Involving Patients in Commissioning
Jane Sully National Development Officer- Health Age Concern England
Presentation at our conference June 21st 2006
Background:
- Community Health Councils
- Commission for Patient Involvement in Health
- PPI Forums
- New arrangements on the horizon
- Commissioning a patient led NHS
- Practice Based Commissioning
What Is Commissioning?
- No Common Definition
- Commissioning is the process of securing and managing appropriate healthcare services for relevant populations at value for money for taxpayers. In its purest form, it is composed of three phases:
- Understanding and segmenting the needs of local communities and individual patients and planning accordingly
- Defining services to meet these and contracting them from the most appropriate providers
- Monitoring provision and managing providers, to continuously improve outcomes for patients and local communities
Outcomes Of Effective Commissioning
The key outcomes of good commissioning might be summarised as:
- Improving health outcomes;
- Promoting a mix of services, in and out of hospital, that are appropriate to the scale and nature of the needs of the local community;
- Including patients, the public and all interested parties including, in particular, Local Authority partners, the voluntary sector and, when appropriate, the private sector;
- Providing services that comply with the core standards and are improving in line with the developmental standards;
- Offering value for money.
Why Involve Patients?
- Policy Developments around Patient Voice
- Healthcare Commission Ratings
- Practice Based Commissioning - service redesign/ demand management
- Learn from Patient experience
- Improved Self Care
- Monitoring Quality-continuous improvement
Approaches
- Not tokenistic consultation at the end of the process
- Choice is not Voice
- Target key groups
- Work through existing community structures
- Learn about your communities – not just statistics
- Location, Location, Location
How Do we Learn From the Experience of Ordinary People Like Me?