What helps and hinders effective commissioning? Experiences from primary care

Improvement

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…]

Healthcare commissioning for people with long-term conditions: new report from the Nuffield Trust

Man looking at piles of coins

What do healthcare commissioners actually do? Ask a hundred people who work in the NHS and you’ll probably get a hundred different answers. The landscape is moving quickly as we approach the April changeover, and with management budgets getting cut, it’s an increasingly challenging area to work in. This new report from the Nuffield Trust [read the full story…]

Cutting contraceptive and sexual health services may result in greater numbers of unintended pregnancies and sexually transmitted infections (STIs), according to report

Contraception

  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…]

Health policy decisions are based on experiences rather than high-quality research, according to survey

Research written on blackboard

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…]

Are you making the most of your National Elf Service?

The Lifestyle Elf

It’s not all about the Mental Elf you know. There are lots of other elves who spend every waking hour scurrying around to find reliable evidence to help you. There are now seven magnificent elf websites and one more due to launch very soon.  Here’s a quick run down of my brothers and sisters in [read the full story…]

Lean processes for improving blood science services

Test tubes

“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…]

More guides to help GPs commission mental health services

Do you tell your patients with knee osteoarthritis to exercise?

A year ago I blogged about the new mental health commissioning guides that the Joint Commissioning Panel for Mental Health (JCP-MH) had published for GPs. The JCP-MH is a collaboration between public sector organisations, charities and professional bodies. Their aim is to “inspire commissioners to improve mental health and wellbeing, using a values based commissioning [read the full story…]

Mind publish report to help mental health commissioners improve crisis care services

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Mind have published a number of resources aimed at improving mental health crisis care, which they say is ‘under-resourced, understaffed and overstreched’. The charity have used Freedom of Information requests to obtain data from mental health trusts, have conducted a survey of nearly 1,000 patients and are also involved in a research project with colleges [read the full story…]

NICE recommends an integrated approach for the care of people with drug use disorders

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NICE have published a new quality standard aimed at supporting the recovery for adults with drug use disorders, including opioids, cannabis, stimulants and other drugs. This set of documents on drug use disorders now sits beside the existing NICE quality standards on dementia, depression in adults, alcohol dependence and service user experiences of adult mental [read the full story…]

Limited evidence of commissioners redirecting resources to local service developments in the wake of Winterbourne View scandal

Compass_map

In the wake of the outcome of last week’s court proceedings involving support staff who worked at Winterbourne View hospital, there have been continuing calls to ensure that people with learning disabilities and complex needs are not placed far from home in isolated services, but receive local, skilled support. The Mansell report drew attention to [read the full story…]