Thames Valley & Milton Keynes Strategic Clinical Networks commissioning guidance

Thames Valley & Milton Keynes Strategic Clinical Networks have produced commissioning guidance with recommendations for action and best practice case studies for cancer, cardiovascular health, children, end of life care, long term conditions, maternity, mental health and neurological conditions. Although locally focused, the guides may have wide spread interest. 

Access the guides here.

A guide to enabling behaviour change for health and wellbeing using person- and community-centred approaches

"This guide is for people who support those living with long-term conditions, their carers, families or communities. It summarises practical ways to support people to self manage effectively using person and community-centred approaches. Many of these activities are useful also for people who work to prevent the development of long-term conditions in the first place."

Supporting self-management: a guide to enabling behaviour change for health and wellbeing using person and community centred approaches
H Burd, M Hallsworth, The Behavioural Insights Team
Nesta and the Health Foundation
September 2016

Read more here.

Implementing the NICE guideline on social care of older people with social care needs and multiple long-term conditions

"The guideline covers how health and social care for older people with multiple long-term conditions should be planned and delivered. It addresses how those responsible for commissioning, managing and providing health and social care should work together to deliver safe, high-quality services."

Costing statement:Implementing the NICE guideline on social care of older people with social care needs and multiple long-term conditions (NG22)
NICE
November 2015

Read more here.

Health service review: Shropshire (Future Fit)

Future Fit is a programme overseeing plans for service improvement for health services across Shropshire. They have compiled rapid reviews of the evidence for planned care, long term conditions and frailty, and acute and episodic care, all of which can be viewed here.

Medicine optimisation can cut the costs of long term conditions

"Medicines optimisation can cut waste, emergency admissions and the cost of long term conditions. But a review of rheumatoid arthritis care reveals how far it has to go"

Medicine optimisation can cut the costs of long term conditions
M Shelley
Health Service Journal Supplement
June 2015

Read more here.

Transforming our health care system: Ten priorities for commissioners

"We have identified ten priorities for action. A striking feature of all the priorities is the degree to which they call for change within primary care and the way in which primary care relates to the rest of the system. "

Transforming our health care system: Ten priorities for commissioners
C Naylor et al.
The King's Fund
April 2015

Read more here.

The dynamics of quality: a national panel study of evidence-based standards

"People with long-term health conditions do not always receive the health care they need, and so may suffer avoidable poor health. We aimed to find out if the quality of health care received by people in England had improved over 6 years, for four common long-term health conditions: cardiovascular disease (including heart disease and high blood pressure treatment), depression, diabetes and osteoarthritis."

The dynamics of quality: a national panel study of evidence-based standards
AC Hardcastle, LTA Mounce, SH Richards, MO Bachmann, A Clark, et al.
Health Service Delivery Res 2015;3(11)

Read more here. 

Collaborative Care and Support Planning

"The Collaborative Care and Support Planning programme aims to encourage a shift in general practice to bring the person with long term conditions (LTCs) to the centre of the decisions which are made about their care, working in partnership with the practitioner."

Collaborative Care and Support Planning
Royal College of General Practitioners
January 2015

Find out more and watch a video about the programme here.

Reducing Care Utilisation through Self-management Interventions

"Very few self-management support interventions achieve reductions in utilisation while compromising patient outcomes. Evidence for significant reductions in utilisation were strongest for respiratory disorders and cardiac disorders."

Reducing Care Utilisation through Self-management Interventions (RECURSIVE): a systematic review and meta-analysis
M Panagioti, G Richardson, E Murray, A Rogers, A Kennedy, S Newman, et al.
Health Service Delivery Research 2014;2(54).

Read more here.

Delivering High Value Care Pathways

"In this scenario we examine a typical long term condition pathway, comparing a sub-optimal but typical scenario against an ideal pathway. At each stage we have modelled the costs of care, both financial to the commissioner but also the impact and cost on the patient, family and their contribution to society. We show how the Right Care methodology can help clinicians and commissioners to improve the value of the care pathway."

Delivering High Value Care Pathways – Paul Adams – a commissioning scenario
A typical Long-Term Conditions story and how the NHS Right Care approach can help to achieve better value
NHS Right Care
August 2014

Read more here.

Separating diagnostic neurology from management of long-term neurological conditions

"We believe that our new model of service delivery for patients with long-term neurological conditions is leading to a significant improvement in quality and efficiency"

Separating Diagnostic Neurology from Management of Long-Term Neurological Conditions: A new concept of service delivery
Royal Bolton Hospital NHS Foundation Trust
NICE Shared Learning
September 2014

Read more here.

Ideas into action: person-centred care in practice

"This report aims to inform health care professionals, commissioners and providers about what to consider when implementing shared decision making and self-management support as part of their drive to make person-centred care a reality."

Ideas into action: person-centred care in practice. What to consider when implementing shared decision making and self-management support
Health Foundation
October 2014

Read more here.

Changes in costs and effects after the implementation of disease management programs

"After one year we have found indications of improvements in level of integrated care for cardiovascular risk patients and lifestyle indicators for all diseases, but in none of the diseases we have found indications of cost savings due to disease management programs. However, it is likely that it takes more time before the improvements in care lead to reductions in complications and hospitalizations."

Changes in costs and effects after the implementation of disease management programs in the Netherlands: variability and determinants
A Tsiachristas, J Murray Cramm, AP Nieboer, MPMH Rutten-van Mölken
Cost Effectiveness and Resource Allocation 2014, 12:17

Read more here.

Rethinking the patient

"Burden of Treatment Theory is oriented to understanding how capacity for action interacts with the work that stems from healthcare. Burden of Treatment Theory is a structural model that focuses on the work that patients and their networks do. It thus helps us understand variations in healthcare utilization and adherence in different healthcare settings and clinical contexts."

Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness
CR May et al.
BMC Health Services Research 2014, 14:281

Read more here.

Delivering better services for people with long-term conditions

"The management of care for people with long-term conditions should be proactive, holistic, preventive and patient-centred."

Delivering better services for people with long-term conditions
A Coulter, S Roberts, A Dixon
The King's Fund
October 2013

Read more here.

Management of long term conditions

"Our analysis concluded that without unprecedented, sustained increases in health service productivity, including more effective management of chronic conditions, funding for the NHS in England will need to increase in real terms between 2015/16 and 2021/22 to avoid cuts to the service or a fall in quality."

Management of long term conditions: Health Committee inquiry submission: Parliamentary Briefing
Nuffield Trust
May 2013

Read more here.

Long term conditions compendium of information

"This is the third compendium of information on long term conditions (LTCs) which aims to provide the most up to date data together with a range of case study examples of excellence and innovation from across the country."

Long term conditions compendium of information: third edition
Department of Health
May 2012

Read more here.