Value Based Clinical Commissioning of Elective Surgical Care. Emerging Views of Commissioners & Surgeons and Production of High Value Care Pathways – NHS Right Care – November 2011

Posted on January 16, 2012. Filed under: Surgery | Tags: |

Value Based Clinical Commissioning of Elective Surgical Care. Emerging Views of Commissioners & Surgeons and Production of High Value Care Pathways – NHS Right Care – November 2011

QIPP Right Care Team: Muir Gray, Simon Swift, Mehrunisha Suleman East Midlands SHA: Nigel Beasley, Donna Hakes and Malcolm Qualie London SHA: Andy Mitchell, Sue Dutch
Edited by:Edited by: Mehrunisha Suleman

Executive Summary

“The aim of this report has been to make recommendations for consideration by the NHS Operations Board with regard to effective commissioning of elective surgical procedures. The work was commissioned by Professor Sir Bruce Keogh, NHS Medical Director, following widespread expressions of concern from professional bodies that approaches based on lists of procedures deemed to be of ‘limited effectiveness’, ‘lowvalue’ or requiring a ‘threshold’ result in inequitable patterns of service delivery. The evidence base for such approaches are not thought to be sufficiently robust, and in many cases procedures with well‐established evidence of effectiveness, such as cataracts or arthroplasty, have been included.

The paper draws on discussions held between clinicians and commissioners in two SHAs (London and East Midlands). It establishes principles of  ommissioning which support fully informed shared‐decision making that takes into consideration patients individual circumstances, and ensures that they receive appropriate interventions by suitably skilled individuals in line with widely agreed, nationally endorsed pathways of care. It emphasizes the importance of the care pathways rather than individual procedures, and the requirement for audit of points on the pathway against set standards.”

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