All Specialised commissioning articles – Page 8

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  • Hospital operation

    NAO: NHS England has no strategy for specialised services


    National Audit Office report concludes NHS England lacks strategy for specialised commissioning Attempts by NHS England and Monitor to rein in spending through the tariff may have hit providers’ “financial sustainability” NHS England says it balanced its specialised commissioning budget for the first time in three years ...

  • Surgeon, surgery, surgical tools,

    ‘Financial recovery plan’ for specialised services in South


    NHS England has implemented a “financial recovery plan” for specialised services in the South of England, one of its directors has confirmed.

  • Drugs

    NHS England reveals how it will prioritise new specialised treatments


    NHS England outlines detailed methodology for choosing which specialised treatments to fund Methodology has been in development for 18 months after previous approach dropped because of fear of legal challenge National body accused of giving itself “wiggle room” to help it get grip of specialised commissioning costs ...

  • Heart

    'Heart services risk being destabilised' by national procurement scheme


    Leading heart consultant warns some specialist services could be “destabilised” by plans for national procurement Changes could have “major impact… on our ability to treat patients” NHS England says some hospitals are being “taken for a ride” by manufacturers A leading heart consultant has warned ...

  • Crispin Dowler
    Expert Briefing

    Following the Money: It wasn’t meant to be like this


    HSJ ’s weekly email briefing on NHS finances, savings, and efforts to get the health service back in the black

  • Deficit

    Exclusive: NHS England puts provider rescue plan at risk, teaching hospitals warn


    Providers warn changes to CQUIN payments will hamper attempts to bring sector into balance Teaching trusts say new CQUINs and agreed control totals for 2016-17 are incompatible NHS England rejects the accusations and says the changes are appropriate and achievable Angry teaching hospitals have warned ...

  • Pills

    NHS England rollout of ground-breaking drugs 'changes role of NICE'


    NHS England to roll out new treatments to 10,000 patients in 2016-17 through “operational delivery networks” Hepatitis C groups claim capping treatments is “rationing” and changes the role of NICE Concerns raised that NHS England approach will increase health inequality and long term costs NHS ...

  • Jim McManus, director of public health, Hertfordshire CC

    The NHS has shunted HIV costs on to councils


    Jim McManus says the decision over HIV prevention funding has serious implications for other costs

  • CT Brain scan

    Charity warnings over clinical reference group cuts


    Chief executives of The Brain Tumour Charity and Sarcoma UK raise concerns cuts will “dilute” specialist knowledge Neurological Alliance and British Kidney Patients Association warn reducing groups’ membership will impact ability to represent patients NHS England plans to cut half of clinical reference groups and reduce ...

  • Mental health bed

    NHS England gives up control of specialist mental health commissioning


    NHS England is to relinquish control of tertiary mental health services to selected local areas in a bid to tackle disconnected commissioning and the controversial practice of sending patients long distances from their home for treatment.

  • Paul Baumann

    NHS England finds £156m to help boost DH bottom line


    NHS England sets aside £156m of reserves and underspends to help boost DH bottom line This has driven an increase in its forecast underspend to £295m Prime minister’s access fund and primary care transformation fund are among programmes expected to underspend Move part of concerted national ...

  • Scales

    CCGs 'unprepared' for specialised surgery handover


    Clinicians raise concerns with Jeremy Hunt after survey finds two thirds of CCGs have taken no action to prepare for transfer of obesity surgery commissioning Only 12 per cent of CCGs aware of post-surgery “follow up protocols”. Lack of follow up can be fatal Transfer delayed for ...

  • Surgery

    NHS England to cut clinical reference groups by half


    Clinical reference groups to be cut from 71 to 38 Clinical representatives to be reduced from 14 per group to four, and patient representatives from four to two NHS England says move aims to ensuring “greater alignment of clinical advisory structures” NHS England has proposed ...

  • Paul Baumann

    Baumann looks for new savings to help DH's bottom line


    NHS England bosses look for extra savings in light of the predicted provider deficit CCG sector forecasts year-end deficit of £51.3m NHS England commissioning was overspent in first eight months of the 2015-16 NHS England has revealed it is actively looking for new savings beyond ...

  • Simon Stevens

    Stevens: 'Specialised services need additional investment'


    NHS England chief executive Simon Stevens told Jeremy Hunt specialised services were unaffordable in their current form, papers released today reveal.

  • Surgical scissors

    Plans to increase specialised services 'top ups' next year are dropped


    New payments for specialised cancer, cardiac and respiratory services will not be introduced next year Comes after decision to delay implementation of a new currency framework until 2017-18 NHS England to continue analysing and explaining the proposed changes Planning guidance also confirms suspension of ‘marginal rate’ ...

  • Surgeon, surgery, surgical tools,

    'Substantial risk' to specialised care budget, NHS England warns


    NHS England warns of high risk that specialised services budgets will be signficantly overspent Due to ‘stream’ of new, expensive treatments Managing this could involve slowing the adoption or spreading the costs of new treatments It could also involve managing demand, including through a focus on ...

  • Jim Mackey

    Tariff proposals will not include marginal rate for specialised services


    Providers would be required to buy high cost devices through a central price list “Sustainability fund” could be linked to performance on Carter review, agency spend and avoidable mortality Up to £500m of local capital-to-revenue transfers expected, on top of those at a national level Some ...

  • CT Brain scan

    Patient group fears national clinical director cut


    Neurological Alliance warns NHS England against “removal or demotion” of national clinical director for adult neurology Charity also urges it to protect intelligence network and strategic clinical networks for neurology HSJ revealed last month that NHS England is considering cuts to 23 director roles If ...

  • Syringe

    Exclusive: NHS England attempts to halt judicial review in drug funding row


    NHS England faces threat of judicial review over refusal to fund treatment for teenager DH and NHS England are funding Xyrem for hundreds of other narcolepsy patients Lawyers argue the decision is unlawful and discriminatory NHS England has asked doctors to resubmit a bid for ...