This presentation was made by Tom LING, Rand Europe, at the 5th Meeting of the joint OECD DELSA/GOV Network on Fiscal Sustainability of Health Systems held on 4-5 February 2016 at the OECD Conference Centre in Paris.
These slides were presented by Ali-Jan Haider head of commissioning for Bradford District's Clinical Commissioning Group at the Digital Health and Well-Being Festival. Part of the Start-up Support Session 1.
These slides were presented by Ali-Jan Haider head of commissioning for Bradford District's Clinical Commissioning Group at the Digital Health and Well-Being Festival. Part of the Start-up Support Session 1.
Dr Liz Mear, Chief Executive of the Innovation Agency presented at NHS Confed 17 about the NHS’ role in growing local economies and how Academic Health and Science Networks (AHSNs) can generate economic growth in life sciences through their role as catalysts, connectors and collaborators by spreading innovation, advancing health technology and improving healthcare
Master slide deck from the Excel in Health webinar series: The NHS landscape presentation.
This webinar identifies the structure of the NHS and its national priorities.
The session will cover the following topics:
Understand the structure of the NHS
Understand the national priorities of the NHS
Recognise the barriers to sale
New Models of Care Strategy for Vanguards and PioneersHIMSS UK
Helen Arthur, Technology Vanguards Lead, NHS England
Mark Gollege, Local Government Association
Indi Singh, Interoperability Lead, NHS England
Andy Evans, Sherwood Forest Hospitals
Rebecca Rosen: Trends in the organisation of hospital servicesNuffield Trust
In this slideshow Dr Rebecca Rosen, Senior Fellow, Nuffield Trust, explores recent trends and strategic choices in the organisation of hospital services in Europe.
Dr Rosen spoke at the Nuffield Trust European Summit 2014, supported by KPMG.
eHealth Summit: "Case Study: The applied research for connected health (ARCH)...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Maria Quinlan, Research Lead Change Work-Package, ARCH.
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
eHealth Summit: "ICT Use in Irish General Practices: An Intra-Practice Adopti...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Jane Bourke, Lecturer in Economics, University College Cork.
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
eHealth Summit: "Delivering Services that are Fit for the Future: From Strate...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Prof George Crooks OBE, Medical Director NHS 24 and Director, Scottish Centre for Telehealth and Telecare
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
Midlands and East GP Forward View access update event July 2017NHS England
A presentation from the GP Forward View update event in July 2017 for Midlands and East, giving the latest information on improved access to primary care.
Julie Henderson (Head of Analytical Services - HSCIC) presented with Shaun Rowark (Technical Analyst, Quality Standards - NICE) at the recent "Commissioning in Healthcare show (CiH 2015) ".
Areas covered include:
· NICE quality standards: These are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. Derived from the best available evidence, they can enable commissioners to be confident that the services they are purchasing are high quality, cost effective and focused on driving up quality.
· Real life examples of how quality standards are being used by commissioners, possible barriers to implementation and advice on how to overcome these
· Data available from the HSCIC and how to use these to support the commissioning process
Allied health professions as agents of change in reshaping care E33 (1#2)Sophie40
AHPs are uniquely placed in delivering outcomes for integration as they already work across health, social care and the third sector. This workshop will highlight some innovative examples of partnership working, pose questions and initiate debate. Key themes explored will include how putting the person at the centre can improve the individuals care and experience and how self-management and enablement can empower individuals, families and carers. Contributed by: Scottish Government - Allied Health Professionals team
Academic Health Science Networks supporting strategic commissioningInnovation Agency
Dr Liz Mear, Chief Executive of the Innovation Agency, presented at NHS Confed 17 on Academic Health Science Networks (AHSNs) supporting strategic commissioning and bringing innovators, commissioners, clinicians and patients to together to develop closer collaboration and a demonstrably clearer understanding of NHS needs and opportunities.
Commissioning for outcomes,
Wednesday 21 January 2015 - 13.00 to 13.45
Hosted by Bob Ricketts CBE, Director of Commissioning Support Services and Market Development for NHS England.
Dr Liz Mear, Chief Executive of the Innovation Agency presented at NHS Confed 17 about the NHS’ role in growing local economies and how Academic Health and Science Networks (AHSNs) can generate economic growth in life sciences through their role as catalysts, connectors and collaborators by spreading innovation, advancing health technology and improving healthcare
Master slide deck from the Excel in Health webinar series: The NHS landscape presentation.
This webinar identifies the structure of the NHS and its national priorities.
The session will cover the following topics:
Understand the structure of the NHS
Understand the national priorities of the NHS
Recognise the barriers to sale
New Models of Care Strategy for Vanguards and PioneersHIMSS UK
Helen Arthur, Technology Vanguards Lead, NHS England
Mark Gollege, Local Government Association
Indi Singh, Interoperability Lead, NHS England
Andy Evans, Sherwood Forest Hospitals
Rebecca Rosen: Trends in the organisation of hospital servicesNuffield Trust
In this slideshow Dr Rebecca Rosen, Senior Fellow, Nuffield Trust, explores recent trends and strategic choices in the organisation of hospital services in Europe.
Dr Rosen spoke at the Nuffield Trust European Summit 2014, supported by KPMG.
eHealth Summit: "Case Study: The applied research for connected health (ARCH)...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Maria Quinlan, Research Lead Change Work-Package, ARCH.
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
eHealth Summit: "ICT Use in Irish General Practices: An Intra-Practice Adopti...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Jane Bourke, Lecturer in Economics, University College Cork.
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
eHealth Summit: "Delivering Services that are Fit for the Future: From Strate...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Prof George Crooks OBE, Medical Director NHS 24 and Director, Scottish Centre for Telehealth and Telecare
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
Midlands and East GP Forward View access update event July 2017NHS England
A presentation from the GP Forward View update event in July 2017 for Midlands and East, giving the latest information on improved access to primary care.
Julie Henderson (Head of Analytical Services - HSCIC) presented with Shaun Rowark (Technical Analyst, Quality Standards - NICE) at the recent "Commissioning in Healthcare show (CiH 2015) ".
Areas covered include:
· NICE quality standards: These are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. Derived from the best available evidence, they can enable commissioners to be confident that the services they are purchasing are high quality, cost effective and focused on driving up quality.
· Real life examples of how quality standards are being used by commissioners, possible barriers to implementation and advice on how to overcome these
· Data available from the HSCIC and how to use these to support the commissioning process
Allied health professions as agents of change in reshaping care E33 (1#2)Sophie40
AHPs are uniquely placed in delivering outcomes for integration as they already work across health, social care and the third sector. This workshop will highlight some innovative examples of partnership working, pose questions and initiate debate. Key themes explored will include how putting the person at the centre can improve the individuals care and experience and how self-management and enablement can empower individuals, families and carers. Contributed by: Scottish Government - Allied Health Professionals team
Academic Health Science Networks supporting strategic commissioningInnovation Agency
Dr Liz Mear, Chief Executive of the Innovation Agency, presented at NHS Confed 17 on Academic Health Science Networks (AHSNs) supporting strategic commissioning and bringing innovators, commissioners, clinicians and patients to together to develop closer collaboration and a demonstrably clearer understanding of NHS needs and opportunities.
Commissioning for outcomes,
Wednesday 21 January 2015 - 13.00 to 13.45
Hosted by Bob Ricketts CBE, Director of Commissioning Support Services and Market Development for NHS England.
The Organisation of Integrated Care: Encouraging collaboration through contractual mechanisms
Wednesday 4 February 2015 1pm – 1.45pm
Dr Rachael Addicott, Senior Research Fellow, The Kings Fund & Beverley Matthews, LTC Programme Lead, NHS Improving Quality
Transforming Clinical Practice InitiativeCitiusTech
The Transforming Clinical Practice Initiative (TCPI) is designed to help small practices and clinicians achieve large-scale health transformation. The initiative is designed to support more than 140,000 clinician practices over four years duration in sharing, adapting and further developing their comprehensive quality improvement strategies. The TCPI is one part of a unique strategy advanced by the Affordable Care Act to strengthen the quality of patient care and manage health care expenditures, ultimately saving the taxpayer from substantial costs. This document describes the initiative in detail with the type of participants, eligibility and reporting requirements of the participants. Understanding the implementation of this initiative not only helps clinicians, but opens up a huge market for Healthcare IT companies offering the products and services like EHR implementation, Integration, EHR/ Data Migration, Implementation of HIE etc.
New Care Models - the story so far, pop up uni, 2pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Jo Partington, AHP Lead at the Department of Health, Transforming Community Services, addresses AHP Leadership Challenges, Referral to Treatment Project, Service Improvement Project and Transforming Community Services. COT Annual Conference 2010 (22-25 June 2010)
Seeking value: Experience from the UK's National Institute for Health and Car...OECD Governance
This presentation was made by Tommy Wilkinson, United-Kingdom, at the 4th meeting of the Joint DELSA/GOV-SBO Network on Fiscal Sustainability of Health Systems, held in Paris on 16-17 February 2015.
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...STELIOS PIGADIOTIS
Goals of research effort
1. Hands on analysis of GCC and specifically UAE healthcare market.
2. Proposed 2016 strategies for CEOs in GCC healthcare ecosystem
Karen Livingstone - ECO 17: Transforming care through digital healthInnovation Agency
Presentation by Karen Livingstone, Director of Innovation Exchange and SBRI Healthcare, NHS England: Transforming Health and Social Care Services - The Innovation Exchange and SBRI Healthcare at ECO 17: Transforming care through digital health on Tuesday 4 December at Lancaster University, Lancaster
Summary of the OECD expert meeting: Construction Risk Management in Infrastru...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
Using AI led assurance to deliver projects on time and on budget - D. Amratia...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
ECI in Sweden - A. Kadefors, KTH Royal Institute of Technology, Stockholm (SE)OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
Building Client Capability to Deliver Megaprojects - J. Denicol, professor at...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
Procurement strategy in major infrastructure: The AS-IS and STEPS - D. Makovš...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
Procurement of major infrastructure projects 2017-22 - B. Hasselgren, Senior ...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
ECI Dutch Experience - A. Chao, Partner, Bird&Bird & J. de Koning, Head of Co...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
ECI in Sweden - A. Kadefors, KTH Royal Institute of Technology, StockholmOECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
EPEC's perception of market developments - E. Farquharson, Principal Adviser,...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
Geographical scope of the lines in Design and Build - B.Dupuis, Executive Dir...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
Executive Agency of the Dutch Ministry of Infrastructure and Water Management...OECD Governance
Presented at the OECD expert meeting "Construction Risk Management in Infrastructure Procurement: The Loss of Appetite for Fixed-Price Contracts", held on 17 May 2023 at the OECD, Paris and online.
Presentation of OECD Government at a Glance 2023OECD Governance
Paris, 30 June, 2023
Presentation by Elsa Pilichowski, Director for Public Governance, OECD.
The 2023 edition of Government at a Glance provides a comprehensive overview of public governance and public administration practices in OECD Member and partner countries. It includes indicators on trust in public institutions and satisfaction with public services, as well as evidence on good governance practices in areas such as the policy cycle, budgeting, procurement, infrastructure planning and delivery, regulatory governance, digital government and open government data. Finally, it provides information on what resources public institutions use and how they are managed, including public finances, public employment, and human resources management. Government at a Glance allows for cross-country comparisons and helps identify trends, best practices, and areas for improvement in the public sector.
See: https://www.oecd.org/publication/government-at-a-glance/2023/
The Protection and Promotion of Civic Space: Strengthening Alignment with Int...OECD Governance
Infographics from the OECD report "The Protection and Promotion of Civic Space Strengthening Alignment with International Standards and Guidance".
See: https://www.oecd.org/gov/the-protection-and-promotion-of-civic-space-d234e975-en.htm
OECD Publication "Building Financial Resilience
to Climate Impacts. A Framework for Governments to manage the risks of Losses and Damages.
Governments are facing significant climate-related risks from the expected increase in frequency and intensity of cyclones, floods, fires, and other climate-related extreme events. The report Building Financial Resilience to Climate Impacts: A Framework for Governments to Manage the Risks of Losses and Damages provides a strategic framework to help governments, particularly those in emerging market and developing economies, strengthen their capacity to manage the financial implications of climate-related risks. Published in December 2022.
OECD presentation "Strengthening climate and environmental considerations in infrastructure and budget appraisal tools"
by Margaux Lelong and Ana Maria Ruiz during the 9th Meeting of the OECD Paris Collaborative on Green Budgeting held on 17 and 18 of April 2023 in Paris.
OECD presentation "Building Financial Resilience to Climate Impacts. A Framework to Manage the Risks of Losses and Damages" by Andrew Blazey, Stéphane Jacobzone and Titouan Chassagne. Presented during the 9th Meeting of the OECD Paris Collaborative on Green Budgeting held on 17 and 18 of April 2023 in Paris
OECD Presentation "Financial reporting, sustainability information and assurance" by Peter Welch during the 5th Session during the 9th Meeting of the OECD Paris Collaborative on Green Budgeting held on 17 and 18 of April 2023 in Paris
Presentation "Developments in sovereign green bond markets" by Ms. Fatos Koc during the 4th Session of 9th Meeting of the OECD Paris Collaborative on Green Budgeting held on 17 and 18 of April 2023 in Paris.
Preliminary findings _OECD field visits to ten regions in the TSI EU mining r...OECDregions
Preliminary findings from OECD field visits for the project: Enhancing EU Mining Regional Ecosystems to Support the Green Transition and Secure Mineral Raw Materials Supply.
About Potato, The scientific name of the plant is Solanum tuberosum (L).Christina Parmionova
The potato is a starchy root vegetable native to the Americas that is consumed as a staple food in many parts of the world. Potatoes are tubers of the plant Solanum tuberosum, a perennial in the nightshade family Solanaceae. Wild potato species can be found from the southern United States to southern Chile
Synopsis (short abstract) In December 2023, the UN General Assembly proclaimed 30 May as the International Day of Potato.
RFP for Reno's Community Assistance CenterThis Is Reno
Property appraisals completed in May for downtown Reno’s Community Assistance and Triage Centers (CAC) reveal that repairing the buildings to bring them back into service would cost an estimated $10.1 million—nearly four times the amount previously reported by city staff.
Combined Illegal, Unregulated and Unreported (IUU) Vessel List.Christina Parmionova
The best available, up-to-date information on all fishing and related vessels that appear on the illegal, unregulated, and unreported (IUU) fishing vessel lists published by Regional Fisheries Management Organisations (RFMOs) and related organisations. The aim of the site is to improve the effectiveness of the original IUU lists as a tool for a wide variety of stakeholders to better understand and combat illegal fishing and broader fisheries crime.
To date, the following regional organisations maintain or share lists of vessels that have been found to carry out or support IUU fishing within their own or adjacent convention areas and/or species of competence:
Commission for the Conservation of Antarctic Marine Living Resources (CCAMLR)
Commission for the Conservation of Southern Bluefin Tuna (CCSBT)
General Fisheries Commission for the Mediterranean (GFCM)
Inter-American Tropical Tuna Commission (IATTC)
International Commission for the Conservation of Atlantic Tunas (ICCAT)
Indian Ocean Tuna Commission (IOTC)
Northwest Atlantic Fisheries Organisation (NAFO)
North East Atlantic Fisheries Commission (NEAFC)
North Pacific Fisheries Commission (NPFC)
South East Atlantic Fisheries Organisation (SEAFO)
South Pacific Regional Fisheries Management Organisation (SPRFMO)
Southern Indian Ocean Fisheries Agreement (SIOFA)
Western and Central Pacific Fisheries Commission (WCPFC)
The Combined IUU Fishing Vessel List merges all these sources into one list that provides a single reference point to identify whether a vessel is currently IUU listed. Vessels that have been IUU listed in the past and subsequently delisted (for example because of a change in ownership, or because the vessel is no longer in service) are also retained on the site, so that the site contains a full historic record of IUU listed fishing vessels.
Unlike the IUU lists published on individual RFMO websites, which may update vessel details infrequently or not at all, the Combined IUU Fishing Vessel List is kept up to date with the best available information regarding changes to vessel identity, flag state, ownership, location, and operations.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Donate to charity during this holiday seasonSERUDS INDIA
For people who have money and are philanthropic, there are infinite opportunities to gift a needy person or child a Merry Christmas. Even if you are living on a shoestring budget, you will be surprised at how much you can do.
Donate Us
https://serudsindia.org/how-to-donate-to-charity-during-this-holiday-season/
#charityforchildren, #donateforchildren, #donateclothesforchildren, #donatebooksforchildren, #donatetoysforchildren, #sponsorforchildren, #sponsorclothesforchildren, #sponsorbooksforchildren, #sponsortoysforchildren, #seruds, #kurnool
Working with data is a challenge for many organizations. Nonprofits in particular may need to collect and analyze sensitive, incomplete, and/or biased historical data about people. In this talk, Dr. Cori Faklaris of UNC Charlotte provides an overview of current AI capabilities and weaknesses to consider when integrating current AI technologies into the data workflow. The talk is organized around three takeaways: (1) For better or sometimes worse, AI provides you with “infinite interns.” (2) Give people permission & guardrails to learn what works with these “interns” and what doesn’t. (3) Create a roadmap for adding in more AI to assist nonprofit work, along with strategies for bias mitigation.
2. 2
The following issues will be addressed:
1. How (good) commissioning is seen in England and what is
expected of it
2. How commissioning contributes to sustainable healthcare systems
3. Examples of how this works in England and where strengths and
weaknesses lie
3. 3
What is commissioning, what is
hoped for it?
Commissioning:
• Changes the transaction between members of the public with needs and the
agencies responsible for meeting those needs
• Has much in common with: ‘purchasing’, ‘procurement’, ‘contracting’, ‘strategic
purchasing’ and ‘competitive tendering’
• Typically involves the retention of a monopoly of public financing
• OECD helpfully distinguish between passive and strategic
The hope in England is that Commissioning will:
• Create a champion for personalised or (otherwise) high standards of care
• Create competition and innovation to meet needs more effectively and efficiently
• Temper the risk of (self-serving) providers delivering poor quality or even abusive
care
• Facilitate long-term planning and more preventive work to improve outcomes for
given level of expenditure
6. 6
Not pursued throughout the UK
– (Many) people in Scotland believe they get better care by encouraging
collaboration among providers, by focusing on maintaining and
improving standards, and supporting quality improvement activities
– Scotland and Wales abandoned the purchaser provider split in 2004
and 2009 respectively (and Isle of Wight never adopted competitive
model)
– Northern Ireland has a ‘half-way-house’
8. 8
Where commissioning in England fits in
sustainable healthcare systems
New
thinking,
services and
technologies
Evidence and
guidelines
Sustainable
health care
Efficient &
effective use
of resources
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
RISING DEMAND RISING COSTS
9. 9
Perceived weaknesses in UK
commissioning architecture
New
thinking,
services and
technologies
Evidence and
guidelines
Sustainable
health care
Efficient &
effective use
of resources
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
Funding cycles and logics often fit poorly with delivery and prioritisation
10. 10
Sustainable healthcare systems: where
commissioning fits
New
thinking,
services and
technologies
Evidence and
guidelines
Sustainable
health care
Efficient &
effective use
of resources
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
Funding cycles and logics often fit poorly with delivery and prioritisation
11. 11
Sustainable healthcare systems: where
commissioning fits
New
thinking,
services and
technologies
Evidence and
guidelines
Sustainable
health care
Efficient &
effective use
of resources
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
Funding cycles and logics often fit poorly with delivery and prioritisation
12. 12
UK commissioning today – searching for solutions
– but weakly developed commissioning for
innovation and improvement
New care
models,
services and
technologies
Evidence and
guidelines
Sustainable
health care
Efficient &
effective use
of resources
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
New models of care, integrated care organisations, IPCs
all CCGs to implement NICE guidelines, etc.
13. 13
UK commissioning today – searching for solutions
– but weakly developed commissioning for
innovation and improvement
New care
models,
services and
technologies
Evidence and
guidelines
Sustainable
health care
Efficient &
effective use
of resources
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
New models of care, integrated care organisations, IPCs
all CCGs to implement NICE guidelines, etc.
14. 14
UK commissioning today – searching for solutions
– but weakly developed commissioning for
innovation and improvement
New service
models,
devices and
medicines
Evidence
and
guidelines
Sustainable
health care
Efficient &
effective
use of
resources
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
New models of care, integrated care organisations, IPCs
all CCGs to implement NICE guidelines, etc.
15. 15
UK commissioning today – searching for solutions
– but weakly developed commissioning for
innovation and improvement
Search
frictions
Misaligned
incentives
Sub-optimal
commissioning
Principal agent
problems and
risk aversion
Commissioning and
funding health services
and service efficiency
Applying evidence,
guidelines, managing
and implementing
Innovation and improvement
pipeline
New models of care, integrated care organisations, IPCs
all CCGs to implement NICE guidelines, etc.
16. 16
Looking forward…Kings Fund say a
commissioning strategy should include:
• a compelling vision for the future, underpinned with clear strategic
objectives reflected in an explicit statement of desired outcomes and
key performance indicators
• a clear statement of the organisation’s purpose and approach that
takes appropriate account of the external context
• a perspective which balances national and local priorities
• evidence that the strategy has been shaped by the ‘intelligence’
made available to the governing body
• demonstrable links to the needs of users, patients and communities
• a longer term view (with at least three to five year planning horizon)
including a long-term financial model and risk analysis.
http://www.kingsfund.org.uk/sites/files/kf/Good-governance-for-Clinical-Commissioning-
Groups-Introductory-Guide-December2011.pdf
17. 17
Kings Fund outline is helpful but misses
how commissioning sits within the
wider architecture of sustainable
healthcare• Market intelligence
– to understand supply and demand
• Market structuring
– to shape market behaviour
• Market intervention
– to deliver the kind of services needed by the community
• Providing signals and incentives for long term innovation and
improvement including investing for future benefit and to achieve
savings for others and in addition…
• It requires clear and consistent messages, fairness in competition,
and relationship-building with provider