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Programme links
Dr Donal O'Donoghue
National Clinical Director for Kidney Care
"The resources available on this website have really helped to focus attention on the critical links between expenditure, outcomes and the drivers of spend for the kidney care programme.
In partnership with NHS Kidney Care, Health Investment Education Packs have been produced for every PCT. These are available by clicking on the Renal link below. The aim of the packs is to highlight the scale of variation in kidney disease care at PCT and GP Practice level.
The packs combine both programme budgeting and NHS Kidney Care tools to help search for unwarranted variation and support the health investment process.
It is imperative that PCT Clusters, and the emerging clinical commissioning groups, establish a clear framework and evidence base for making and evaluating health investment decisions in kidney care and all other areas.
When combined with the other resources on this site, the links below will help commissioners evaluate whether they are getting good value for money from their limited budgets across the major programmes of health care"
This section provides health investment toolkits for specific programmes:
Mental Health (£11bn national spend)
Endocrine, Nutritional & Metabolic (£3bn)
Mental Health (£10bn national spend)
The Mental Health Observatory provides data about mental health care in England, collected routinely or through special surveys, by health and social services. The site includes mental health prevalence estimates and estimates of future numbers of patients with dementia.
Circulation (£7bn)
SEPHO has produced really detailed cardiovascular health profiles for each PCT and Cardiac Network in England. Click on the following link to access them:
http://www.sepho.org.uk/NationalCVD/NationalCVDProfiles.aspx
Action on stroke services: an evaluation toolkit ('ASSET') has been created to help health care organisations improve and transform stroke services for patients. The following link provides access to a provider based spreadsheet showing comparative performance. You can use the toolkit to see the impact of several key improvements to TIA clinics and acute stroke care in terms of better patient outcomes and reduced lengths of stay. The link also contains case studies illustrating leading edge practice for key interventions
The Department of Health has produced a commissioning pack for cardiac rehabilitation to help commissioners improve the quality of services for patients through clearly defined outcomes that help drive efficiency by reducing unwarranted variation in services. Click on the following icon to access the pack:
Cancer (£6bn)
The Cancer Commissioning Toolkit is aimed at supporting the commissioning of cancer services across the NHS. It includes a range of high-level indicators, as well as a number of links to more detailed information, right across the patient’s journey: from prevention and screening through referral and treatment to living with and beyond cancer, as well as end of life care. It includes programme budgeting data. A new addition is a set of GP practice profiles, available to NHS users.
https://www.cancertoolkit.co.uk/PublicPages/Login.aspx
Musclo Skeletal (£5bn)
Click on the following icons to access a new tool and analysis providing information and interpretation of Patient Reported Outcome Measures (PROMs) data. The tool, called PROMT, is the first of its kind designed specifically for commissioners to assist with health investment decisions.
PROMs are currently collected for 4 procedures: hip and knee replacements, groin hernia and varicose veins. The tool, and analysis, enable commissioners to examine the relationship between a range of factors at local level: pre-operative and post-operative health status, health gain, activity volumes, expenditure, and demographic factors.
A step-by-step guide accompanies PROMT. It features a helpful case study using NHS Oldham as an example.
PROMs Analysis
Step-by-Step Guide
Respiratory (£4.5bn)
The link below provides access to resources to support the Lung Improvement Programme. It provides national support for the local improvement of respiratory services. This covers Chronic Obstructive Pulmonary Disease (COPD), asthma and home oxygen services. It is an initiative to support the implementation of the National Strategy for COPD Services in England.
As part of NHS Improvement, Lung Improvement aims to support clinical teams, commissioners, service managers and other key stakeholders deliver effective clinical practice through process improvement and redesign.
http://www.improvement.nhs.uk/lung/
The London Health Observatory has produced respiratory Health Investment Packs for all PCTs in the capital. Click on the following link to access them:
http://www.lho.org.uk/LHO_Topics/Data/PCT_Reports/ProgrammeBudgeting.aspx
Social Care Needs (£3bn)
The National Audlt Social Care Intelligence Service (NASCIS) provides a suite of analytical tools and information resources allowing effective and timely access of social care data to support health investment decisions. The tools are provided by the Information Centre for Health and Social Care. Click on the attached icon to access the service:
http://nascis.ic.nhs.uk/Index.aspx
Endocrine, Nutritional and Metabolic (£2.5bn)
The National Diabetes Information Service provides a wealth of diabetes data and tools. A version of the SPOT tool is available specifically for diabetes. Click on the following icon to access these resources:
The National Obesity Observatory provides information on data, evaluation and evidence relating to weight status and its determinents:
http://www.noo.org.uk/data_sources
Renal (£1.3bn)
The Kidney Disease QOF toolkit provides a number of indicators to support the commissioning of kidney care: reported and expected prevalence, performance against the 3 QOF indicators for Chronic Kidney Disease. GPs can benchmark themselves against other similar groups and against their PCT and SHAs.
http://www.kidneycare.nhs.uk/_Resourcestodownload-Toolkits.aspx
Health Investment Education Packs (HIEPs) have been designed to highlight the scale of variation in kidney disease care between PCTs and GP consortia. Each pack demonstrate how Programme Budgeting tools and NHS Kidney Care tools can help to identify unwarranted variation and support the health investment process.
The analyses presented provide examples of the indicators of expenditure, expenditure drivers, and the outcomes for kidney disease in a PCT/Consortium. A HIEP has been produced for each of the 151 PCTs in England. Click on the link below to access the packs:
http://www.kidneycare.nhs.uk/_Ourworkprogrammes-Commissioning-HealthInvestmentEducationPacks.aspx
