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.

Updated PHE Data and Knowledge Gateway

The Public Health England Data and knowledge gateway has been rebadged as PHE data and analysis toolsIt is a single point of access to data and analysis tools produced by organisations that are now part of PHE – including  public health observatories, the Health Protection Agency, and cancer registries. The resources cover a wide range of public health areas, including:

  • specific health conditions – such as cancer, mental health, cardiovascular disease
  • lifestyle risk factors – such as smoking, alcohol and obesity
  • wider determinants of health – such as environment, housing and deprivation
  • health protection, and differences between population groups, including adults, older people, and children.

See the Datasets page.

New Diabetes evidence collection

A new Dementia Evidence Toolkit  which brings together the key evidence around this important area is now available. It was  developed as part of the MODEM (Modelling the Outcome and Cost Impacts of Interventions for Dementia) project and includes:

This resource has been added the to Conditions page of the Handbook

Services that provide emergency care to older people in their own homes

A recent request on the LIS Medical mailing list asked people for examples of services that provide emergency care to older people in their own homes – and the group came up with a number of really useful examples. These have been added to our Hot Topic page – Acute Services in the Community under Case studies by Clinical Specialty – Frail Elderly.

This is a great example of collaborative work between medical librarians.

Dementia and Housing

Following a suggestion from a reader, we have added the following to the Dementia section of the page on specific conditions:

Dementia and housing: An assessment tool for local commissioning a self-assessment tool by Housing LIN which focuses on local commissioning processes and decision-making. The tool combines all available assets and resources to create the conditions that reduce the risk of developing dementia, and to develop a framework of support to help those with dementia, their families and carers, to have as good a quality of life as possible.

Submit your suggestions for the Handbook to Anne Gray.

Communities of practice in commissioning

I was asked recently if I could suggest places where commissioners share their experiences, or ask their commissioner colleagues for advice or help. We know that colleagues are the first port of call for commissioners to get advice (or even evidence), so I decided to pull together a list of those I know about.

There must be more so take a look at the Communities of practice page and forward your suggestions to me.

Anne Gray

Are outpatients services better in the community?

Outpatient services and primary care: scoping review, substudies and international comparisons. Health Serv Deliv Res 2016;4(15)

This study updates a 2006 literature review on ways of improving the effectiveness and efficiency of hospital outpatient services. A review of the current literature found that substantial areas of care traditionally given in hospitals can be transferred to primary care. For example, relocating specialists to work in the community is popular with patients, and joint working between specialists and general practitioners (GPs) can be of substantial educational value. A series of substudies investigated five areas: referral management centres, in-house review of referrals by GPs, financial incentives to reduce referrals, consultants contracted to community organisations and, last, international experiences of moving care from hospital into the community. They conclude that high-quality care in the community can be provided for many conditions and is popular with patients, but may not always be cheaper.

Added to the Acute Care in the community page of the Handbook.

Health Statistics Landscape

The UK Statistics Authority recently convened a round table meeting with leaders of health statistic providers in England to discuss making the health and care statistics system more helpful, innovative, professional, efficient and capable.

A useful appendix item from the round table was a pdf document detailing the current health statistics landscape in England.  The landscape shows which providers hold which datasets; it doesn’t include URLs, years available, geographies etc but it may be a good starting point for scoping out a new topic.

This has been added to the Datasets page of the Handbook.