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New specialised commissioning consultation launched

NHS England has today launched a consultation on four related policies that describe how NHS England will make decisions on funding for treatments that are not currently routinely commissioned.

The four policies are: in-year service developments, individual funding requests, funding experimental and unproven treatments, and continuing funding after clinical trials.

The public consultation, which launches today, will be open for 12 weeks and will ensure the policies help NHS England make the most effective, sustainable and fair use of its finite resources.  The key themes of the consultation findings and feedback will be published on the NHS England website.

The draft policies are the result of a review of the eleven existing policies established when NHS England became responsible for commissioning of specialised services in 2013.  The review, which took into account the lessons learned from using the policies in practice, as well as feedback from stakeholders, found that many of the original eleven are now covered by Department of Health or other NHS England policy.  The four areas that still require distinct policies are the focus of the consultation.

A series of events will be run in conjunction with the consultation.

Face to face events

Details of these events and links for registration will be posted on the NHS England events page on 24 October.

Webinar events

Further webinars will be organised for later on in the consultation period

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11 comments

  1. Prof Anthony Jones says:

    We should collectively give some thought to regional MSK Pain services within rheumatology and primary care. These patients can be well managed within an integrated community clinic setting at relatively low cost. We have a good model for this in Salford if anyone is interested. These patients, in my view, are not well served within a busy genereral rheumatology clinic.

  2. Kassander says:

    “A series of events will be run in conjunction with the consultation.
    Face to face events
    29 November 2016 10:00am – 12:00pm London
    7 December 2016 10:30am – 12:30pm Manchester
    Webinar events
    30 November 2016 3.30pm – 5pm
    6 December 2016 4.00pm – 5.30pm
    3 January 2017 – 2.30pm – 4.00pm
    9 January 2017 – 3.00pm – 4.30pm”
    ===
    Come off it, that isn’t a series of consultation ‘events’ on such important issues by any stretch of the imagination.
    You haven’t even got a F2F event in your own home city of Leeds.
    Just as with STPs this is yet another tactic to steamroller thru’ a series of measures without proper consultations with P&P.
    Not these ‘pretend’ reps of we, the P&P – such as self-declared Patient Leaders, and employees of the Gov’t financed VCS sector. What is needed is true reps of P&P, selected by us, and reporting back to us. Not people selected by NHS-E.
    It’s Our=NHS
    WE demand Our=Say

    • NHS England says:

      Hi Kassander

      Our engagement plans have been assured by NHS England’s Patient and Public Voice Assurance Group to ensure they are proportional to the impact the proposed changes may have and represent an appropriate use of NHS resources. We will consider holding further events if there is sufficient demand, although currently all these events have plenty of places remaining

      Kind regards
      NHS England

  3. Justin Mason says:

    Good to see IFRs on the list – present system really not working and hugely time consuming. Many requests seem to be dealt with by people with no experience of the rare disease in question?
    Kind regards
    Justin Mason

  4. Liz Blows says:

    Will the use of SCIg v IVIg be discussed?

    • NHS England says:

      Hi Liz

      Thank you for your comment.

      This consultation is about the processes NHS England will follow when making decisions about funding of treatments and interventions outside of a published policy or mandated NICE guidance. The consultation is not about specific treatments or interventions. If you are able to attend one of the webinars or engagement events you will be able to find out more about the proposals and what they may mean for patients.

      Kind regards
      NHS England

  5. Stephen Elsmere says:

    I am not sure that 12 weeks is along enough time for adequate considered consutation

    • NHS England says:

      Hi Stephen,

      Thank you for your comment.

      12 weeks is in line with Government best practice. As the consultation guide describes, these are not new policies. NHS England has had interim policies in place to cover these situations for some years. We have held a number of engagement events with key stakeholders (including patient groups) over the past 12 months to help inform the development of the policies prior to the launch of this formal consultation.

      Kind regards
      NHS England

  6. Chris McAteer says:

    Develop and plough into IAPT. Yes it works well with the stepped Care model, but the opportunity for it to be a stand alone (less referring/step-up and nipping mild to modertaes in the bud is currently under-recognised.

    • NHS England says:

      Hi Chris,

      Thank you for your comment however IAPT is outside the scope of this current consultation.

      Kind Regards
      NHS England