4.2.1 Clinical Commissioning And Prioritisation Flashcards
What is commissioning?
Continual process of planning, agreeing and monitoring services
What does commissioning include?
Health-needs assessment for a population through clinically based design of patient pathways with continuous quality assessment
What are services commissioned by?
Local authorities
Integrated commissioning board locally
NHS England on a local, regional and national basis
What healthcare system is used in Leicester?
Integrated care system
What does the Health Equity Committee do?
Look at whether or not the right services are being provided to the local population
What do Collaboratives do?
Look at why healthcare is not being used by local population and collaborate with local leaders e.g. faith leaders to encourage healthcare use and identify hesitancy
How are resources allocated by ICBs (commissioners)?
Funding shared fairly and appropriately considering competing demands on NHS budget
Label the image (put commissioning cycle pic in )
What is the tired model for healthcare services? Insert pyramid pic
Tier 1- Universal interventions
Tier 2- Lifestyle interventions
Tier 3- Specialist services
Tier 4- Surgery
Why is health economics important?
Determines how resources are allocated/used
Helps to make underlying values in resource allocation explicit
Economic evulation relies on and contributes to evidence used by clinicians
How are QALYs used?
Under £20k normally approved
£20-£30K judgements will take account of:
-Innovation that adds demonstrate leadership and distinctive benefits not seen by QALY
Over £30k needs very strong case
