Commissioning for Value packs for CCGs

NHS Rightcare has published the last four in its set of Commissioning for Value packs for CCGs to help them identify the best opportunities for improving value for their populations.

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The focus packs are on Cancer and Tumours; Mental Health and Dementia; Maternity and Early Years; and Musculoskeletal, Trauma and Injuries.  The information contained in each pack is designed to support local discussions and inform a more in-depth analysis around common conditions and pathways.

NHS Rotherham CCG focus packs available here


Options for selecting providers and awarding contracts

NHS Improvement guide: How to secure good outcomes for patients when awarding contracts

This guide supports CCGs to make good decisions by clarifying what they need to do when selecting providers and awarding contracts. It should be read in conjunction with guidance previously issued by Monitor and the Cabinet Office, as well as forthcoming guidance from the Department of Health on requirements from recent changes to general procurement law.

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Related content: Procurement, patient choice and competition regulations

The role of the nurse on the CCG governing body

New NHSCC report shows the impact that CCG nurses are making locally |NHS Clinical Commissioners

This report highlights how the role of nurses on a CCG’s governing body has changed over time, empowering them to make more of a difference for their local patients and populations.

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It reveals how many CCGs are now employing full time chief or executive nurses with responsibility for the day-to-day running of an element of the organisation, going beyond the legal requirement for a registered nurse to sit on their governing body.

The report illustrates the impact that commissioning nurses are making locally, such as reducing rates of smoking in pregnancy, providing a voice for practice nurses and leading local service development. It also makes recommendations for national organisations and CCGs themselves on how they can support the commissioning nurse to be as effective as possible.

CCG improvement and assessment framework

NHS England has published supporting documents for the CCG improvement and assessment framework for 2016/17.

The operating manual phase one provides details of the operational processes that underpin the framework, and the technical annex provides details of the construction and purpose of each of the 60 indicators in the framework.

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Related document: CCG improvement and assessment framework 2016/17

Local health and care plans for dying people

Hospice UK has published A low priority? How local health and care plans overlook the needs of dying people.  This report examines the strategic priority given to people with palliative and end of life care needs by local statutory structures in England.  Freedom of Information requests were sent to all Health and Wellbeing Boards and CCGs in England.  The findings show a significant inconsistency in the consideration of adults and children with palliative care needs in health and care planning.

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Additional links: Hospice UK press release

‘Not true’ that CCGs must always use competitive tenders, says regulator

Williams, D. HSJ. Published online: 20 May 2016

  • NHS Improvement issues procurement guidance to CCGs
  • Briefing note confirms new EU rules will force new contracts to be advertised
  • Regulator emphasises alternatives to competitive tendering

NHS Improvement has told commissioners that competitive tenders are not always needed to choose a provider, following the introduction of a strict new EU procurement regime.

The regulator sent a briefing note to clinical commissioning groups late last week on selecting providers and awarding contracts.

The document, seen by HSJ, confirms that CCGs will be required to advertise new contracts and extensions or variations of existing contracts. This is the result of new EU procurement rules, which have applied to the NHS since April.

It adds that where CCGs receive a number of responses they should not discriminate between providers, and should run a process that enables them to select the best bid.

However, the letter says: “It is not true that all contracts must be awarded using a competitive tender process. There are lots of ways of [selecting a provider], including through an open process or by negotiation.”

Read the full article here

Dementia post diagnostic support planning

London Clinical Networks. Published online: 10 May 2106

dementia toolkit2
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Guidance for commissioners and providers to meet the NICE Quality Standard on Dementia (QS1), which states that people with dementia should have an assessment and an ongoing personalised care plan, agreed across health and social care.

This is a guide for »

  • Commissioners
  • Service providers, including health, social care, voluntary and charitable organisations

This guide will be of interest to »

  • People living with dementia
  • Their families and friends
  • Practitioners in dementia care

The purpose of this guidance is to »

  • Describe the key elements of person-centred support planning
  • Describe how to write a new support plan
dementia toolkit
Image source: London Clinical Networks

A support plan should capture what is important to the person living with dementia.

Once a support plan is put in place it needs to be reviewed regularly, to reflect changes in needs, wishes and circumstances.

The professional who helps putting the support plan together should assume the person with dementia has capacity and use clinical judgement, using the Mental Capacity Act when needed.

Find the full toolkit here