Archive for the ‘Commissioning’ Category

Successful CCGs will have the best IT

Wednesday, April 25th, 2012

The chair of the NHS Commissioning Board has said that the best clinical commissioning groups (CCGs) will be those that have invested in the best IT systems.

The statement was made by Malcolm Grant speaking at a ‘CCG leaders’ conference, an event intended to determine where CCGs will obtain IT, analysis systems and other commissioning support.

Currently, CCG’s assert that choices around IT systems are limited, with some GP’s stating that they have “no choice” but to accept what was offered until 2015-16, when CSSs will cease to be hosted by the NHS Commissioning Board. Others stated that both IT and information and analysis have been moved into a commissioning support service (CSS) by the cluster primary care trust.

Grant and other speakers at the conference however stated that CCGs would have a greater degree of choice after a short transitional period. Dame Barbara Hakin, director of commissioning development for the NHS Commissioning Board, said the 26 CSSs identified so far are going through a “checkpoint two” process to make sure they are viable and “customer focused”. It is expected that some CSSs will fail, but Dame Hakin asserted that successful CSSs would be beneficial for CCGs in that they can offer locally-focussed staff backed up by the resources of a larger organisation.

Katherine Ward, chief executive of United Health, added that CCGs needed to be looking for a mix of local and strategic services, and for innovation, particularly around the use of technology.

Health secretary Andrew Lansley also emphasised that CSSs would “support” CCGs and “not control them”, in a speech that also emphasised the “assumed autonomy” of the new organisations.

Original Source eHealth Insider

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Audit Commission call for new PbR datasets

Tuesday, April 24th, 2012

The Audit Commission has criticised the way in which patient data is collected in the NHS, stating that new datasets will be required which accurately reflect the standards and outcomes of patient care.

The announcement comes following the watchdog’s review of data definitions and their use in the NHS, stating they are increasingly becoming problematic.

Last week, the Audit Commission stated that the NHS was losing large amounts of money as a result of hospitals incorrectly charging short-stay patients at expensive inpatient rates. Overcharging is also thought to waste large amounts of managerial time and resources in arguments with commissioners over re-charging.

The Audit Commission says the NHS puts these problems down to “poor national guidance” from the Department of Health and NHS Connecting for Health.

The “Payment by Results” (PbR) tariff determined by the current definitions intended to make sure that competition takes place on quality not price. It has emerged however trusts are charging different prices for the same services, because of the way they account for them.

Furthermore, the Audit Commission says these problems arise because PbR was developed when hospitals delivered most episodes of care. As treatment and observation has shifted into specialist centres and community settings, the datasets have not shifted with them, and therefore no longer reflect how the NHS delivers care. In community settings, the lack of reliable data recording systems also mean that patient data becomes increasingly less accurate.

The Audit Commission says the NHS Commissioning Board should work in conjunction with Monitor to ensure that patient data is recorded consistently. Over time, it says they should also develop datasets that capture all interventions, wherever they take place, and include quality measures.

Original Source eHealth Insider

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

CQC report reveals variation in Children’s Disability Services

Thursday, March 22nd, 2012

A report by the Care Quality Commission (CQC) has stated that there is considerable variation in the quality of care provided to disabled children in the NHS.

The review looked at the views and experiences of disabled children and their families plus survey data from commissioners and acute hospitals from September 2009 to September 2010.

It was found that disabled children and their families can experience waits of up to a year for aids such as wheelchairs, whilst the national average wait stands at 3 months.

Significant delays were also revealed in other services such as Speech and Language Therapy and Physiotherapy. Other survey data showed the national average wait for a referral for Community Physiotherapy was seven weeks, with some children waiting up to six months. The average wait for a referral to a community Occupational Therapist was 15 weeks with the wait ranging up to two years.

The national report in conjunction with 151 local area reports also examined the quality of support for children and young people. It was reported that families felt that it was a challenge to become involved in their child’s treatment and that overall waits were too long.

CQC head of operational improvement, Sue McMillan, said that families can use the information cited in the report to challenge commissioners.

McMillan reported that the watchdog was also “disappointed” by the inability of some primary care trusts (PCTs) to provide the information requested. She suggests that PCTs therefore need to improve their data capture methods in order to better manage the provision of services.

Whizz-Kidz chief executive Ruth Owen added that the number of children requiring mobility aids currently stands at approximately 70,000. She said that from April, the Government’s Any Qualified Provider (AQP) policy would give young wheelchair-users the choice to be referred to providers like Whizz-Kidz if they were waiting to receive the mobility equipment.

“Providing a child the right wheelchair at the right time enhances their lives, giving them not just mobility but independence” Owen said.

Original Source Press Association

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

NHS “neglecting” care home patients

Thursday, March 8th, 2012

A review published by the British Geriatrics Society and the Care Quality Commission has warned that elderly patients in care homes around the UK are being “neglected” by NHS services.

Data on the healthcare provided to residents was collected by the Care Quality Commission (CQC), which has the job of monitoring standards in care homes, and analysed by doctors from the British Geriatrics Society (BGS). The report found that the amount of NHS care offered to people varied widely. In some districts, it is thought that patients could wait for up to 18 weeks for health checks, a factor that could potentially contribute to a serious deterioration in health.

Currently, the focus of the remaining primary care trusts (PCTs) is to move care away from care homes and community settings into the patient’s own home. The report asserts that as a result of shifting this focus, many elderly patients who are already resident in a care home are being neglected. BGS state that PCTs “do not accord sufficient priority” to the health needs of these patients.

There are currently 376,250 older people living in 10,331 care homes around England with complex health needs. Approximately 40% of patients suffer from dementia, and significant proportions are on high levels of medication. The average lifespan from admission into a care home is one to two years.

The demands of NHS services in care homes include mental health teams, dietetics, occupational therapy, physiotherapy, podiatry, continence, falls and tissue viability. The report found that only 43% of PCTs made all of these available to care home residents. Only 60% of PCTs gave elderly residents access to a geriatrician who could provide an overview of complex age-related health problems.

The BCS is calling for local health service commissioners to agree clear service specifications with hospitals and other providers. They state that in many cases, the fault is not with the care homes themselves, but with the provision of services.

Original Source The Guardian

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Additional £2.5 billion for NHS services

Thursday, December 15th, 2011
The government has announced today that an additional £2.5 billion funding boost will be given to NHS services in 2012-13, making up an overall 2.8% increase.

Following the increase, Andrew Lansley said that a total of £91.6 billion will now go directly to Primary Care Trusts (PCTs). £87.5 billion has now been allocated to PCT’s for local patient care, with £300m for community care and £4.1bn would be earmarked for dental, eye and pharmaceutical services. A proportion of this funding will also go towards supporting joint working between health and social care.

Lansley reports that the extra investment gives PCTs a strong platform to sustain and improve NHS services for patient. He does state however that efficiency savings must still be made wherever possible, and that the NHS “must still strive to get the best value out of every penny it spends to meet rising demand and continue to improve results for patients.”

It is reported that the budget increase would be a rise in real terms and restated the government’s aims to put clinicians in charge of the budget. Lansley reports that in the next year, the NHS will be bringing clinical leadership to the forefront in planning services for patients, which will increase the power that clinicians have over the budget.

The announcement comes as a investigation by Pulse revealed that GPs who had taken over budgets from PCTs were quickly overspending. Financial assessments had shown that overall, 29% of PCTs and nearly 20 clinical commissioning groups were currently behind budget for 2011-12. This has raised questions over the capacity of clinical commissioning groups to constrain costs and deliver planned savings.

Original Source The Guardian

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

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