For the Christmas and new year break we have brought you a roundup of HSJ’s best practice highlights of 2015. Today our focus is on commissioning. Some of the featured articles include how Berkshire West transformed its diabetes care pathway; while Samantha Jones and Saira Ghafur explain how putting clinical leadership at the heart of NHS, as envisioned by new models of care, can revolutionise the health service.
Jennifer Trueland shines a light on the journey of Berkshire West from being one of the worst performers in diabetes care in the country to now being held up as a national exemplar of good care and winning national and international recognition. It might have something to do with getting all the stakeholders – patients, providers, commissioners and others – work together.
The health secretary’s pledge to introduce Ofsted-style assessments for clinical commissioning groups may have been the highlight of HSJ’s annual lecture, experts, however, say that implementing a system-wide ranking for healthcare might be challenging.
The new care models put clinicians at the centre of health and social care: encouraging them to think of creative solutions in order to deliver the best possible care for patients. Samantha Jones and Saira Ghafur explain how this can be a gamechanger for the NHS.
Commissioning of specialised services, typically provided in few hospitals and accessed by comparatively small numbers of patients, is fraught with challenges. We look at the difficult questions around specialised commissioning – which treatments to fund, power sharing arrangement between the CCGs and the centre among others – and what the government can do to get it right.
An HSJ survey reveals that 74 per cent of CCG leaders would be in favour of their unsustainable providers establishing shared service joint venture while 68 per cent of respondents said they would support the trust joining with GPs to form a multispecialty community provider. Acute trust mergers and Hinchingbrooke style management franchises were the least popular options for restructuring troubled providers. Rebecca Thomas reports.