NHS commissioning Flashcards
What is the NHS constitution?
NHS belongs to the people
There to improve our health and wellbeing physically and mentally
Get better when we are ill, and to keep us as well as we can until the end when cannot fully recover
It works at the limits of science - brings together highest levels of knowledge and skill to save lives
Touches our lives at times of basic human need
What does the NHS constitution say about the people who use the services?
NHS provides a comprehensive service, available to all
Access is based on clinical need, not ability to pay
Aspires to put patients at the centre of everything it does
NHS works across organisational boundaries in the interest of patients
NHS provides best value for tax payers money with most fair, sustainable effective use of resources
Accountable to public
What are the values of the NHS constitution?
Working together for patients
Respect and dignity
Everyone counts
Commitment to quality of care
Compassion
Improving lives
What is commissioning?
Process by which health and care services are planned, purchased and monitored
What is ICS, ICB and ICP?
ICS: integrated care system - all organisations responsible for public health and wellbeing working together through following bodies:
ICB: integrated care board - statutory organisation that takes on responsibilities of the eight CCGs and some functions held by NHS england. Work at place level in the 13 local authority areas
ICP: integrated care partnership - joint commitee of the ICB, voluntary sector, patient fora, and 13 local authorities responsible for developingan integrate care strategy for the region
What are the ICS, ICB and ICPs about?
- Building on current services and health and wellbeing strategies
- Being ambitious for our population health
- Making faster progress on tackling health inequalities
- Only doing things ICS wide when adds value
- Focus on big challenges to health and wellbeing
- Work with partners to improve health outcomes using all tools available
What are the four main aims of ICBs?
- Improve outcomes in population health and healthcare
- Tackle inequalities in outcomes, experience and access
- Enhance productivity and value for money
- Help NHS support broader social and economic development
What are the main causes of the life expectancy gap between NE and england in men and women?
Female: cancer
Male: external causes - suicide, injury, poisoning
What are deaths of despair, and how much do they contribute to the life expectancy gap in the NE in men and women?
Deaths from accidental poisoning, suicide and injury, cirrhosis and liver disease
Contribute 20% in women
Contribute 39% in men
What is CORE20 PLUS 5 for adults?
Designed to support ICSs to drive action against health inequalities in the most deprived 20% of the country PLUS those who have poorer than average access but not included in the 20%
Focus on 5 clinical areas:
- Maternity
- Severe mental illness
- Chronic respiratory disease
- Early cancer diagnosis
- Hypertension case-finding
and all linking in with smoking cessation
What is CORE20 PLUS 5 for children and young adults?
Targeted at the most deprived 20% of the population plus others who aren’t included in that but receive poorer than average health care
Focus on 5 key clinical areas:
- Asthma
- Diabetes
- Epilepsy
- Oral health
- Mental health
What is the clinical strategy process?
Long list of conditions > data and intelligence to inform prioritisation criteria > short list of conditions > data and intelligence to inform impact of specific interventions within clinical condition pathways > clinical and strategy delivery plans
How should doctors improve the quality and safeguarding of the NHS?
Culture and leadership
Professional curiosity - respectful uncertainty between professionals and the family, use critical evaluation of information that they are given
Healthy scepticism - ask effective questions and looking beyond the obvious - investigative approach to child protection work
