QIPP Prescribing

PrescQIPP https://www.prescqipp.info/

This resource is specifically aimed at primary care commissioners that support quality, optimised prescribing for patients. An NHS funded not-for-profit organisation it publishes evidence-based resources and tools and a platform to share innovation across the NHS.

The site includes a number of Webkits of topical interest – collections of resources around a range of topics including Care Homes, Polypharmacy & deprescribing, Transfer of care and Self care.

Registration is free to NHS organisations including CCGs and CSUs.

It has been added to the page of resources for specific conditions and Best practice and innovation of the Handbook.

No magic bullet for managing demand in planned care

There is no best practice manual to be found out there or in this report to guide health-care personnel on when, where and how to make referrals.”

That is the conclusion of this realist synthesis of evidence around demand management for planned care, but the report does stress that it is not a hopeless, unfathomable, insoluble task. There are many, diverse, hard-won, local and adaptive solutions. The report presents evidence behind a range of  the common approaches in detail, including- referral management systems, GPWSpIs and use of guidelines, and the final chapter offers some guidance on how commissioners might ‘think through’ the interdependencies through a series of Prompts.

A really useful addition to our Hot Topic on Demand Management page.

Pawson R, Greenhalgh J, Brennan C. Demand management for planned care: a realist synthesis. Health Serv Deliv Res 2016;4(2)

Resources from health service reviews

There are many health service reviews going on across the country, and sometimes they publish useful resources which can be used elsewhere. Two examples here:

Compendium of Clinical Evidence (December 2014) is a collection of guidelines and standards compiled for the review in Dorset  – see Dorset VIsion. There is also a compilation of case examples on models of care.  The authors are not named.

The review in Shropshire – Future Fit –  was supported by Central Midlands CSU who carried out rapid reviews of the evidence across the different services which are published here.

These have been added to the Handbook. If you come across other useful resources like this do send the link to anne.gray5@nhs.net.

Evidence Live 2016

Hi all
One of the themes of Evidence Live 2016 is on the use of evidence in commissioning –

Theme 5. Translating Evidence into Better-Quality Health Services
Commissioning health services based on evidence remains a priority for affordable health-care that does not waste unnecessary resources. Abstracts are sought that focus on:
• Consider the science behind the implementation of evidence in practice
• Recognize the facilitators and barriers to implementation as well as how they might be utilized or overcome
• Discuss the challenges and methods to improve the development of evidence based clinical policy
• Facilitate improved access to the highest quality evidence for translation into quality of patient care

Deadline: Workshops – November 30th 2015, Oral & Poster – January 30th 2016

It would be great if we could get NHS LKS submissions here. Any ideas?



Recent additions – what have you found?

Need to nurture: outcomes-based commissioning in the NHS

Demonstrating the Value of Community Services –

The Integrated Care Evaluation Framework ((ICE-F): a realistic evaluation of integrated health and social care services in Wales.

A Short Guide to the Department of Health

The legislative landscape in mental health 

Key Data on Adolescence 2015 

All suggestions to anne.gray5@nhs.net please!

How does primary care affect unscheduled care? – systematic review

Primary care factors and unscheduled secondary care: a series of systematic reviews. from the Centre of Academic Primary Care, University of Bristol,  2014
This is a very a very unusual document, not only does it give a clear presentation of how primary care organisation directly impacts on unscheduled care, but it also suggests what this means for commissioning of new services.

NEW Hot Topic on acute services in the community

We are still collecting resources for a new Hot Topic page on Acute services in the Community. Thanks to John Gale and Erica Rae – but keep them coming.

We will publish a draft page as soon as there is sufficient material, but are still looking for someone to take responsibility for the content.

Current editors will do the Handbook edits – any  volunteers?

Do let us know on anne.gray5@nhs.net.

New stuff in the Handbook

An overview about cancer statistics, from National Cancer Intelligence Network including information on the latest statistics publicly available and where to find them, published in July 2015.

Enhancing access in primary care settings an evidence briefing produced by the Centre for Reviews and Dissemination (June 2015) – a hot topic at the moment. Highlighted are  extended hours, telephone consultation, role substitution and implications of these for the whole system.

The review by the EPPI Centre on Commissioning in health, education and social care was published in 2012 but is a useful systematic review of the research evidence on the impact of commissioning and/or reviews that consider the models of commissioning used and evidence about impacts across different sectors.