The Department of Health has published the third edition of the Long Term Conditions Compendium of Information. aimed at commissioners as well as health and social care professionals, to provide the evidence for improving care and outcomes for people with long term conditions (LTCs). It updates the second edition of the compendium published in January 2008.
This document contains
- the latest statistical data on long term conditions
- links to the LTC QIPP (quality, innovation, productivity and prevention) workstream
- data from the ongoing evaluation of the Whole System Demonstrator Programme on telehealth and telecare
Long Term Conditions Compendium of Information [pdf]
We now have a paper.li daily newspaper. See it at: http://paper.li/WSKPrimaryCare/1338371524
‘The Clinical Commissioning Coalition (a coalition of the National Association of Primary Care and the NHS Alliance) led a survey of all emerging CCGs and CSSs on behalf of the NHS Commissioning Board Authority to provide an independent view of how services and relationships are developing. The Clinical Commissioning Coalition contracted TNS BMRB to undertake the survey‘ [from the executive summary].
Among other findings, the survey reports that ‘around a quarter of emerging CCGs expected to source commissioning support exclusively or almost exclusively from NHS CSSs’, and that ‘on average, emerging CCGs have set aside £11.52 per head for NHS CSS commissioning support services’ (though the figure ranges from £3 a head to the full £25). ‘Emerging CCGs need to be given more information about choices open to them from 2013 and how they might realise choice.’
Emerging NHS Clinical Commissioning Groups & Commissioning Support Services [pdf]
This NHS information document introduces the specialty of sports and exercise medicine to NHS commissioners.
“It starts by outlining the problems faced by the NHS in the prevention and treatment of disease, in musculoskeletal health, in workplace wellness, education and research. The document then explains the added value of commissioning SEM physicians in order to tackle these problems. Implementation and planning are then discussed.” [Introduction]
Sports and exercise medicine: a fresh approach [pdf]
The appendices include some interesting literature reviews, though they do not disclose their search strategies.
The National End of Life Care Intelligence Network has published, in addition to the End of Life Care Profiles,
a suite of end of life care modelling tools, designed to support end of life care commissioning and planning. They are:
Whole systems partnership cohort model
Skills for health workforce functional analysis
Yorkshire and the Humber co-design model (formerly known as the Y&H Commissioner Financial Model)
The tools to help answer the following questions:
1. How many people will die each year and how many will spend their last days in hospital?
2. How will improving early recognition impact on where people spend their last days and what does that mean in relation to identifying the 1% of people that die each year?
3. How many people are dying in hospital and what are the financial implications of this in terms of tariff?
4. What the distribution of needs are across five cohorts of the population in their last year of life.
5. How the changes simulated in the model impact on the community workforce, including an indication of associated costs.
The British Geriatrics Society has published Failing the frail: a chaotic approach to commissioning healthcare services for care homes [Word file]. The BGS analysed data collected by the Care Quality Commission (CQC) as part of its review of the healthcare support available to care home residents. The findings reveal erratic and inequitable access to NHS services for older care home residents.
The King’s Fund has published Leadership and engagement for improvement in the NHS: Together we can, a follow-up to their 2011 Leadership Commission.
On leadership and GPS, they say, ‘With the advent of clinical commissioning groups GPs are central to system reform. GPs have always worked across systems, but they are now expected to lead and shape them. The cultural leap they will have to make is huge. Many doctors go into general practice because they thrive on the close relationship with patients and value independence. Some have now been thrust to the centre of a complicated, poorly defined and constantly changing network where they will have to sacrifice patient time to work on system management and service improvement. For GP leaders, engagement is now a core skill.’
Government plans to reform education, training and workforce planning in the NHS are unclear and lack crucial detail, says the Health Select Committee.
Health Committee – First Report Education, training and workforce planning
The NHS Commissioning Board Authority has published the proposed configuration and member practices for 212 proposed CCGs for the first timeProposed CCG configuration and member practices published | NHS Commissioning Board.
