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Effective Healthcare Commissioning: Meeting Local Needs and Ensuring Service Efficiency

This document outlines the principles and practices of effective healthcare commissioning, emphasizing the importance of identifying and quantifying the healthcare needs of the local population. It discusses purchasing appropriate services to meet these needs across various sectors, including NHS trusts, independent sectors, and voluntary organizations. The role of Government policy, particularly Payment By Results (PbR), is explored in terms of promoting efficiency, patient choice, and sustainability. Additionally, it covers the importance of monitoring service agreements and addressing variances in expenditures to inform future planning.

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Effective Healthcare Commissioning: Meeting Local Needs and Ensuring Service Efficiency

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  1. PCT COMMISSIONING Alex Wilson & Sharon Dodson

  2. COMMISSIONING • Establish healthcare needs of local population • Quantify the demand for these services • Purchase of appropriate services in order to meet those needs

  3. Providers of Healthcare • NHS Trusts • Foundation Trusts • Independent Sector • Voluntary Sector • PCT Provider arm • Primary Care

  4. Government Policy • Payment By Results (PBR) • Choice • 18 Weeks

  5. Payment By Results (PBR) • The aim of PBR: • Provide a transparent, rules based system for paying trusts • Reward efficiency • Support patient choice • Encourage activity for sustainable waitng time reductions • Payment linked to activity and adjusted for casemix.

  6. Translation • The cost of activity is the same wherever the patient is treated • We only pay providers for activity received • The patient can choose where and when they are treated • Allows primary care services to be developed • Aims to provide more and better services in more convenient locations for the population

  7. Specialist Services • Mental Health & Learning Disabilities • Continuing Care • L6 Compassionate Care • L5 Continuing Care • L4 Rehab/Social Care (OATS) • L3 Funded Nursing Care • L1 & 2 Social Care

  8. The Commissioning Day Job • Agree Service Level Agreements at start of year • Monitor on a monthly basis the activity and expenditure • Compare to the planned SLA • Identify activity & expenditure variances • Forecast financial outturn • Use all of above to inform following years capacity planning round

  9. The Wider Picture • Risks • Impact of service changes on local acute providers • Move to Practice Based Commissioning (PBC)

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