Population health in Practice- commissioning services for population health. Flashcards
define commissioning
process of ensuring that the health and care services provided effectively meet the needs of the population. it is a complex process with responsibilities ranging from assessing population needs, prioritising health outcomes, procuring products and services and managing service providers.
define purchaisng
the process of buying or funding services in response to demand or usage’.
define contracting
technical process of selecting a provider, negotiating and agreeing the terms of a contract for services and ongoing management of the contract including payment, monitoring and variations.
define procurement
the process of identifying a supplier and may involve for example competitive tendering, competitive quotation, single sourcing. It may also involve stimulating the market through awareness raising and education’.
what are the 3 key roles of commissioners (conscience, eyes and ears and brain)
conscience-how things should be
eyes and ears-how things are
brain-identifying and implementing optimal solutions.
which key role in commissioning do clinicians play
how things should be- conscience.
how has the evolution of commissioning changed (GP’s)
clinical comissioning- GP were given funding for the amount of patients they had and then they were able to spend the money on elective care.
total purchasing pilot- GP’s could purchase all the services for their patients e.g. hospital care.
Patient based commissioning- Primary care trusts (PCT’s).- allowed GP’s to decided where the funding in their area was used.
GP commissioning- CCG’s more clinical.
what 3 steps are key in strategic commissioning cycle
planning
procedure
monitoring
what stages are involved in the planning of a strategic commisioning cycle
- Health Needs Assessment- who needs and uses the services
- Reviewing Current provision
- Identifying Gaps and Priorities- priorities may change depending on NICE guidance.
- Capacity Planning- the needs for more doctors as not enough are being trained for the number that are needed.
what stages are involved in the procurement (obtaining) of a strategic commisioning cycle
- Service Design/Redesign
- Defining Contracts
- Procuring Appropriate Services
- Managing Demand- new service is recognised. Demand out des supply.
what are the stages in monitoring a strategic commisioning cycle
- Monitoring Activity and Quality
- Invoicing and payment
- User and Local Authority Views
- Feedback
what is an example of a real life example of public health commissioning in practice
Hep C
what do you ask when assessing the needs
what, who , how.
what must be at the centre of commissioning
patient.
