Post on 14-Apr-2018
7/27/2019 Healthcare Commissioning Poster example
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STAKEHOLDER MEETING WITH ALL SERVICEPROVIDERS AND PWID
FOCUS GROUP DISCUSSION S WITH PWID1 MILLION Contract for HCV treatment (70 patients) per
financial yearHowever only 30 patients treated (of which 5 PWID)High DNA rates of Ist and 2nd appointments (appt) amongPWIDIst appt: 1562nd appt :76GAPS IDENTIFIED:
NO PROVISIONS FOR HCV TESTING AT DRUG SERVICEDISTANCE TO TESTING SERVICE IS FAR
LACK OF AWARENESS AND KNOWLEDGE OF HCV ANDTREATMENT (PWID AND KEYWORKERS)
UNDERUTILIZATION OF CURRENT TREATMENT SERVICE
Bedfordshire Joint ClinicalCommissioning Group (BJCCG)-
Practice memberPractice lead
Commissioning directorsCommissioning lead
Commissioning teamPatients and community members
World Class Commissioning (WCC)WCC Framework (DH: 2007)-
1. Planning2. Procuring3. Monitoring & Evaluating
11 COMPETENCIES- WHAT BEST PRACTICE IN COMMISSIONING SHOULD
BE.
RationaleLead clinician identified
1 MILLION Contract for HCV treatment (70patients) per financial year
However only 30 patients treated High DNA rates of Ist and 2nd appointments
(appt) Ist appt: 156 2nd appt :76
-Therefore underutilization of current serviceleading to inefficient service
Wasted resources
AssessingHealth Needs
Reviewing
CurrentProvision
CapacityPlanning
Identifying
and Priorities
PLANNING PHASE
Feedback
User and LocalAuthority
views , choice
Monitoring activity& quality
Invoicing datavalidation and
payment
PROCURMENT PHASE
DemandManagement
ServiceDesign/Redesign
Defining Contracts
ProcuringAppropriate
Services
MONITORING PHASE
Health Equity Audit- Identified- Distance tohospital, Time of appointments , lack of stafftraining, Lack of HCV knowledge and awarenessof HCV , Disjointed Service, under usedPrioritiesHCV educationHCV testing and treatment within drugservicesONE STOP SHOPConflict occurs: resolved using the LEAPS
The ten principles for cooperation and
competition (DH:2010)Transparent and non discriminatory
New service designedAdvertise in NHS Supply 2Health-Any Willing Provider3 Providers selected- Duringthe interview stage One of
the competitor was thebrother in law of acommittee member Kickbacks (removed frombidding)
BJCCG, LOCAL AUTHORITY,NHS, DRUG SERVICEPROVIDERS, PUBLIC HEALTH, PATIENTS , VOLUNTARY
THE HEALTH NEEDS ASSESMENTReview LiteratureHPA (2009) -majority of people are infected withhepatitisC virus(HCV) are people who inject drugs (PWID).Simvanathan (2011)- PWID -4087 with 794 HCVAPPHG (2010)- HCV curable and preventable;HPA (2011) to cost to NHS- 8 billion in 25 yrs
To treat individuals is between 4000-16000Cost for transplant if patient remain undiagnosedand untreated- 88-89,000 per patient per yearHepatitis C Strategy (2002)Hepatitis C Action Plan (2004) guidelines onprevention, diagnosis and treatment
Quality , Performance &ProductivityIndicatorCaseload activityScreening activity
Screening outcome
Hepatology Service to report QuartelyHowever the information can be calledupon anytime-cavetService to carry out Patient Survey collect patient experiences andFeedback about service
7/27/2019 Healthcare Commissioning Poster example
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Meeting 1.(M1)
Focus Group-WITH PWID
Meeting 2 (M2)
Hepatologist and HCV specialist nurse
Stakeholder Meeting
Commissioning lead and team, serviceproviders and PWID
WORKED TOGETHER TO DESIGN NEW
SERVICE
RESULTS
HCV testing & treatment to be included in
drug service-ONE STOP SHOP
BJCCG, LOCAL AUTHORITY,NHS, DRUG SERVICE PROVIDERS, PUBLICHEALTH, PATIENTS , VOLUNTARY
THE HEALTH NEEDS ASSESMENTReview LiteratureHPA (2009) -majority of people are infected with hepatitisC virus(HCV) are people who inject drugs (PWID).Simvanathan (2011)- PWID -4087 with 794 HCV
APPHG (2010)- HCV curable and preventable;HPA (2011) to cost to NHS- 8 billion in 25 yrsTo treat individuals is between 4000-16000Cost for transplant if patient remain undiagnosed and untreated- 88-89,000 per patient per yearHepatitis C Strategy (2002)Hepatitis C Action Plan (2004) guidelines on prevention, diagnosis andtreatmentASSESS SERVICESPATIENT ADVICE LASION SERVICE (PALS) 1 MILLION Contract for HCV treatment (70 patients) per financial yearHowever only 30 patients treated (of which 5 PWID)High DNA rates of Ist and 2nd appointments (appt) among PWIDIst appt: 1562nd appt :76
GAPS IDENTIFIED:NO PROVISIONS FOR HCV TESTING AT DRUG SERVICE
DISTANCE TO TESTING SERVICE IS FARLACK OF AWARENESS AND KNOWLEDGE OF HCV AND TREATMENT
(PWID AND KEYWORKERS)UNDERUTILIZATION OF CURRENT TREATMENT SERVICE
Resulted to Health Equity Audit (HEA)
7/27/2019 Healthcare Commissioning Poster example
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Bedfordshire Joint ClinicalCommissioning Group (BJCCG)
Practice members, practiceleader, community members,commissioning directors, lead
and teams
e oya o ege o eneraPractitioners (RCGP)
Commissioning Competency Framework(2010) Improving Outcomes
Patient EmpowermentEvidence Based practiceCommunity Mobilisation
Sustainability
2010
5 Domains and 24 Competences
1. Leading People2. Leading a Consortium
3. Serving a Local community4. Leading Commissioning
5. Leading Improvement &Innovation
Analyse and Plan
Analyse Population Needs
Assess Services and Gaps
Agree Outcomes
Design Pathways
Build Partnerships
Appraise Evidence
Design Service
Test and Refine
Specify &Procure
Specify Provision
Determine Intervention
Manage Contracts
Deliver & Improve
Manage Demands
Measure Performance
Continually Improve
Serve a total population420,000
BJCCG, LOCAL AUTHORITY,NHS, DRUG SERVICE PROVIDERS,PUBLIC HEALTH, PATIENTS , VOLUNTARY
THE HEALTH NEEDS ASSESMENTReview LiteratureHPA (2009) -majority of people are infected with hepatitisC virus(HCV) are people who inject drugs (PWID).Simvanathan (2011)- PWID -4087 with 794 HCVAPPHG (2010)- HCV curable and preventable;HPA (2011) to cost to NHS- 8 billion in 25 yrsTo treat individuals is between 4000-16000Cost for transplant if patient remain undiagnosed and untreated- 88-89,000 per patient per yearHepatitis C Strategy (2002)Hepatitis C Action Plan (2004) guidelines on prevention, diagnosis andtreatment
ASSESS SERVICESPATIENT ADVICE LASION SERVICE (PALS) 1 MILLION Contract for HCV treatment (70 patients) per financialyearHowever only 30 patients treated (of which 5 PWID)High DNA rates of Ist and 2nd appointments (appt) among PWIDIst appt: 1562nd appt :76
GAPS IDENTIFIED:NO PROVISIONS FOR HCV TESTING AT DRUG SERVICE
DISTANCE TO TESTING SERVICE IS FARLACK OF AWARENESS AND KNOWLEDGE OF HCV AND TREATMENT
(PWID AND KEYWORKERS)UNDERUTILIZATION OF CURRENT TREATMENT SERVICE
Resulted to Health Equity Audit (HEA)
Meeting 1. (M1)Focus Group-WITH PWID
Meeting 2 (M2)Hepatologist and HCV specialist nurse
Stakeholder MeetingCommissioning lead and team, service providers and
PWIDWORKED TOGETHER TO DESIGN NEW SERVICE
RESULTSHCV testing & treatment to be included in drug service-
ONE STOP SHOP
New Service Advertise in NHS Supply 2 Health
Local Hospital- Disclose their interest and affiliation withthe JCCG in helping design serviceMarginal analysis considered
Quality , Performance & ProductivityIndicatorCaseload activityScreening activityScreening outcomeTreatment
Patient ExperiencesFeedback about service
7/27/2019 Healthcare Commissioning Poster example
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Bedfordshire Joint ClinicalCommissioning Group (BJCCG)
Practice members, practiceleader, community members,commissioning directors, lead
and teams
World Class Commissioning (DH: 2007)-
CYCYICAL PROCESS1. Planning
2. Procuring3. Monitoring & Evaluating
DH (2007)11 COMPETENCIES- BEST PRACTICE
RationaleLead clinician identified
1 MILLION Contract for HCV treatment (70patients) per financial year
However only 30 patients treated High DNA rates of Ist and 2nd appointments
(appt) from People who Inject drugs (PWID) Ist appt: 156 2nd appt :76
-Therefore underutilization of current serviceleading to inefficient service
PLANNING PHASE
BJCCG, LOCAL AUTHORITY,NHS, DRUG SERVICE PROVIDERS, PUBLIC HEALTH, PATIENTS ,VOLUNTARYTHE HEALTH NEEDS ASSESMENTReview LiteratureHPA (2009) -majority of people are infected with hepatitisC virus(HCV) are people who inject drugs (PWID).Simvanathan (2011)- PWID -4087 with 794 HCVAPPHG (2010)- HCV curable and preventable;HPA (2011) to cost to NHS- 8 billion in 25 yrs
To treat individuals is between 4000-16000Cost for transplant if patient remain undiagnosedand untreated- 88-89,000 per patient per yearHepatitis C Strategy (2002)Hepatitis C Action Plan (2004) guidelines on prevention,diagnosis and treatmentASSESS SERVICESPATIENT ADVICE LASION SERVICE (PALS) 1 MILLION Contract for HCV treatment (70 patients) per financial yearHowever only 30 patients treated (of which 5 PWID)High DNA rates of Ist and 2nd appointments (appt) among PWIDIst appt: 1562nd appt :76
GAPS IDENTIFIED:NO PROVISIONS FOR HCV TESTING AT DRUG SERVICEDISTANCE TO TESTING SERVICE IS FARLACK OF AWARENESS AND KNOWLEDGE OF HCV AND TREATMENT (PWID AND KEYWORKERS)
UNDERUTILIZATION OF CURRENT TREATMENT SERVICEResultedtoHealthE uit Audit HEA
Assessing HealthNeeds
Reviewing Current
ProvisionCapacity Planning
Identifying andPriorities
Service Design/Redesign
Defining Contracts
Procuring Appropriate Services
Demand Management
Monitoring activity
and qualityInvoicing datavalidation and
paymentUser and Local
authority views,choice
Feedback
PROCURMENT PHASEMONITORING PHASE
Hepatology Service to report Quartely
However the information can be calledupon anytime-cavetService to carry out Patient Survey collect patient experiences andFeedback about service
New Service Advertise in NHS Supply 2 HealthQuality , Performance & ProductivityIndicator
Caseload activityScreening activityScreening outcome
Local Hospital- Disclose their interest and affiliationwith the JCCG in helping design serviceService Awarded Hepatology service at BedfordHospital to deliver outreachMarginal analysis considered -COST EFFECTIVEIncentive Included in contract if 100% HCV test are
performed