Commissioning
Lead analyst: Julian Flowers
The 2010 NHS White Paper Equity and excellence: Liberating the NHS announced a fundamental reorganisation of the way in which NHS services are commissioned. The majority of commissioning will shift from PCTs to new GP consortia, and a new NHS Commissioning Board will be responsible for some specialist areas of commissioning. Between 2010 and 2013 PCTs and SHAs will have an important role to play in preparing for this change and supporting organisations through the transition.
Prior to the 2010 NHS White Paper, NHS commissioning was guided by the vision of World Class Commissioning. Although WCC is no longer the policy, the principles set out in the vision remain relevant: Commissioning public health and healthcare services aims to deliver better health and well-being for all, better care for all and better value for all, with the result that
- People will live healthier and longer lives
- Health inequalities will be dramatically reduced.
- Services will be evidence-based and of the best quality
- People will have choice and control over the services that they use, so they become more personalised.
- Investment decisions will be made in an informed and considered way, ensuring that improvements are delivered within available resources
- Commissioners will work with others to optimise effective care.
The resources on this page are designed to support commissioners. Commissioning is closely linked to needs assessment and you will find other useful resources on our JSNA page.
Many of these resources have been designed for PCTs, and erpho and our partners in other PHOs and working to modify them to be of maximum use to new GP commissioners and the NHS Commissioning Boards. Your feedback on how we can best present data and information to be of maximum value to you is welcome.
| | National GP Practice Profiles from APHO. |
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| | Atlas of hospital activity from APHO, based on HES data
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| | Chronic Kidney Disease profiles from NHS Kidney Care and EMPHO, for PCTs in England
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| | Diabetes Community Health Profiles from YHPHO and Diabetes Health Intelligence, for PCTs in England
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| | Programme budgeting Spend and Outcomes Tool (SPOT) and Factsheets from YHPHO, for PCTs in England
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| | Diabetes Outcomes vs Expenditure Tool (DOVE) from YHPHO and Diabetes Health Intelligence, for PCTs in England
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| | Maternity and Newborn Outcomes vs Expenditure Tool from the Child and Maternal Health Observatory (ChiMat) |
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| | Sexual Health Balanced Scorecard from SWPHO, for PCTs in England
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| | End of Life Care Profiles from SWPHO and the National End of Life Care Intelligence Network, for Local Authorities and Unitary Authorities in England
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| | Cervical Screening and Cancer e-Atlas from EMPHO for PCTs and SHAs in England
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| | Urological Cancer Profiles from SWPHO for Local Authorities, Unitary Authorities, PCTs and Cancer Networks in England
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| | Local Alcohol Profiles for England from NWPHO, for PCTs and LAs in England
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| | Substance misuse profiles for adult and young people, from the Monitoring Unit for Substances in the East (MUSE), for DAATs in the East of England
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| | Practice-base Commissioning Guidance and Toolkit from the Department of Health
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| | The National Cancer Intelligence Network provides various tools including a national cancer e-Atlas, cancer profiles for GP practices and the cancer commissioning toolkit
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| | The Health Investment Network provides access to the latest knowledge and tools to optimise health investment and disinvestment decisions. |
Publications by erpho and APHO
Commissioning brief No.1: Ambulatory Care Sensitive Conditions (ACSC) in the East of England
Commissioning brief No.2: Volumes, variation and value for 49 surgical procedures
Briefing No.22: Spend and Outcome Tool (SPOT) – The need of the moment
Spend and Outcome Factsheets for every PCT give an overview of Programme Budgeting data and outcomes.
Older publications from erpho, including programme budgeting reports for 2008, can be accessed through the Reports for Commissioners page.