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 October 2009, 16 pages
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
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
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
Last autumn, health secretary Alan Johnson said he wanted to see NHS Trusts collecting and using “immediate feedback” from patients to drive service improvement.
To help the NHS harness the information it gathers, a guide – called ‘Understanding what matters: A guide to using patient feedback to transform services’ has been published.
The guide sets out best practice in terms of collecting, analysing and using patient feedback to transform services. It also includes examples of how the NHS is already using feedback from patients to get results.
This resource, is one of a number being produced to help services understand and respond to what really matters to patients and their experiences of care.
(Published May 2009, 34 pages)
This report reveals that many patients feel local healthcare commissioning, the process intended to ensure health and care services effectively meet the needs of the local population by engaging with patient representatives, is not working effectively. It also identifies specialist nurses as the best placed healthcare professionals to make the commissioning process a success.
Published February 2009, 52 pages
The Improvement Foundation’s Healthy Communities Collaborative (HCC) model combines community development and quality improvement, lay knowledge and professional support in an innovative community-led approach which is specifically aimed at reducing health inequalities. This paper describes the key characteristics of the model and uses an outcomes framework to discuss indicative results from an HCC initiative to promote the earlier identification of people at risk of cardiovascular disease implemented in nine spearhead local authorities.
Journal of Integrated Care (2008) 16(6):26-36
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
Ask your local health librarian to locate journal articles. Don't know who they are in the UK pop your postcode into HLISD and locate them today!
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
Across the political spectrum there is broad agreement around the direction of travel in public service reform, with the emphasis being on localism, citizen engagement, plurality of provision, personalisation, and choice. The ultimate prize is public services that are targeted at the greatest need, delivered in a coherent way, and responsive to users’ views and experiences. This is addressed by A Personal Approach to Public Services.
(Published 2007, 27 pages)
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)
A survey of Primary Care Trusts (PCTs) was carried out to determine their readiness to engage patients and the public in healthcare commissioning. One third (51 out of 152 PCTs) responded. By virtue of their interest in the survey, these are likely to be among the better end of the patient and public involvement spectrum. While some PCTs have embarked on ambitious programmes to engage patients and the public in commissioning, many are not ready for the new challenges that confront them.
It is crucial that PCTs effectively involve patients and the public in their commissioning processes. A commissioning strategy without the input of the community is not worth the paper it is written on. But if they are to prioritise this as they must, PCT staff need help: they need budgets, leadership, techniques and technology.
(Published June 2007, 25 pages)
The National Institute for Health and Clinical Excellence (NICE) is producing a series of web-based Commissioning Guides to help the NHS in England effectively commission the best care for patients. NICE believes it important to involve patients and the public in the development of these guides, and is seeking applications from organisations representing the interests of patients, carers and the wider public for the Commissioning Programme’s Steering Group.
In this article the authors express their views on how the commissioning process can be held to account through patient and public involvement. Ten areas essential to effective scrutiny are outlined.
Health Service Journal, 22 March 2007, vol. 117, no. 6048, p. 18-19.
Increasingly there is greater emphasis on user/carer involvement in the delivery of mental health care. There are five levels of participation from none at all to partnership and optimal involvement. A two-year pilot steering group was established by a health authority in December 2000 and criteria for independent evaluation agreed. These included the context, data collection, analysis and report, and recommendations based on the findings to increase user/carer involvement in all aspects of mental health service delivery.
Mental Health Review, 2006, vol. 11, no. 1, p. 16-2 (available via your local NHS Library)
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