Faulty by design: The state of public-service commissioning

How public services are commissioned underpins their success in healthcare, criminal justice, employment services and beyond | Reform

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Image source: Reform

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Image source: Reform

This report reveals that commissioning bodies are not delivering value for money in three key areas.

  • Commissioners are failing to focus on outcomes that matter to service users.
  • Fragmented commissioning bodies stand in the way of integrated services that meet users’ needs most effectively.
  • Devolution of commissioning to local areas is not happening in practice, with a one-size-fits all approach creating a postcode lottery across in healthcare, welfare-to-work and probation services.

Watch the interview about the report below:

Read the full report overview here

Read the full report here

Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution

NHS England | Published online: 3 November 2016

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Image source: NHS England

This document supersedes Procedures for clinical commissioning group constitution change, merger or dissolution published in October 2015, and should be used by Clinical Commissioning Groups (CCGs) and NHS England in the circumstances of a CCG wishing to apply to NHS England to make changes to its constitution or to dissolve two or more CCGs wishing to apply to merge.

The procedures in this guidance set out the application processes to be followed by CCGs and NHS England in considering the request.

This guidance sets out NHS England’s procedure and how it is underpinned by the requirements of the National Health Service Act 2006 (as amended) (“the NHS Act 2006”) and by relevant regulations.

Under the NHS Act 2006, NHS England has powers to make transfers of property and staff in connection with variation, merger, or dissolution. The use of these powers is included in the scope of these procedures.

NHS England has separate powers which allow it to vary a CCG’s area or membership without an application from the CCG. The application of this power is out of scope of the procedures outlined in this guidance. In all cases CCGs considering changes to constitutions under these procedures are advised to discuss their applications with NHS England at an early stage.

Read the full report here

How is the NHS performing?

Twentieth quarterly monitoring report from The Kings Fund.

This report aims to take stock of what has happened over the past quarter and to assess the state of the health and care system. It provides an update on how the NHS is coping as it continues to deal with productivity and reform challenges under continued financial pressure. The report combines publicly available data on selected NHS performance measures with views from NHS finance directors and clinical commissioning group finance leads.

Outcomes-based commissioning in the NHS

The Health Foundation has published Need to nurture: outcomes-based commissioning in the NHS. This report examines what outcomes-based commissioning means, the evidence to support it, progress to date on introducing the approach in England, and the optimum role of national policy in response to it. The work is the product of interviews and discussions with many commissioners, providers, policy makers, experts and academics; as well as a rapid literature review.

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Managing conflicts of interest in NHS clinical commissioning groups

This National Audit Office report outlines the findings from an investigation into managing conflicts of interest in CCGs and how these risks are managed.

It also examined the accountability, control and assurance arrangements for managing conflicts of interest in the 211 CCGs active in 2014/15, based on analysis of information on CCGs’ websites.

Click here to view full report