Gateway reference number:01857
NHS Commissioning Assembly News:
Operational issues – for action:
Events and campaigns:
NHS Commissioning Assembly News
Thanks for joining us at the Commissioning Show
Thanks to everyone who visited the NHS Commissioning Assembly stand at the Commissioning Show last week.
It was great to see so many commissioning leaders at the event. Attendees had the opportunity to see the Assembly and Learning Environment sites in action and many useful discussions took place about the upcoming Assembly annual event and the future focus of the Assembly.
NHS Commissioning Assembly Steering Group
The quarterly NHS Commissioning Assembly Steering Group meeting was held on 1 July.
Co-chairs of the five priority Working Groups attended the meeting to present their work programmes for 2014/15. The group also focused on planning for the next Assembly event on 30 September.
Profiles of the NHS Commissioning Assembly Steering Group members are now available on the website and outcomes from the meeting will follow shortly.
New tools to support outcome based commissioning
The NHS Commissioning Assembly has launched the first of a range of tools to support outcome based commissioning. The materials include a short narrative from the Assembly’s Quality Working Group which describes the challenges and opportunities of outcome based commissioning; a summary report and films from a recent roundtable on the key enablers, with insights from national experts; and case studies from CCGs. All materials are available on NHS England’s website and further information is available through the NHS Commissioning Assembly webpage.
Co-commissioning of primary care services; expressions of interest
In May, Simon Stevens announced that CCGs could submit expressions of interest (EOI) to develop co-commissioning arrangements for primary care services, giving CCGs the opportunity to expand their role and opt for greater involvement in commissioning decisions.
There has been a substantial response and applications spanning the three categories of interest have been received. EOIs will now be assessed on criteria including quality, affordability, deliverability and risk.
The criteria and process for approving delegated budgets and commissioning responsibilities will be brought to the September 2014 board meeting for approval.
CCGs with approvals in principle for delegation will be subject to the allocations approval process and should receive delegated budgets from 1 April 2015.
NHS England launches consultation on four clinical commissioning policies for specialised services
NHS England has launched a 12-week consultation on four clinical commissioning policies for specialised services. The policies concern the use of Dolutegravir in the treatment of HIV; Bortezomib and Eculizumab in the treatment of refractory antibody mediated rejection post kidney transplant, and the use of non-invasively lengthened spinal rods.
For further information and to view the policies, visit the consultation page.
Operational issues – for action
NHS England works with partners to launch Sign up to Safety
Healthcare providers are being asked to ‘Sign up to Safety’ and make a public declaration of what they will do to improve safety in their organisations.
CCGs are asked to encourage providers to sign up to the campaign and commit to putting safety first by publishing their safety improvement plans and reporting on progress, identifying areas of focus using national and local priorities and engaging with communities, patients and staff.
Amendment to Commissioning Support Services (CSS) Model terms and conditions
The model terms and conditions for CSS have been updated following a Francis Report recommendation that the NHS Constitution should be explicitly included. An additional principle at 2.1.11 now includes this, reading – “The Parties must abide by and promote awareness of the NHS Constitution, including the rights and pledges set out in it. The Provider must ensure that all Sub-Contractors and all Staff abide by the NHS Constitution.”
The Department of Health launches consultation on data sharing regulations
Working with NHS England, the Health & Social Care Information Centre, commissioners and others, the Department of Health has developed plans for new regulations to support local commissioning activity. The Department is consulting on these proposed regulations that will introduce robust controls and safeguards to make sure that patients’ data is secure and shared in a controlled way. This data will only be shared by the NHS and the social care system to improve health and care services, not for other purposes.
The use of the NHS Number
The use of the NHS Number in direct care is vital for the information sharing needed to enable integrated care. The requirement to use the NHS Number as the primary (main) identifier in clinical correspondence by providers is reflected in the NHS Standard Contract for 2014-15, which states “the provider must use the NHS Number as the primary (main) identifier in all clinical correspondence”. It is also a key criterion for Technology Fund applications.
CCG contract leads are asked to request their providers to complete a short online survey on their progress against this requirement. This will allow NHS England to target support where it is most needed.
Proactive Care Programme
The specification for the new 2014/15 enhanced service “Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people”, now referred to as the “proactive care programme” has now been published. Revised guidance for this enhanced service is also being published to reflect the detail of the specification.
A guidance note has also been published on the NHS England website which sets out the key role that CCGs can play, working with member practices, to help make sure that these services deliver the maximum benefits for patients. This includes making sure that GP practices are able to use risk stratification tools to identify those patients who should be offered the new service.
Important information – Spine 2 core services transition
The transition of core services to the new Spine 2 infrastructure will take place on the weekend of Friday 25 July to Monday 28 July 2014. Please see the transition diagram and narrative that explains how Spine services will cut over, and any implications for users of key services (such as the Personal Demographics Service, the Summary Care Record application and the Electronic Prescriptions Service).
CCGs can support a successful transition by helping to make local organisations and services aware of the cut over, and signposting organisations to the Spine 2 pages on transition.
Other news – for information
New approach to care for the dying published
The Leadership Alliance for the Care of Dying People (LACDP) has published a new approach to caring for people in the last few days and hours of life, that focuses on the needs and wishes of the dying person and those closest to them, in the planning and delivery of care wherever that may be. The approach is outlined in One Chance to Get it Right, and has been developed by the 21 Alliance members. It is based on five new Priorities for Care that will be the touchstone for end-of-life care for those in the last days and hours of life and their families and follows the recommendations of the independent Neuberger review of the Liverpool Care Pathway (LCP), which included that the LCP should be phased out by 14 July 2014.
The webpage also provides links to additional information for health and care professionals, commissioners and service providers.
Chief Nursing Officer for England welcomes ‘major step forward’ for patient safety
A new series of patient safety indicators which allow the public to see how hospitals are performing on key safety measures have been welcomed by Jane Cummings, Chief Nursing Officer for England.
CCGs should be aware that the information, published on a new safety section of NHS Choices alongside hospital performance on infection control, blood clots and patient and staff feedback, allows the public to examine the staffing history of wards and will act as a barometer for local health services.
Acute trust toolkit for the early detection, management and control of carbapenemase-producing Enterobacteriaceae: Risk Prioritisation Matrix and FAQs for Health Professionals
CCGs will be aware that acute Trusts should have a plan in place for the control of carbapenemase-producing Enterobacteriaceae by 30 June 2014.
PHE have published additional resources to assist with the development of these plans. These include a Risk Prioritisation Matrix and FAQs which respond to questions raised since the toolkit’s publication in December 2013 by providers and commissioners.
It is important that commissioners are aware of these resources which will help provide an understanding of the appropriateness of Trust developed plans.
Events and campaigns
Improving Access to Psychological Therapies event
On Thursday 10 July, Lord Richard Layard and Prof David Clark will be discussing the next steps for the Improving Access to Psychological Therapies Programme at an event at 6.30pm at the London School of Economics (Old Theatre, Old Building, Houghton St). The event will be hosted by Andrew Marr.
Please email if you would like further information or to book a place.
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Unless otherwise stated, guidance referred to in the bulletin has not been commissioned or endorsed by NHS England – it is evidence that organisations and professionals may find helpful in improving practice.