The future of commissioning

NHS Providers has launched a new publication series “Provider Voices” which promotes the views of leaders from a range of trusts and other parts of the service on some of the key issues facing the NHS.

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The first report Where next for commissioning? includes eight interviews that address concerns including the role of Sustainability and Transformation Partnerships (STPs) and accountable care systems (ACSs), the challenge of integrating health and care commissioning, and the future of the purchaser-provider split.

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Clinical audit in commissioning

The Health care Quality Improvement Partnership has published Using Clinical audit in commissioning healthcare services.

This guide outlines how clinical audits can be used by commissioners to assure both quality and drive continuous improvement in patient care. It examines the strengths and limitations of clinical audit outputs for monitoring and assurance as well as considering how clinical audit can drive quality improvement as demonstrated through case studies and practical guidance.

Focus on general practice at the heart of local system change

Workforce development and collaboration are the twin themes of the latest issue of Commissioning Excellence, which highlights how local leaders are promoting the development of general practice at scale both to deliver the kinds of services communities demand and the resilience GP practices need.

This issue also focuses on the clinical pharmacists in general practice programme, which is bringing clear benefits to GPs and their patients.

New models of care in practice

New models of care in practice: Cambridgeshire and Peterborough Clinical Commissioning Group | NHS Confederation

A vanguard in Cambridgeshire and Peterborough has focused on helping people who are experiencing mental health crisis and demonstrating how, with the right support, they can get the help they need at home or in the community and avoid a trip to A&E. This is improving patient care as well as providing savings for the local health system.

 

Dementia: Best practice repository for clinical commissioning

NHS England has developed a repository of examples and case studies of best practice, which is available via the online Learning Environment.

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In March 2016, NHS England introduced a new CCG Improvement and Assessment Framework (CCG IAF). This framework brings together a range of key indicators, enabling NHS England and CCGs to work together to drive improvement for patients.
The CCG IAF framework has indicators for six national clinical priority areas, including dementia. The dementia indicators are:

  • Estimated diagnosis rate for people with dementia.
  • Dementia care planning and post-diagnostic support.

NHS England recognises that CCGs will have varying levels of need for support based on their performance against the indicators, and in October 2016 published a support offer to help with this.

To substantiate the support offer, the NHS England Dementia Team has developed the Best Practice Repository on the NHS England Learning Environment website. This repository is currently being developed and case studies will be added to the NHS England Learning Environment website along with links to other resources.

View an overview of the resource here

Search for case studies here

NHS England Dementia: Good Care Planning

Care planning is crucial in delivering improved care for people living with dementia, and supporting their families and carers | NHS England

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Image source: NHS England

he importance of having a high quality care plan that is reviewed regularly is reiterated through its inclusion in the CCG IAF as one of the dementia indicators. It also forms a key part of the forthcoming evidence-based treatment pathway for dementia.

Simply having a care plan, whilst being a good start, is not enough. Any care plan needs to be personalised to the specific needs of each person with dementia and reflect changes in their care needs over time. To support the adoption of high-quality care plans NHS England has developed a guide Dementia: Good Care Planning, with input from people living with dementia, their carers and health and social care professionals.

View the full range of resources here

Domestic abuse: a resource for health professionals

Responding to domestic abuse: a resource for health professionals | Department of Health

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Image source: http://www.gov.uk

This resource looks at how health professionals can support adults and young people over 16 who are experiencing domestic abuse, and dependent children in their households.

It will help health staff to identify potential victims, initiate sensitive routine enquiry and respond effectively to disclosures of abuse. Commissioners will gain insight into services to support people experiencing domestic violence and abuse, and the importance of joined-up local strategic planning.

The resource draws on the National Institute for Health and Care Excellence multi-agency guidelines on domestic violence and abuse, and provides:

  • the legal and policy contexts of domestic abuse in England
  • information for commissioners on effective integrated care pathways
  • information for service providers on shaping service delivery
  • what health practitioners need to know and do
  • information to ensure the right pathway and services are in place locally

Full document: Responding to domestic abuse: a resource for health professionals