Prepare a Strategic commissioning intentions plan including priorities, target population intended outcomes and funding allocations
Assignment: Prepare a Strategic commissioning intentions plan including priorities, target
populations, intended outcomes and funding allocations.
(Mental Health).
Assignment:
Prepare a Strategic commissioning intentions plan including priorities, target populations, intended
outcomes and funding allocations.
Learning Outcomes 1, 2, 3, 4, 5, 6 must be demonstrated
“Notice is hereby given that the assessed component of this Module must be submitted to Turnitin.”
If you fail to submit the component through Turnitin, in accordance with the guidance provided on
the Virtual Learning Environment (Moodle), a mark of 0 will be awarded for the component.”
Referencing; Standard Harvard referencing system.
Main aim(s) of the module:
The module aims to:
• The module will enable students to explore a range of current approaches to strategic
commissioning within the health care environment
Main topics of study:
• Use of JSNAs and HNAs to assess current and future trends and the demand for healthcare
• Developing the strategic approach to addressing health needs in a locality.
• Developing commissioning intentions and plans
• Creation and management of Strategic Partnerships
• Methods to monitor process variation in healthcare
• Commissioning frameworks – Acute, Primary and tertiary care
• Strategic fit with local and national policy and commissioning priorities
• Critical evaluation of commissioning plans
Learning Outcomes for the module
At the end of this Module, students will be able to:
Knowledge
1. Identify and select sources of information and data needed to write a commissioning strategic
plan.
2. Select and implement appropriate analytical techniques in strategy and commissioning
Subjectbased practical skills
3. Select appropriate approaches to developing a commissioning strategic plan
Thinking skills
4. Explore aspects of the commissioning process for healthcare in a locality
5. Critique commissioning intentions, identifying strengths and weaknesses in process and outcome
measures.
Skills for life and work (general skills)
6. Prepare a simple strategic plan for the commissioning of services in a locality with a high Index of
Multiple Deprivation.
The clues are in the Learning Outcome
1. Identify and select sources of information and data needed to write a commissioning strategic
plan.
2. Select and implement appropriate analytical techniques in strategy and commissioning
3. Select appropriate approaches to developing a commissioning strategic plan
4. Explore aspects of the commissioning process for healthcare in a locality
5. Critique commissioning intentions, identifying strengths and weaknesses in process and outcome
measures.
What the assessment is not
• An assignment
• A report
• A critique of what might be going wrong
What it is
• The creation of a commissioning intentions plan
• Where you write as if you are the commissioning organisation
Style guide
• Use Arial 12 point for the body text
• Use Arial 16 point for main headings
• Use Arial 14 point for subheadings
• Double spacing
• Use paragraphs to break up the text and make it more accessible
• Use visuals – pictures, graphs, charts
• a front cover
• Then a contents page
• Then your plan
• At the end you have your full reference list (Harvard)
• Using appendices to manipulate the word count is not acceptable
You write as if you are
• An NHS CCG;
• Or a Local Authority Adult Social Care Department
• Your plan can relate to just your duties
• Or it can be an integrated plan that combines health and social care elements
Local Acute and Community Services
• Clinical Commissioning Groups are responsible for commissioning the following services:
• Planned care and hospital care
• Urgent and emergency care
• Rehabilitation care
• Community health services
• Mental health and learning disability services
• Primary care services like GPs, pharmacists, dentists and opticians are commissioned separately by
NHS England’s regional teams
A commissioning intentions plan
Within an explicitly described values and outcomes
framework sets out:
• What is being commissioned – service(s)
• For whom – population/subpopulation
• From whom – provider(s)
• Why – evidence of need/effectiveness
• How – single/joint/integrated commissioning
• At what cost
• To achieve what expected/intended outcomes – savings, health benefits,
Start by explaining improvements
• Who you are (CCG? LA? Combination?)
• What you do (duties and responsibilities)
• Who you do it with (partners)
• What this is (your plan for……)
• Your values and vision (remember ASPIRE?)
• Who you spoke with to agree that vision (consultation)
Then
• Tell me about your population demographics (for a CCG it’s everyone, for Social Care it’s adults
with particular needs)
• Tell me what’s wrong with them
• Data about your people – Census, JSNA, H&WBS)
• Data about what’s wrong with them – Digital NHS, Fingertips
• Tell me what your priorities are (minimum 2, maximum 3)
• Tell me what you are going to do about them (what you are going to commission)
• Based on what evidence (NICE)
• Tell me who is going to do it (provider)
• Tell me what you are going to spend on them (budget)
Then
• Tell me what you hope to achieve locally (outcomes)
• And which national outcome framework(s) domain(s) and indicator(s) it supports (PHOF, NHSOF,
ASCOF)
• And how you will know it is working (indicators)
• And how you will manage risk
• Tell me what you are going to do with all the information you have gathered over the intervention
period (evaluation and consultation)
• Look to the future (remember the cycle? Everything you learn from one cycle gets fed into the next
one)
• Data (which includes opinion, observations, activity information, trends and so on).
• Consideration of it all
• Deriving what it all means – i.e. creating Intelligence
• Making decisions based on that intelligence
• Acting
• Intelligence is what is derived from an accumulation of data, opinion, ideas and observations. It
should consist of a rounded view of an issue, with a number of constituent parts and contribute
significantly to the ability of the intelligence holder to understand an issue and make decisions about
it. It is however not definitive or static and may change on a daily basis.
NICE Thresholds
• As a guideline rule, NICE accepts as costeffective those interventions with an incremental costeffectiveness
ratio of less than £20,000 per QALY and that there should be increasingly strong
reasons for accepting as costeffective interventions with an incremental costeffectiveness ratio over
a threshold of £30,000 per QALY
Within the Health and Justice Services, NHS England has responsibility (or will have commissioning
responsibility transferred to it over the next 2 years) for commissioning healthcare for:
• People in secure and detained settings across England including adults in prisons
• Children and young people in secure settings, including children secure homes, and those in
welfare beds
• Those within Immigration Removal Centres including migrants and refugees
• Adults, children and young people in police custody
• Adults, children and young people who require support and services through Sexual Assault
Services (SAS)
• Police and Court Liaison Services for people of all ages passing through the criminal justice system
for assessment.
NICE GUIDANCE
This link will take you directly to the homepage for NICE where you will be able to access the best
evidence available on a range of population, health and settings issues.
Click https://www.nice.org.uk/ link to open resource
COMMISSIONING FOR VALUE
This link will take you to the home page for NHS Right Care which collects and publishes data to
enable CCGs to make commissioning decisions. The information includes individual CCG data packs,
Atlases that show variation in outcomes between areas and CCG’s and areas where CCG’s could
potentially invest to achieve improved health outcomes for their patients. Explore the site, it will
provide you with valuable information for use in your plans.
Click https://www.england.nhs.uk/rightcare/intel/cfv/ link to open resource.