Commissioning guides are provided to assist commissioners, clinicians and managers in delivering high quality and evidence-based surgical care in England.
The development process that led to the creation of the commissioning guides has been accredited by the (NICE).
Further background to this project is described in this HSJ article.
The aim of our commissioning guides is to:
- help to improve the health and wellbeing of people and communities;
- support local service redesign to ensure the provision of high quality, cost-effective services that meet the needs of the local population;
- reduce unexplained variation in the provision of surgical services;
- take into account patient experience.
The commissioning guides are designed to assist clinical commissioning groups (CCGs) to make decisions about appropriate healthcare for specific clinical circumstances and fulfil their obligation to commission healthcare for their population that meets the five domains in the NHS Outcomes Framework:
- Domain 1: Preventing people from dying prematurely.
- Domain 2: Enhancing the quality of life for people with long-term conditions.
- Domain 3: Helping people to recover from episodes of ill health or injury.
- Domain 4: Ensuring that people have a positive experience of care.
- Domain 5: Treating and caring for people in a safe environment and protecting them from avoidable harm.
How to use the guides
The high value care pathways contained within each commissioning guide aims to provide patients, the public, health and social care professionals, commissioners and service providers with a clear description of what constitutes a high quality service.
Organisations can use the , along with the data analysis tools, to assess their current performance against evidence-based measures of best practice, and identify priorities for improvement.
Suggested audit and peer review measures will support the implementation of the recommendations through commissioning and contracting processes. Each commissioning guide provides examples of measures that can be used in the service specification and advice on how commissioners can incentivise the performance of service providers by using the indicators in association with incentive payments such as Commissioning for Quality and Innovation (CQUIN).
Implementation of the guides is the responsibility of local commissioners and/or providers, in their local context, in light of their duties to avoid unlawful discrimination and to promote equality of access. Nothing in the guides should be interpreted in a way that would be inconsistent with compliance with those duties.