Disinvestment

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Resources used to support investment/disinvestments/decommissioning decisions and related stuff.

Kings Fund
Search the library database for decommissioning.

Planning, assuring and delivering Service Change for Patients NHS England 2018
A good practice guide for commissioners on the NHS England assurance process for major service changes and reconfiguration (including decommissioning). It sets out how new proposals for change are tested through independent review and assurance by NHS England, taking into account the framework of Procurement, Patient Choice and Competition Regulations.

Joint Working Protocol: When a hospital, services or facility closes at short notice,  NHS England 1 February 2018
Guidance to organisations when a hospital, service or facility closes unavoidably at short notice.

Doing more with less in health care : findings from a multi-method study of decommissioning in the English National Health Service. Journal of Social Policy (2018) v47(3) p543-64
Research from the University of Birmingham into decommissioning decisions discussed in relation to four themes: national-local relationships; organisational capacity and resources for decommissioning; the extent and nature of decommissioning; and intended outcomes of decommissioning.

Cost saving and resource planning, NICE (formerly NICE ‘do not do’ recommendations database)
NICE guidance and advice to help you to make the best use of resources by showing what’s worth investing in and what isn’t.

Decommissioning health care: identifying best practice through primary and secondary research a prospective mixed-methods study
Health Serv Deliv Res 2017;5(22) – this study led by Health Services Management Centre, University of Birmingham, uses expert interviews, a survey of CCGs, and four case studies of attempts to decommission services. It outlines good-practice principles for leading decommissioning processes and engaging service users and citizens, but suggests that no simple formula exists for doing decommissioning well.

Decommissioning Evidence Review , Midlands & Lancashire CSU Strategy Unit – Evidence Analysis Team, Dec 2014
Evidence to support the decommissioning process and covers decommissioning activity within the NHS, priority setting, tools used to inform decommissioning activity such as the PBMA. Includes case studies and examples of toolkits to support decommissioning. Also download  here.

The Art of Exit: Tackling the challenge of decommissioning in public services – See more at: http://www.nesta.org.uk/blog/art-exit-tackling-challenge-decommissioning-public-services#sthash.AfkhKkNm.dpuf
This report explores how public services approach decommissioning as part of their efforts to innovate. Not a technical guide to how to decommission or managing cuts.
“In writing this report, we have been struck by how rarely decommissioning is discussed in the context of service improvement and innovation, and how little guidance there is on how to overcome the real barriers to decommissioning in the public sector.”

Decommissioning : How to decommission public services delivered by third sector organisations and maintain value for money
An NAO guide which goes through what is meant by decommissioning, the principles underlying this guidance and some pre-conditions for successful decommissioning; and looks at the issues that arise and good practice that should be applied at different stages of decommissioning.

Decommissioning Toolkit: A best practice approach to meeting changing needs and delivering value for money, Croydon Council [no date]
Practical advice on the process and best practice principles when decommissioning.

Looking for value in hard times, Health Foundation 2012
How a new approach to priority setting can help improve patient care while making savings using new approach to priority setting called Star (socio-technical allocation of resources). It works by producing simple visual models, developed interactively with stakeholders, so that everyone involved can understand the nature of the choices to be made, and the disadvantages of not changing current practices.

Commissioning with the Community
A Health Foundation report exploring how the Isle of Wight used a value for money (VfM) approach to set local priorities.

Cochrane reviews with Implications for Practice that NICE might wish to consider when seeking to identify (1) an intervention that should not be used and (2) an intervention that should only be used in research (doc)
A report from October 2009 based on reading the Implications for practice section in all new and updated Cochrane reviews in Issue 1 2009 of The Cochrane Library.

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Decommissioning and reconfiguring services: A good practice guide for commissioners of adult social care (Nov 2010)
Developing Intelligent Commissioning Programme” from Yorkshire & Humber Joint Improvement Partnership.

NHS South East Essex Decommissioning & Disinvestment toolkit, 2010
Agreed principles for decommissioning.

Guide to Decommissioning and Service Reconfiguration in Adult Social Care
This guide from the Institute of Public Care describes the four key stages of service reconfiguration, and offers a checklist on the key activities needed to ensure the process is carried out as effectively as possible.

Short-notice care home closures: a guide for local authority commissioners, SCIE 2011. This guide helps commissioners, particularly local authority staff, to manage care home closures at short notice in situations that may be unexpected and therefore unplanned.

Getting out of Hospital? – Health Foundation 2011
A rapid review found that moving care from hospitals into the community improves patient satisfaction, but little  evidence of the necessary systematic decommissioning of hospital care.

Save to Invest – Exec Summary
A 2007 case study  from the London Health Observatory looking at adopting common service access criteria across the whole of London.

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