Clinical Commissioning And Prioritisation.

Question 1

What is commisioning?

Who ate the commisioners in healthcare england.

Answer 1

• Commissioning is the continual process of planning, agreeing and
  monitoring services.
• Commissioning includes the health-needs assessment for a population,
  through the clinically based design of patient pathways, with continuous
  quality assessment.
• clinical commissioning groups (CCGs) locally
• NHS England on a local, regional and national basis.

Question 2

Where do CCGs reveive funcding from?

What do CCGs do?

Answer 2

NHS england

Plan and buy services which provide pateint care - GP practices, hospitals, mental health, community care
Fund medicine and treatment precribed

Question 3

What are 2 massive challenges for public health

What are the 3 services that cost the most money?

Answer 3

Obesity and ageing population

Oncology, vascular medicine and mental health

Question 4

What is the commisioning cycle

Answer 4

assessing needs
planning services
procuring services
monitoring quality.

This is repeated each year

Question 5

What is in tier 1 in tiered model obesoty services?

2?

3?

4?

Answer 5

Question 6

What are individual funding requests?

Answer 6

When there are exceptional circumstances and the patient falls outside the current commissioning

In such cases, the clinician can ask the CCG, on behalf of their patient, to fund a treatment which would not usually be provided for other patients.

This request is called an Individual Funding Request

Question 7

Who sits on the induvidual funding panel

Answer 7

• Commissioners
• Secondary care clinicians
• GPs
• Public Health consultants
• Lay representatives
  Image source- Roles & Responsibilities of a Board of Directors for a Hospital | BoardEffect
• Pharmacists

Question 8

What is looked for on the induvidual funding checklist ?

Answer 8

• What are the anticipated clinical benefits for the requested treatment over other
  available options?
• Why is the standard treatment not appropriate for this patient?
• What would the impact of not funding this treatment have for the patient? What
  other treatments are available?
• Would the decision to fund this patient set a precedent for other such requests?
• Is this patient exceptional?

Question 9

What makes a patient exceptional?

Answer 9

• Patient is in a different clinical condition when compared to the typical
  patient population with the same condition
• Because of that difference the patient is likely to receive additional clinical
  benefit from treatment.