3. Choice
Need Want
Strategy
Workforce
? Outcomes
Participation
Budget
Existing Quality &
providers value
Alternative
providers
4. Population needs assessment
Usually produced by Public Health
Need department (based in local
Want
NEED
authority).
WANT
Choice
CHOICE
Should include:
Estimated need - prevalence data
Service map with gap analysis
Evidence of best practice
Analysis
Analysis of what people want
5. Commissioning strategy
Usually produced by the
Strategy
commissioning team (could be
Outcomes
NEED
WANT
Budget
joint between CCG and LA).
CHOICE
It is the plan of:
What outcomes need to be delivered
By what sorts of services
Within a specified budget Planning
6. Allocating resources
Commissioners may continue to
Quality fund existing providers, with a
Value
NEED service specification.
WANT
Providers
CHOICE
They may also commission new or alternative
providers by:
Tendering
Sourcing
Procurement
7. Checking quality and value
Contracts reviewed by activity
Workforce and outcome reports from the
NEED
Participation
WANT
provider workforce.
CHOICE Outcomes and quality
(experience of service) are
sought by:
Public and patient involvement (PPI)
Service user participation
Monitoring and
review
8. The commissioner’s role...
is to bring resources and strategic direction to
the commissioning process, designing and
implementing the range of services required,
rather than only purchasing from services
currently available.
9. Who will the commissioners be
• Clinical commissioning groups (GPs and other
primary care professionals)
• Local Authority commissioners
• With support from those with more
commissioning experience (for example ex-
PCT commissioners)
10. Joint commissioning...
is the process whereby partners who have
responsibility for specifying, securing and
monitoring services work together to make
joint decisions about the needs of their
population, and how they should be met.
11. Effective commissioning...
has the potential to help in the improvement of
services because it places the primary focus on
the needs and aspirations of patients and their
families, unclouded by other considerations.
12. How is that achieved?
By finding out:
• What people need
(population needs assessment)
• What people want
(public and patient involvement, advocacy)
• Then acting upon it
13. A key aspect...
of the commissioning agenda is to focus on early
intervention and prevention wherever possible,
rather than waiting for a crisis presentation
needing acute or restorative services.
14. How does that relate to epilepsy?
• Public information and challenging stigma
• Educating that there is a role for early
intervention and preventative work in
epilepsy.
• Pre-conception and maternity services
• Accurate diagnosis
• NICE CG 20 standards
