| Titre : | Building high-quality commissioning : What role can external organisations play? |
| Titre original: | Construire une contractualisation de haute qualité : Quel rôle peuvent jouer les organisations externes ? |
| Auteurs : | N. GOODWIN ; C. NAYLOR ; The King's Fund. Londres. GBR ; King's Fund Hospital Centre. (K.F.H.C.). Londres. GBR |
| Type de document : | Ouvrage |
| Editeur : | Londres : King's Fund Institute, 2010 |
| ISBN/ISSN/EAN : | 978-1-85717-597-4 |
| Format : | 76p., tabl., fig. |
| Langues: | Anglais |
| Catégories : |
[BDSP5] Economie descriptive > Productivité [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Efficience [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Performance [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Organisation > Planification > Choix priorité [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Recommandation [BDSP5] Géographie politique > Monde > Europe > Iles Britanniques > Royaume Uni [BDSP5] Politique santé [BDSP5] Pratique médicale [BDSP5] Protection sociale > Système santé > NHS [BDSP5] Sciences économiques > Concept économique > Revenu > Type revenu > Rémunération [BDSP5] Soins > Qualité soins [BDSP5] Système soins > Filière soins > Réseau soins coordonnés > Fundholding [BDSP5] Système soins > Santé communautaire > Soins santé primaire |
| Résumé : | Commissioning is expected to play a central role in meeting the challenges currently facing the NHS ? developing better quality care and improving productivity. However, it is widely recognised that it has so far failed to become a major driver of improvement. In recognition of this, the Department of Health launched the world class commissioning programme in 2007. This provides commissioners with a vision of what best practice in commissioning looks like, and a set of organisational competencies which commissioners will need to develop if they are to achieve this vision. Since 2009 primary care trusts (PCTs) have been assessed against these competencies on an annual basis. Encouraged by government policy (in particular the framework for procuring external support for commissioners; FESC), NHS commissioners have increasingly turned to the independent sector for support with commissioning. The use of external support is now the norm among PCTs. The economic downturn presents a challenging environment for NHS commissioners seeking to invest in external support. The House of Commons Health Committee, among others, has expressed concern that the use of external support may not always provide value for money and that PCTs may not have the ability to use such support effectively. The primary aim of this research was to examine how external support is being used by PCTs and strategic health authorities (SHAs) and whether it is helping to develop more effective commissioning. The research was based on a mixture of qualitative and quantitative methods, including national surveys, focus groups and semi-structured interviews with people working in PCTs, SHAs and organisations providing support to commissioners. |