Inaugural Edition Of Specialised Commissioning

HNC in Social care (2009) Elizabeth Bingham, Cathy Busby, Aileen Conner, Billy Grier, Sue Price, Helen Russell and Shona Shaw

After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis

“Everyone has an important role to play in achieving healthcare rights and contributing to safe, high quality care. Genuine partnerships between those families and carers of people receiving care and those providing it lead to the best possible outcomes.” (Western NSW Local Health District 2012).

“A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish” (NHS Executive, 1998).

The Care Quality Commission makes sure that hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with safe, effective, compassionate and high quality care, and they encourage these services to make improvements.

As you all know, I have spent all of my professional career at ALSAC/St. Jude. Throughout this time, I have witnessed some amazing things that until this past month I think I have taken for granted. And I am not just referring to the miracles our doctors perform every day for our patients.

The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.

The National Health Service (NHS) was planned as a three-tier structure. With the Minister of Health at the top and below were the three tiers designed to interact with each other to suit the needs of the patient. These tiers were voluntary and municipal hospitals supervised by Regional hospital boards, family doctors, dentists, opticians and pharmacists who were self-employed professionals contracted to the NHS to provide services so that patients did not pay directly and local health authorities like community clinics that provided services such as immunisations, maternity care and school medical services controlled by a local authority Medical Health. The NHS in England is undergoing some big changes, most of which took effect on April 1 2013. This included the abolition of primary care trusts (PCTs) and strategic health authorities (SHAs), and the introduction of clinical commissioning groups (CCGs) and Health watch England.

operate as a service provider. From this I will be able to gain a greater understanding of patient care. This collaboration between disciplines and the resulting improvement for the patient was identified by Hill (2006). Since I have started working within the NHS over the last year, I have had more opportunities to work with members of different professions both in the NHS and voluntary sector. This experience has helped me develop a better understanding of how patient care is made up of a multitude of smaller parts.

LCCG Commissioning Intentions for 2014/15 – 15/16 set out the case for improving primary care and planned care through establishing a RSS. A business case was developed and approved in May 2014 to fund the two-year pilot of RSS for Lewisham CCG. It is this business case, and the assumptions set out within that form the framework for this evaluation.

In order to help improve health outcomes for patients it is important that there are flexible, efficient and cost effective methods to provide excellent commissioning support. In a way that allows CCG’s to maximise their investment in frontline healthcare services. Typically, CCG’s would have the option to either choose their own internal staff, to use commissioning support units (CSU’s) or other independent/voluntary support. CSU’s were designed to offer an efficient and customer focused service to CCG’s around transformation (service re-design) and transactional commissioning (market management, contract negotiation, monitoring etc). Consequently, there was a need to make changes to the process and to move to a more market driven process. The purpose was to increase competition and provide a wider selection of options and providers of services to CCGs.

The central tenet of professional practice and the core of the NHS constitution is to make the patient your first consideration. While this includes concepts such as exercising duty of care and keeping scientific skills relevant and up-to-date, it also

According to the NHS Cancer Plan, ‘the care of all patients with cancer should be formally reviewed by a specialist team’. During my placement within SIHMDS, I was able to attend a meeting with these specialists known as a multi-disciplinary team (MDT).These meetings were scheduled in order to bring a variety of different members of staff within the hospital together in order to discuss the diagnosis and monitoring of patients under their care. These specialist members of staff included the haematology registrants that conducted bone marrow morphology reports as well as the registrants that performed the procedure within the theatres. Other clinical members of staff were also present such as ward/research nurses and student nurses that were

In today’s day and age, many people, from infants to young children to middle aged adults, suffer

Involved in the National Stroke Foundation Audit 2015 at Fiona Stanley Hospital with Dr Ghia and Gill Edmonds (CNS) which aims to evaluate the process in stroke management.