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CONTENTS COMMISSIONING UPDATE 04 06 08


News and updates The latest news, comment and views on clinical commissioning


Making the grade


With CCGs still facing conditions, how does the land lie for newly appointed bodies?


Sticking points With an EU directive on sharps coming into play, CCGs should consider a proactive approach to procuring safer products and services


10 Get your facts right


Once a controversial suggestion, CCGs now realise they may have something to learn from the USA – especially when it comes to big data


13


Nicholson pulls no punches NHS leaders, like Sir David Nicholson, take to the stage at the NHS Confederation Conference to set the commissioning world to right


14 The optimal dose


Medicines management is old news. Enter a new world of ‘medicines optimisation’. We find out what a change of wording means for CCGs


17


The defining point in the reform agenda Dr Charles Alessi gives his view of the commissioning agenda and why acting the dodo never works


18


COMMISSIONING IN ACTION Happy together


Wigan Borough CCG takes a big picture approach to commissioning by way of an innovative integrated care model and successful LTC management


22 Information you can rely on


CCGs have been benefiting from NHS North East London and the City’s hard work establishing an exciting new tool to support successful commissioning


26 The senate speaks


Chorley and South Ribble and Greater Preston CCGs foster a democratic approach to delivering better outcomes – weighted in favour of the clinical senate


30 The power of influence


Michael O’Higgins couldn’t have taken on his role as a chair of the NHS Confederation at a much more turbulent time. We ask him about his first few months in the job


COMMUNITY CARE 32


The kids are alright The number of unnecessary hospital admissions for children is on the increase. But what are the reasons behind this and what can be done?


36


Teaching the black dog new tricks The treatment of mental health problems is one of


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the tougher tasks in front of CCGs. We look at how commissioners can improve


Paying the price


A Conservative MP proposed introducing cost implications for treating those with an unhealthy lifestyle. We look at whether this is ever the answer


Home is where the heart is Patients often prefer to receive treatment in the comfort of their own homes. We discover what CCGs are doing to make that possible


INFORMATION AND TECHNOLOGY


A difficult admission How using data can help CCGs reduce emergency admissions and the whos, whats, whens and whys that contribute to A&E attendance


48


Artificial intelligence For commissioners, information is everything. Infomatics experts explain why the current data model is impeding better value outcomes


Making a PACT


We look at scripts and what you can do to ensure your commissioning group has the right tools to make better medical decisions


54


Under new management Telehealth has been deemed the solution to self- management. We find out the areas it can benefit patients the most


MANAGING COMMISSIONING


A new era With the dawn of a new NHS, CCGs are establishing themselves as standalone organisations. We look at why this should be seen as a branding exercise


The legacy of primary care trusts There’s a long list of things CCGs should be learning from their predecessors. We find out which processes to emulate and which to ignore


Critical conditions The year we have all been waiting for has finally arrived, but with some CCGs being authorised with conditions, what lies ahead for them?


Seeking support


Some CCGs have been seeking alternative support instead of relying on CSUs. We look at the current state of support


68 Risky business


With rising litigation costs and increased scrutiny on CCGs, insurance is something they must get right. We look at managing the many risks


70


Every voice heard Research has shown that CCGs benefit greatly when they are made of a diverse group of people. Our top tips on achieving a balance


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