COMMISSIONING ISSUES FOR NEUROLOGICAL CONDITIONS

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COMMISSIONING ISSUES FOR NEUROLOGICAL CONDITIONS
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HEALTH REFORM IN ENGLAND - FRAMEWORK
Money following the patients, rewarding the best
and most efficient providers, giving others the
incentive to improve
Better care Better patient experience Better
value for money
More diverse providers, with more freedom to
innovate and improve services
More choice and a much stronger voice for patients
A framework of system management, regulation
and decision making which guarantees safety and
quality, fairness, equity and value for money
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What are the tools we can use to achieve reform

• Patients choice
• Wider range of providers voluntary and private
  sectors
• Money following the patient payment by results
• Access to information
• System management reform

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What does the NSF cover
11 Quality Requirements which apply to

• Health and Social Services
• Entire patient pathway from onset to end of life
• Acute and community sector
• Care planning
• Need of the whole person and their carers
• All care settings

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Key Principles of NSF

• Person centred care
• Integrated care planning and coordinated service
  provision
• Prompt diagnosis and treatment
• Access to rehabilitation, support in the
  community and vocational rehabilitation

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NSF for Long-term Conditions Care Pathway
Sudden onset Conditions, e.g. brain injury, SCI
Timely Emergency and Acute management
Equipment and accommodation
Early and specialist rehabilitation
Community and vocational rehabilitation
Palliative care
Person-centred, integrated information care
planning.
On-going access to specialist care
Personal care and support. Support for families
and carers
Early recognition Prompt diagnosis treatment
Joined-up service provision - all agencies
Progressive Conditions e.g. MS, MND, PD
Intermittent Conditions e.g. epilepsy
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OPTIONAL NETWORK FOR NEUROSCIENCES
Voluntary Sector
PCTs
User Groups
Lead PCT
Social Services
SHA
MANAGEMENT BOARD
Professional Advisory Group
Partnership Boards PCTs/SS
Community Services/Rehabilitation
Representatives from MDT
Clinical Management Team
Independent Sector
Specialised Rehabilitation
Neurosciences Centre
Hospital Trusts
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Tools to overcome organisational/geographical
barriers

• Partnerships between agencies our health, our
  care, our say
• Pooled budgets between health and social care
• Improved commissioning initiatives
• Commissioning the pathway

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London Consortium for Specialised
Neuro-Rehabilitation

• 22 PCTs 9 Trusts
• Ensure equitable access for patients
• Common standards, service specification
• Share financial pressures across PCTs