Referral management schemes: good for whom?

BMJ has done some investigation into referral management systems through FOI requests. It is hoped that these schemes will reduce costs and improve the quality of referrals. Of the 184 CCGs that responded, 72 (39%) said that they currently commissioned some form of referral management scheme.

Read the report here: Referral management schemes: good for whom? BMJ 2017;356:i6856 (NHS OpenAthens ID required)
This has been added to the GP Referrals and demand management Hot Topic page.

Commissioning to prevent falls

Effective commissioning for falls and fracture prevention will reduce demand and improve quality and outcomes. A consensus statement published by PHE compiled by the National Falls Prevention Coordination Group –  Falls and fracture consensus statement: supporting commissioning for prevention  brings together proven approaches to interventions and activities which help to prevent falls and fractures but which are currently not always managed effectively.

Added to the Older People section of the Resources for Specific Populations page.


Integration resources and outcomes based contracting

In these days of increasing integration with the SPTs the Integration resource library from the LGA will be very useful. It includes definitions, FAQs, tools and resources to support the development of local integrated health and care services.

Also, I found a series of reports from Optimy Advisory on Outcomes Based Contracting, published in 2015 but potentially still useful. Topics include System Readiness, Business Case, Outcome Measures, Business Intelligence, Payment and Reimbursement and Governance. See the series here.

New End of Life / Palliative care knowledge hub

For those involved in end of life care/palliative care this new Knowledge Hub will be of interest:

Ambitions for Palliative and End of Life Care

“A knowledge hub where you can find resources, such as assessment tools, useful information, best practice examples and case studies, that will help you implement the Ambitions framework.” Many of the resources have been transferred from the NHS IQ and the End of Life Care Facilitators’ Network websites.

Now listed on the Specific Conditions page.

Commissioning Guidance from TVSCN

Thames Valley Strategic Clinical Networks publishes an annual compilation of Commissioning Guidance & Case Studies covering a wide range of specialisms including LTCs, end of life care, maternity, children, cardiovascular, cancer, neurological conditions and mental health. The Guidance bring national priorities and thought leadership to the local context, benchmarking systems and providing recommendations for action. It distills not only ‘what to do’ but also ‘how to do it’ with best practice examples and sources of help.

While the data and examples are taken from the Thames Valley area, the resources will be of general interest.

The 2016-17 Guidance is available here

Demand Management: Good Practice Guide

NHS England has published a Demand Management: Good Practice Guide  which gives a list of initiatives and actions that CCGs should implement locally to effectively manage the increasing demand for elective care services, in particular reduce unnecessary outpatient appointments.

The guide outlines the elements CCGs are expected to include in their approach to demand management:

  • Peer Review of Referrals
  • Shared Decision Making
  • Choice
  • Advice and Guidance
  • Alternatives to Outpatient Appointments
  • Consultant-to Consultant Referral Protocols
  • Direct Access to Diagnostics
  • Management and Monitoring of Outpatient
  • Follow up Appointments

This has been added to the Demand Management Hot Topic page.