The Commissioner Volume 3 Issue 5 May 2008
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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)
Towards World Class Commissioning Competency
Towards World Class Commissioning Competency is a report produced for West Midlands Strategic Health Authority by the Health Services Management Centre, University of Birmingham.
This paper is intended to assist the thinking of those currently seeking answers to questions, such as: What are health care commissioners required to do? What knowledge, skills, attitudes and behaviours are required to do it well? Who (either within or beyond the NHS) is most likely to possess these attributes at the moment? How should these capabilities be developed and distributed in future?
The paper concludes that a one-size-fits-all approach to defining and developing commissioning competency is unlikely to be optimal, and reiterates that competency depends not just on knowledge and skills, but on values, motivation, and agency. This is an important message for those involved in commissioning at all levels of the system.
(Published December 2007, 24 pages)
Education Commissioning Briefing
The briefing paper contains information on subjects such as:
- Data – what kind of information and intelligence to use that can help inform your education commissioning decisions (for example health needs assessments and demographics)
- Funding – how education is paid for and what sources of funding there are
- Process – the formal, staged process of commissioning (rather than simply purchasing) education.
National Dementia Strategy
The objectives of the project are to develop a national dementia strategy and implementation plan for publication in October 2008. The strategy will address three key themes – raising awareness, early diagnosis and intervention and improving the quality of care.
More strategic, timely information needed in primary healthcare
One year after the publication of The Intelligent Practice, a recent survey carried out by Dr Foster Intelligence found that current primary care information provision is lacking in strategic vision.
Information provided by PCTs seems to be drawing mixed reviews. Asked to evaluate the overall quality, format and frequency, nearly half of respondents said that what they were receiving from their PCT was sufficient, although more than a quarter found the information insufficient.
Putting you in the picture
Putting you in the picture is the first edition of the North West Specialised Commissioning Team’s newsletter.
Intended primarily for colleagues in Primary Care Trusts (PCTs), this first edition outlines some of the team’s key achievements since their formation in April 2007.
Many of the projects they were involved in are ongoing, and they will update you on progress in future newsletters.
(Published February 2008, 8 pages)
Choice at referral
Best practice guidance and information for referrers, providers and commissioners on how the roll-out of free choice in elective care in 2008/9 will operate.
(March 2008)
Refocusing the care programme approach: Policy and positive practice guidance
Following the national consultation, Reviewing the Care programme Approach (CPA), and having considered the issues identified, this guidance updates policy and sets out positive practice guidance for trusts and commissioners to review local practice to refocus CPA within mental health services.
(Published March 2008, 64 pages)
National Primary Care Research & Development Centre: Practice Based Commissioning
This study has three main aims.
Establishing the rationale for the introduction of practice-based commissioning, will focus on the
programme theory for the policy.
Addressing how the scheme is being implemented.
Investigating the outcomes from practice-based commissioning on local health economies.
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Tuesday, March 11, 2008
PBC: Personalise your Improvement with the No Delays Achiever
The No Delays Achiever from the NHS Institute now offers (from 29 February 2008) Practice Based Commissioners the ability to select their PBC groups and examine their patients’ 18 week journeys. The No Delays Achiever is a web-based tool that creates Referral to Treatment pathways. Once you have registered on the No Delays Achiever site you can create a personalised Cluster view for your PBC network, selecting individual GP practices based either on PCT affiliates or from further afield. You can then analyse patient journeys from trust level all the way down to HRG and (anonymised) consultant level. You can learn more about how to use the tools in the No Delays Achiever from a commissioning perspective using the Commissioner’s Guide.
(You must first register with this site to use this tool)
No Delays: Commissioning
Dental Commissioning and Contract Monitoring - Tendering, Procurement & Contracting
Hints and tips procurement paper; This briefing note sets out some of the key lessons learned by a number of PCTs that have undertaken procurement exercises for NHS dental services. Competitive tendering exercises have been highly successful in several respects in primary care dentistry as they have: enabled PCTs to re-commission lost services; secured improved access in specific localities (or for specific types of population) in line with local oral health needs assessment; improved quality; tested the local market and securing improved VFM, as measured by the PCT’s average £/UDA before and after the exercise. PCTs felt they had achieved improved value for money without a reduction in quality.
(Published February 2008, 4 pages)
Evaluation of One-Stop Shop (Oss) Models of Sexual Health Provision
In 2001, the Government published the National Sexual Health and HIV Strategy and one of the recommendations is the provision of more comprehensive and integrated sexual health services. One of the commitments in the strategy was to undertake an evaluation of different models of One Stop Shops.
This report, which has just been published provides valuable findings and information for PCT commissioners and service providers considering an integrated approach as well as those already providing integrated services.
(Published February 2008, 250 pages)
Improving Access to Psychological Therapies implementation plan
This document provides SHAs, PCTs, training providers and service providers with an overview of what is needed to deliver the implementation of IAPT. The additional funding from the Comprehensive Spending Review 2007 will pay for the major training programme that provides the necessary number of suitably trained therapists and enables progressive expansion of NICE-compliant local Psychological Therapies services.
(Published February 2008, 32 pages)
National Infarct Angioplasty Project (NIAP) interim report
NIAP is a feasibility study looking at how far primary angioplasty can be rolled out as the main treatment for heart attack in place of clot-busting drugs. This interim report covers findings based on the first year of data from seven pilots and is being published for information.
(Published February 2008, 56 pages)
Practice-based commissioning : tips for preparing and pitching a proposal
Practice-based commissioning has been the focus of several recent pieces of guidance for pharmacists in England as well as the subject of an awareness week last year organised by national pharmacy bodies. The aim of a Dragons' Den style meeting, organised by Hampshire and Isle of Wight Local Pharmaceutical Committee [LPC] last week, was to gain some practical experience of preparing a business case and pitching for a service.
Pharmaceutical Journal 2008; 280 (7488): 153
Ask your local health librarian to locate this article for you
Strategic commissioning for older people
Whole system strategic commissioning for older people is undeveloped; however it is now rising up the agenda. This paper looks first at the development of a systematic approach to strategic commissioning. It then goes on to examine what is happening on the ground to develop a whole system approach to strategic change, particularly across social care, healthcare and housing, but also linked to a wider wellbeing approach. Finally, it examines the structures and processes that are being developed to support whole system strategic commissioning.
Journal of Care Services Management, January 2008, vol. 2, no. 2, p. 154-166
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Apply for Beacon Status
The Beacon Scheme, now entering its tenth successful year is looking to be the biggest and brightest round of all. Ministers have announced 12 themes that will be officially launched for application in early March 2008; including strategic commissioning.
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Wednesday, February 13, 2008
Commissioning NHS primary care dental services: meeting the NHS operating framework objectives
High level guidance launched by Ann Keen, Parliamentary Under Secretary of State for Health Services, on 16 January 2008, sets out the Government's commitment to maintaining and expanding NHS dental services and the expectations on the NHS to deliver year on year increases in access, as set out in the NHS Operating Framework 2008/09 and to provide more detail on what this means for commissioners and providers in developing dental services locally, including managing the 2009 transition.
(Published January 2008, 5 pages)
The Future of Care Funding: Time for a change
Bringing together the findings from the Caring Choices events and website, this report looks at possible solutions to the problem of funding long-term care. Caring Choices, a coalition of 15 organisations from across the long-term care system, aimed to raise awareness and encourage debate, as well as generate and test out ideas among those with experience and understanding of the current system. Highlighting key areas of agreement and issues around the design of a new system, this report is an important step towards reform.
(Published January 2008, 36 pages)
Practice Based Commissioning GP practice survey
This is the second quarterly practice survey, covering a sample of practices from each primary care trust (PCT). 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.
(Updated February 2008)
Best practice guidance for joint working between the NHS and the pharmaceutical industry
The purpose of this guidance is to; Encourage NHS organisations and staff to consider joint working as a realistic option for the delivery of high-quality healthcare; Inform and advise NHS staff of their main responsibilities when entering into joint working arrangements with the pharmaceutical industry.
(Published February 2008, 12 pages)
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