Commissioning primary care services

NHS England has updated the Primary medical care policy and guidance manual to reflect the changing landscape in primary care co-commissioning.   This document provides commissioners of primary care services the context, information and tools to safely commission and contract manage primary medical care contracts.

The document is split into four sections:

Part A – Excellent Commissioning and Partnership Working

Part B – General Contract Management

Part C – When things go wrong

Part D – General

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Reducing delayed transfers of care over winter

NHS Improvement has written to the chief executives of all trusts providing community services setting out actions they must implement to reduce delayed transfers of care over winter. | NHS Improvement | HSJ

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NHS Improvement  chief executive Jim Mackey has said trusts must help improve delayed discharges over winter and listed six actions they need to carry out in the next six months:

  1. Facilitate the sharing of patient data with acute and social care partners and from 7 November ensure daily situation reports are completed “to enable better understanding of community services at a national level”.
  2. Jointly assess discharge pathways with local partners including “being an active participant in the local acute provider’s discharge and hosting operational discussions daily where necessary to discharge patients in community settings”.
  3. Develop “discharges hubs” over the next six months and beyond, designed to be a single point of access for patients moving between acute and community services.
  4. Ensure a “robust patient choice policy” is implemented.
  5. Clarify to partner organisations what services the trust offers to patients.
  6. Ensure collection of patient flow data and data on plans to improve patient flow.

Full detail is given by NHS Improvement who have produced the following  report to help improve flow into and out of community health services:

Flow in providers of community health services: good practice guidance

Related HSJ article: Trust chiefs given new instructions to tackle winter DTOCs

Suicide Prevention Planning Guidance – One Year On

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Image source: Public Health England/National Suicide Prevention Alliance.

In this latest Public Health Matters article, Helen Garnham and Gregor Henderson look at the progress made since the publication of Public Health England’s  suicide prevention planning guidance

Along with the National Suicide Prevention Alliance  (NSPA), Public Health England have produced a range of resources to support suicide prevention, and the latest release includes examples of good practice and a series of case studies.

These are supported by a slide pack which professionals can use to make the case and provide guidance on developing suicide prevention activities as well as a range of infographics. 

Full detail via Public Health Matters

Improving air quality across England

Councils should do more to enforce no vehicle idling outside schools, hospitals, and care homes, to protect the vulnerable from the harmful effects of air pollution and improve air quality across England. | NICE | Public Health England | via OnMedica

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Joint guidance issued today from NICE and Public Health England (PHE) suggests bylaws to enforce engine switch-off while cars are stationary could help protect the vulnerable from the harmful effects of air pollution.

Air pollution is harmful to everyone, but some people are more at risk than others, it says: children and young teens and older people are more susceptible, as are those with respiratory conditions or heart problems. PHE estimate long-term exposure to particulate air pollution has ‘an effect equivalent to’ around 25,000 deaths a year in England, making air pollution the largest environmental risk linked to deaths every year. The health impact of air pollution caused by human activities in the UK is thought to cost between £8.5 and £18.6 billion a year.

Full story at OnMedica

Download the guidance: Air pollution: outdoor air quality and health

Start active, stay active

The Department of Health has produced a series of infographics as part of it’s ‘Start active, stay active’ series explaining the physical activity required to achieve general health benefits for different age ranges.

forest-662427_1920The following infographics relate to the report by the UK’s 4 Chief Medical Officers for the NHS, local authorities and a range of other organisations designing services to promote physical activity.

Physical activity for pregnant women

Physical activity benefits for babies and children (birth-5 years old)

Physical activity for children and young people (5-18 years old)

Physical activity benefits infographic for adults and older people

National child measurement programme operational guidance

Guidance for local commissioners, providers and schools on running the national child measurement programme (NCMP) as part of the government’s commitment to tackling the public health challenge of excess weight.

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The publication of the Childhood Obesity Plan: A Plan for Action, in August 2016 shows that tackling child obesity is a priority for the Government. The plan aims to significantly reduce England’s rate of childhood obesity within the next ten years. Most local authorities have also identified addressing childhood obesity as a key issue in their health and wellbeing strategies, and reducing obesity is prioritised in many Sustainability and Transformation Plans.

The NCMP is key to monitoring the progress of the Government’s Childhood Obesity Plan. It provides the data for the Public Health Outcomes Framework indicators on “excess weight in children aged four to five years and ten to 11 years.” Because the data is valid at local level, it can also be used to inform the development and monitoring of local childhood obesity strategies.

National child measurement programme operational guidance

National child measurement programme: information for schools

Adult weight management

Public Health England has published guidance to support the commissioning and delivery of tier 2 adult weight management services.

This guidance supports commissioners and providers of tier 2 adult weight management services, including:

  • local authorities (LAs)
  • clinical commissioning groups (CCGs)
  • NHS institutions

The guidance is published under the following categories: following categories:

Commission and provide

Adult weight management services: commission and provide

Weight management services: insights into user experiences

Interventions

Data collection