Introduction In England, from April 2013, there will be significant changes to the NHS, particularly with the introduction of 211 clinical commissioning groups (CCGs). These GP-led organisations will take on the responsibility of funding, planning, and obtaining health services for their local areas. It is essential that best practice is applied so that efficient decisions [read the full story…]
Introduction This report was written to identify the various consequences of reducing access to contraceptive and sexual health services in the UK, a resulting consequence of changes to commissioning in the UK. The implications are not just for short-term health care costs, but for medium and long-term financial aspects of all public sector departments, [read the full story…]
Introduction People living with chronic disease often have a poor quality of life, and, for the NHS, it results in a significant cost and resource burden, with people facing years of treatment. It makes sense therefore to make sure that health services are run as efficiently as possible, while maintaining or improving levels of quality. [read the full story…]
“Healthcare success in the future will be judged on the quality of outcomes.” From April 2013, improvement in the NHS will be driven by clinical commissioners. The NHS Commissioning Board has published this planning framework with supporting material to help health organisations meet three key objectives: Seamless management of organisational change Capacity-provision for clinical commissioning [read the full story…]
“A ‘right first time’ approach is encouraged and endorsed by commissioners, clinical teams and users to ensure safety and efficiency.” NHS Improvement has been working closely with the Department of Health and a range of healthcare organisations, testing and implementing improvements with over 250 sites across the country and providing an improvement tool to over [read the full story…]
Commissioners need to become adept at decommissioning. At a time of significant and sustained reductions in public spending and rising demand, commissioners are tasked to release funding for investment in effective models of service by actively challenging and taking resources out of less effective approaches. Drawing on examples of decommissioning and innovation from across the [read the full story…]
An innovative study to describe chronic disease risk in Tower Hamlets brought geographers and clinicians together. Objective To test the feasibility of bringing together epidemiological and environmental data to prepare small-area geospatial maps of chronic disease risk Study design Cross-sectional geospatial analysis using electronic record data collected routinely in general practice, taking type 2 diabetes [read the full story…]
For clinical commissioning groups and commissioning support services moving to agree Service Level Agreements this summer, this ‘how-to’ guide on developing and running shared public services is one for the week-end reading pile. Reducing costs via collaborative working is high on the agenda for public service bodies. “Sharing the Gain” from CIPFA (the leading professional [read the full story…]
As general practitioners take the lead on commissioning for the NHS in England, a qualitative study of GPs and managers from four primary care trusts (PCTs) reports that active management of disparate groups leadership is a success factor, and that organisational processes may be a hindrance. The team from the School of Community-based Medicine, University [read the full story…]
A good read, this guidance may be an eye opener for NHS commissioners new to the game and wishing to rise above the minutiae of clinical redesign to look, in the round, at the steps involved in commissioning. It presents the principles on social return on investment in public service that can be applied to [read the full story…]
