Population health management

This report describes population health management (PHM) approaches across ten different areas of England.  It sets out the benefits these approaches are bringing to patients and organisations, and the challenges that are being faced | NHS Clinical Commissioners

Population health management (PHM) – the use of data to identify specific groups within a population that may have similar characteristics and similar needs, and develop targeted interventions to meet those needs – was a notable theme of the NHS Long Term Plan.

This report brings together PHM stories from ten different areas of England to demonstrate the progress that has been already been made in advancing this approach to healthcare, and what more will need to be done.

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Image source: https://www.nhscc.org/

It shows that clinical commissioners are a key enabler of population health management approaches because they are well-connected across primary care and secondary care, with strong clinical leadership embedded in real-world practice. However, the report also identifies some real challenges around information governance and data sharing between organisations.

There are already some examples of where PHM is making a positive difference to patients, as well as wider benefits such as increased satisfaction among frontline clinical teams and closer collaboration between organisations.

This report clearly demonstrates that, while CCGs are at different stages of the PHM journey and may be approaching it in different ways, those who are going down this route are seeing the benefits and providing useful learnings for others to follow.

Full report: Advancing population health management | NHS Clinical Commissioners

See also: NHS Confederation blog

Commissioning liaison psychiatry services

The research in this report sought to identify the challenges faced by commissioners of liaison psychiatry services, and to see if these challenges were shared by hospital managers and mental health clinicians working within the services | Centre for Mental Heath

liaison psychiatry
Image source: http://www.centreformentalhealth.org.uk/

Commissioning liaison psychiatry services identifies four key issues facing commissioners:

  • It was felt that liaison services were subject to more tightly defined national frameworks than previously, which could limit their flexibility to respond to local needs
  • Liaison services were not always well connected with other mental health services
  • The creation of Integrated Care Systems provides an opportunity for joint commissioning of liaison services which could help to improve their consistency and connectedness
  • It was felt that there was insufficient data about activities or outcomes of liaison services, which made it more difficult to implement improvements

The report outlines a number of recommendations, including calls for acute hospitals to take a thorough audit of all mental health provision, and to adopt the outcome measurement framework proposed by Royal College of Psychiatrists.

Full document: Commissioning liaison psychiatry services | Centre for Mental Health

Thinking differently about commissioning

In recent years, national policy within the English NHS has promoted collaboration as a
key tool for improving health services. This report explores the implications of these ways of working for the development of integrated care systems, how NHS England and NHS Improvement’s regional teams operate, and wider ways of working among NHS national bodies.  

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This report aims to understand the approach being taken by some CCGs and local systems that are rethinking the role of commissioning; draw out learning for other areas as they work to change their approach; and explore the national policy implications of this new way of working and what national NHS bodies can do to support its development.

It is based around two CCGs (South Tyneside and Tameside and Glossop) and one group of CCGs (Bradford district and Craven).

Full report: Thinking differently about commissioning: learning from new approaches to local planning | The King’s Fund

Overview of the sexual health collaborative commissioning evaluation

Public Health England | January 2020 | Overview of the sexual health collaborative commissioning evaluation

Public Health England (PHE) has worked with partners to undertake a process evaluation of 4 localities that have been pioneering collaborative approaches to commissioning sexual health, reproductive health and HIV services between local government and the local National Health Service (NHS).

The main findings show that it is achievable for the responsible commissioners (local authorities, clinical commissioning groups and NHS England) to commission collaboratively and that this offers many potential benefits. For this to work effectively there needs to be:

  • clarity on the scope of the collaborative arrangements
  • clarity on, and understanding of, decision-making processes in each organisation
  • sufficient time to build local relationships and procure together
  • recognition of the importance of starting small and tackling manageable sized areas of work (Source: Public Health England)

Overview of the sexual health collaborative commissioning evaluation

NHS England will commission maternal intravenous immunoglobulin for the prevention of allo-immune fetal and neonatal haemochromatosis

NHS England |December 2019 |Maternal intravenous immunoglobulin for the prevention of allo-immune fetal and neonatal haemochromatosis 

NHS England will commission maternal intravenous immunoglobulin (IVIg) for the prevention of allo-immune fetal and neonatal haemochromatosis in accordance with the criteria outlined in this policy.

Clinical Commissioning Policy: Maternal intravenous immunoglobulin for the prevention of allo-immune fetal and neonatal haemochromatosis

 

Paediatric critical care and surgery in children review: Summary report

NHS England | November  2019 | Paediatric critical care and surgery in children review: Summary report

NHS England has summary report of the national review into paediatric critical care and specialised surgery in children, which took place in October 2016. The aims of the review were to ensure that services are sustainable and fit for the future, and to reduce any variation in the care being provided.

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Finance, Commissioning and Contracting Handbook

NHS England | August 2019 | Finance, Commissioning and Contracting Handbook

NHS England have published the Finance, Commissioning and Contracting Handbook for the NHS England Comprehensive Model for Personalised Care. It aims to provide finance, commissioning and contracting staff with the information required to implement personalised care locally.

Finance, Commissioning and Contracting Handbook