10 December 2008

COMMISSIONING

Practice-based Commissioning: Reinvigorate, replace or abandon? (November 2008)
Practice-based commissioning (PBC) is one of the cornerstones of health policy reform, but has it delivered its intended benefits? Its objectives were to encourage clinical engagement in service redesign and development, improve services for patients and make better use of resources. Through in-depth interviews with GPs, hospital and primary care trust staff in four sites, this report assesses the progress of PBC and identifies the barriers that are limiting success. Using the evidence from the four case studies and from previous research, it suggests ways forward for policy-makers.
Report

Commissioning and Behaviour Change. Kicking Bad Habits Final Report (8th December 2008)
Unhealthy behaviours – smoking, alcohol misuse, poor diet, lack of exercise – lead to ill health, with resulting costs to individuals, to the NHS and to society as a whole. PCTs are expected to commission support to help people change their behaviour to adopt more health lifestyles – but what should that support be? The Kicking Bad Habits programme was launched to identify effective interventions. Drawing on a series of working papers and seminars, this report assesses existing and innovative methods the health service can use to persuade people to adopt more healthy lifestyles, including providing information, personal support and financial and other incentives.
Report

Practice-based Commissioning Development Framework (1st December 2008)

The Department of Health has established a PBC Development Framework, which SHAs, PCTs and practice-based commissioners (PBCs) can now use to appoint appropriately skilled organisations to provide a range of PBC capability development support.
Framework

Driven by Dogma? Outsourcing in the health service (5th December 2008)

This report, published by the Office for Public Management (OPM), draws on the experiences of NHS senior managers and commissioners to highlight the complexity of the commissioning process and the problems of coping with the mountains of bureaucracy and paperwork attached to it.
Report

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