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       #Post#: 124--------------------------------------------------
       Specialist Services and Co-Commissioning
       By: admini5 Date: May 12, 2015, 4:53 am
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       The key priority amongst the commissioning intentions for
       Prescribed Specialised Services for 2015/16 is collaboration in
       order to achieve the most efficient service models through
       delivering change. In other words, the challenge to identify the
       most efficient service models and deliver change may be best
       tackled in partnership between CCGs and Specialised Services.
       But how should services and initiatives be prioritised and what
       is the impact of existing services and initiatives on specialist
       care? National initiatives such as Early Diagnosis, Care at
       Home, CfV, QIPP, etc. are delivering the NHS agenda to reduce
       hospital attendances and admissions and to constrain levels of
       spend to match available resources. The difficulty has always
       been the identification of the most promising initiatives for a
       specific locality, their successful delivery and the reduction
       of costs whilst improving outcomes.
       Identifying correctly the most suitable initiatives based on
       real activity, case-mix and clinical parameters takes away the
       guesswork most commissioners are facing which often results in
       the non-delivery and uncertainty of QIPP. By utilising advanced
       algorithms that identify initiatives with the highest impact
       based on actual activity, commissioners now have a tool that
       provides certainty. The i5 Commissioning Opportunities (COP)
       report enable commissioners to focus on initiatives that deliver
       the highest impact based on clinical conditions of the local
       population. It creates cohorts of patients, which would benefit
       from a previously successfully implemented initiative within the
       NHS, to enable commissioners to find suitable initiatives from a
       catalogue of hundreds.
       The upcoming Co-Commissioning arrangements between CCGs and NHS
       England will, for the first time since the restructuring, enable
       CCGs to implement Out-of-Hospital strategies that affect
       specialist and non-specialist patients. By focusing, though COP,
       on initiatives that can deliver healthcare services for patient
       groups, commissioners of specialist services and CCGs can
       achieve a reduction in healthcare costs that leads to a delivery
       of QIPP savings.
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