The chancellor has announced £2.8bn of extra revenue funding for the NHS to cope with pressures between now and the end of 2019-20 | via Health Service Journal
The funding will be split over three financial years, with £335m coming this year to help cope with winter pressures. An extra £1.6bn will be made available in 2018-19, followed by £900m in 2019-20.
NHS leaders had insisted an extra £8bn was needed over this period just to maintain day to day services, while the King’s Fund, Nuffield Trust and Health Foundation agreed £4bn was needed next year alone.
The Chancellor also said the government will provide money for an NHS staff pay rise, but only if unions agree to reform the Agenda for Change contract.
Commissioning children’s palliative care in England: 2017 edition | Together for Short Lives
This report summarises responses to a Freedom of Information request sent to every CCG and upper-tier local authority in England, asking how they plan care and support for children who need palliative care and their families, and which services they commission for them.
The report found that:
Children’s palliative care commissioning in England is patchy and inconsistent
The government’s end of life care choice commitment is not being fulfilled in almost half of local areas in England
Most CCGs have not implemented the new clinical guidance for children who need palliative care
Even though many seriously ill children need care 24 hours a day, seven days a week, commissioners are failing to plan and fund this support
Many local authorities are failing to commission short breaks for children who need palliative care, despite being legally obliged to do so
There is a postcode lottery of bereavement care across England for parents whose child has died
CCGs and local authorities are failing to fund voluntary sector children’s palliative care organisations – including children’s hospices
Too many areas still do not commission age and developmentally appropriate services for young people with life-limiting and life-threatening conditions
Despite significant challenges across England, there are still some examples of commissioners reporting a broad range of children’s palliative care commissioning.
The report proposes a number of recommendations in response to these findings.
CCG Improvement and Assessment Framework 2017/18 | NHS England
This updated framework describes the CCG annual performance assessment and the metrics that will inform that assessment for 2017/18; it replaces the Improvement and Assessment framework (IAF) for 2016/17. The framework is accompanied by a technical annex which provides the detail of the construction and purpose of each of the indicators in the framework.
This report explores the accountability and performance management arrangements for CCGs and looks at the implications of STPs and accountable care systems for these| The Nuffield Trust
The NHS has developed systems to hold both providers and commissioners of NHS services to account. These have arguably become more complex with the introduction of 44 sustainability and transformation partnerships (STPs). This report from the Nuffield Trust draws on analysis and insights from the current system, and explores the challenges and opportunities presented by STPs for accountability in the NHS. It is based on 13 interviews with senior CCG leaders and NHS England policy makers which took place in September 2016.
The report also explores how commissioners and providers respond to different approaches to accountability and performance management. The report then considers the implications of this learning for the future development of STPs, accountable care organisations and accountable care systems.
NHS England has updated the Primary medical care policy and guidance manual to reflect the changing landscape in primary care co-commissioning. This document provides commissioners of primary care services the context, information and tools to safely commission and contract manage primary medical care contracts.
The document is split into four sections:
Part A – Excellent Commissioning and Partnership Working