 14 (5): 199-204
Ask your local health librarian to get hold of this article
A practical guide to commissioning children’s palliative care education and training: consultation document
The purpose of this document is to support commissioners in their work with local service providers and education providers as they develop workforce plans to ensure the development of children’s palliative care services. In commissioning for quality and choice, there are likely to be a diverse range of potential services and a mix of approaches to provide palliative care services for children and their families. This document aims to provide a framework in accordance with the Children's Workforce Development Strategy to ensure a workforce to provide children's palliative care that:
- Is competent and confident;
- People aspire to be part of and want to remain working for
- Develop skills and builds satisfying and rewarding careers; and is recognised and transferable in all locations they work
- Children, young people, parents and carers trust and respect.
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Monday, June 9, 2008
The Commissioner Volume 3 Issue 6 June 2008
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Commissioning assurance handbook
The world class commissioning programme is designed to raise ambitions for a new form of commissioning that has not yet been developed or implemented in a comprehensive way anywhere in the world.
The assurance system for world class commissioning (“commissioning assurance”) is linked to the vision and competencies published in December 2007 and to resources for support and development available both nationally and locally. Together these provide a coherent programme aimed at supporting commissioners in delivering their health agenda.
This handbook provides a detailed explanation of the content of commissioning assurance, with a practical guide on how to follow the process.
(Published June 2008, 90 pages)
Opportunities available now to support Trust Board development for world class commissioning
The NHS Institute for Innovation and Improvement commissions a number of programmes and activities that support Board development for world class commissioning. In addition to the opportunities listed on their site, other programmes are in development and will be launched in the coming months.
Our NHS Our Future: Leading Local Change
Lord Darzi was asked by the Prime Minister and Secretary of State for Health to lead the NHS Next Stage Review in July 2007. His interim report in October set out a vision for a world class NHS that is fair, personal, effective and safe.
The Review has been led locally by clinicians in each NHS region. Seventy-four local clinical working groups, made up of some 2000 clinicians, have been looking at the clinical evidence and engaging with their local communities. They have developed improved models of care for their regions to ensure that the NHS is up to date with the latest clinical developments and is able to meet changing needs and expectations.
‘Leading Local Change’ sets the context for these local visions and the principles which will guide their implementation.
Published May 2008, 19 pages
Primary Care Trust Procurement Guide for Health Services
The PCT Procurement Guide for Health Services supports NHS commissioners in deciding whether and how to procure health services through formal tendering and market-testing exercises. The Guide sets out the policy and regulatory context for procurement, and issues to consider when developing a procurement strategy. The Guide should be read in conjunction with the ‘Principles and rules for Cooperation and Competition’, published as Annex D of the 2008/9 Operating Framework, and the ‘Framework for Managing Choice, Cooperation and Competition’
Published May 2008, 24 pages
Framework for Managing Choice, Cooperation and Competition
This Framework supports SHAs and PCTs in understanding the roles, responsibilities, values and behaviours required for the effective management of choice and competition within the NHS. The Framework is the outcome of a series of workshops and seminars with senior SHA and PCT leaders. The Framework should be read in conjunction with the Principles and rules for Cooperation and Competition (Annex D of the 2008/9 Operating Framework) and the ‘Primary Care Trust Procurement Guide’ (published 16 May 2008). Additionally, the Framework signals a further series of tools and guidance for system managers to be released throughout the year.
Published May 2009, 7 page
DH Social Enterprise Fund open for business
Care Services Minister Ivan Lewis has announced the opening of the second round of the Department of Health (DH) Social Enterprise Investment Fund. He also announced that this year, it would include a new element, the 'Innovation for Life Challenge Fund', developed in collaboration with the Social Enterprise Coalition. The Innovation for Life Challenge Fund will encourage Strategic Health Authorities (SHAs) and their partners to find collaborative solutions to health and social care needs through social enterprise.
On top of the world
Two healthcare management experts lock horns over whether the drive to raise the standard of commissioning really can transform the quality of care.
Health Service Journal 2008; 118 (7006): 22-24
Ask your local Health Librarian to get hold of this article for you. Don't know where they are, find them with your postcod ate HLISD.
Towards World Class Commissioning - Best Practice Advice and Examples
With the World Class Commissioning agenda gathering momentum, many Trusts are making significant progress translating the vision into reality. Learning from best practice examples across the country is key if Trusts are to move towards World Class status.
This is an opportunity to catch up with HealthExecTV's World Class Commissioning programme designed to assist Trusts in their transition.
Keynote interviews from policy leaders provide advice on how to step up the current approach. In addition, best practice case studies showcase achievements from Trusts leading the way in delivering their world class commissioning strategies.
Simply click the links below to view the programme elements:
Gearing Up for World Class Commissioning - Interview with Gary Belfield, Director of Commissioning, DoH
World Class Commissioning - NHS Confed Support - Interview with David Stout, Director PCT Network
Evidence-Based Planning for World Class Commissioning Transition
West Kent PCT Makes Strides in Delivering World Class Commissioning Vision in Sexual Health and Dentistry
GPs Lead the Way in Practice-based Commissioning Transformation at Warrington
Under One Roof: Will polyclincs deliver integrated care?
Government policy is driving a fundamental shift of care from hospitals to more community-based settings. There is a growing expectation that this shift will be supported by the development of a network of new facilities in which primary, community and secondary care services are co-located, often referred to as polyclinics. Will this model improve the quality and accessibility of health care and deliver cost savings? Drawing on published information and original research into facilities similar to the polyclinic model in the United Kingdom and abroad, this report identifies and explores both opportunities and risks in relation to: quality of care, accessibility of services and cost.
Published June 2008, 67 pages
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Friday, May 9, 2008
Improving Access to Psychological Therapies (IAPT) Commissioning Toolkit
The Improving Access to Psychological Therapies (IAPT) programme has one principal aim - to help PCTs implement NICE Guidelines for people suffering from depression and anxiety disorders. The Government is committed to improving access to psychological therapies and announced additional funding to increase services over the next three years. This Commissioning Toolkit is designed to help PCTs improve or establish stepped care psychological therapies following NICE guidelines. The toolkit is structured around the commissioning cycle and is specifically linked to the World Class Commissioning competencies. It brings together a wide range of existing tools and guides and includes positive practice examples throughout.
(Published April 2008, 48 pages)
CSIP Better Commissioning programme
CSIP's Commissioning Programme has 3 key strands of activity; The National Programme headed by Janet Crampton, The Better Commissioning Learning Improvement Network and Regional Commissioning Programmes.
They work with commissioners across health and care to develop commissioning transformational process to meet the new demands of the health and care system. They do this by; providing learning opportunities for commissioners at regional and national level to develop skills and capabilities; developing tools and resources to support policy implementation and best practice in commissioning; working across a number of government departments and in partnership with other agencies to ensure collaborative approaches to implementation.
CSIP have nine regional programmes
New NICE Commissioning guides: Cognitive behavioural therapy and Faecal continence service
This Faecal continence service commissioning guide provides support for the local implementation of NICE clinical guidelines through commissioning, and is a resource to help health professionals in England to commission an effective faecal continence service for the management of faecal incontinence (FI) in adults.
This CBT commissioning guide provides support for the local implementation of NICE clinical guidelines through commissioning, and is a resource to help health professionals in England to commission appropriate levels of cognitive behavioural therapy (CBT) for the treatment of depression, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and anxiety in primary care.
West Kent PCT: World Class Commissioning strategy and delivering a commissioning model
West Kent PCT is making strides in its World Class Commissioning strategy and delivering a commissioning model with partner Avail Consulting that is improving value for money, driving up clinical standards and reducing inequalities in the local population.
Initially applied to sexual health and dentistry services, the PCT is already seeing 100% improvement in the delivery of GUM services, increased investment in prevention through screening programmes and a transformation in their relationships with providers.
To find out how they did it, click to the video:
http://www.healthexec.tv/cgi-bin/details.pl?action=pre&id=413
National Cancer Intelligence Network
In line with the commitments in the Cancer Reform Strategy, the National Cancer Intelligence Network (NCIN) will be launched in June 2008.
The NCIN will coordinate the collection, analysis and publication of comparative national information on diagnosis, treatment and outcomes for types of cancers and types of patient, in a way which is useful to patients, commissioners and service providers and other interested parties. As part of the NCRI, partners will help fund research on the data collated by the NCIN, facilitating a more informed analysis of cancer services than has ever been possible before.
Commissioning Specialist Library: Have you say
The National Library for Health are inviting you to assist them in the development of a Commissioning Specialist Library (CSL). The CSL will be an online resource providing timely and efficient access to high quality information resources to those involved in commissioning for health and wellbeing.
A resource to help primary care pharmacists in England involved in PBC
What does practice-based commissioning mean for primary care pharmacists? Heidi Wright, Head of Practice at the Royal Pharmaceutical Society, outlines the benefits of becoming involved and points to the various resources available.
Revised guidance: primary care dental contracts Advice on managing end of year issues
Guidance provided in January 2007 (Gateway reference 7719) has been updated to reflect comments from the NHS and to clarify expectations for the end of the financial year. The guidance is now generic and does not relate to any one year in particular.
(Published April 2008, 13 pages)
Other documents, websites and conferences
North West Specialised Commissioning Team (NHS Net Link)
Dying patients given greater choice to die at home at no extra cost to the NHS, King’s Fund report concludes
Integrated Drug Treatment System for Prisons (IDTS): allocations for 2008/09
Putting prevention first - vascular checks: risk assessment and management
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Monday, April 14, 2008
Updated Child Health Promotion Programme
The new updated Child Health Promotion Programme (CHPP): 'Pregnancy and the first five years of life' has been launched. It builds on the NSF that was published in 2004 and is intended to provide services tailored to the individual needs of children and families, acting as a best practice guide for health and social services.
The CHPP is a valuable tool for supporting Commissioners to meet obligations on breastfeeding, obesity prevention, infant mortality and the 12-week antenatal assessment. This high quality programme will help meet these vital requirements, but also help to improve general health and well-being among children and families in our communities.
(Published March 2008, 80 pages)
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