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)
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.
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.
Voluntary and community organisations provide essential support for people’s mental health that complements what statutory services can offer, but financial pressures are putting them under severe strain, according to preliminary research published today by Centre for Mental Health
This document seeks to raise a number of questions and issues about the relationships between VCSE and statutory organisations in supporting people’s mental health and wellbeing. Many of these will require investigation in greater depth and further consideration to develop policy and practice changes where these are needed.
Arm in arm is based on interviews with both commissioners and providers of voluntary sector mental health support. It shows that commissioners in both local government and the NHS were keenly aware of the extra value that voluntary and community organisations can bring. Some commissioners had taken action specifically to support voluntary and community organisations to get funding and retain their distinctive approaches. But they were frustrated that competition for contracts often stopped organisations from working well together and could lead to come going out of business altogether.
The report finds that the deepest disagreements between commissioners and voluntary sector organisation often centred on monitoring and accountability. Commissioners need to know that public money was being well spent but most voluntary sector organisations don’t have the data collection capabilities of NHS trusts or larger private sector companies. Some had sought to resolve this through evaluation and qualitative evidence of impact rather than onerous outcome monitoring measures.
Social Care Institute for Excellence | June 2019 | Carers’ breaks: guidance for commissioners and providers
The Social Care Institute for Excellence (SCIE) has released Carers’ breaks: guidance for commissioners and providers, which is designed to provide guidance for commissioners, providers and others involved in the planning, shaping and delivery of support for adult carers, primarily in England.
Among the report’s key messages are:
Almost half (46%) of carers have not had a break in the last five years
Breaks are essential – they make a real difference enabling carers to continue caring and to maintain their own health and wellbeing. They support positive relationships. Good breaks, as part of a range of support, help prevent ill-health, stress, isolation, crisis and breakdown.
Good commissioning will seek to understand diversity of needs, ensure co-production and facilitate partnerships with stakeholders and providers to develop a positive local breaks offer.
Carers need a genuine choice of breaks. Market shaping by commissioners and good business planning by providers – including diversifying services – can help deliver this choice. Flexible funding can help local groups and social enterprises to deliver tailored, innovative solutions and improve equality of access to breaks.