Commissioning

Recommendations related to commissioning

22
Recommendations
95% accepted
Government Response
Accepted (16)Accepted in Part (5)Not Accepted (1)
Recommendations in This Theme

recommendation across 3 inquiries

Tagged Recommendations
22 total
IBI-6a(vi) Accepted
Infected Blood Inquiry
Commissioning Hepatology Services
All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those bodies responsible for commissioning hepatology services in each of the home …
- The Government's implementation dashboard records this recommendation as: Accepted in full by the UK Government, the Scottish Government and the Welsh Government. Accepted in …
UK Government
43 Accepted
Morecambe Bay Investigation
Maintain focus on quality
We strongly endorse the emphasis placed on the quality of NHS services that began with the Darzi review, High Quality Care for All, and gathered importance with the response to …
- In July 2015, the government stated: "We accept this recommendation, and strongly agree that the emphasis on quality of care must be maintained" (Learning …
NHS England
F120 Accepted in Part
Mid Staffs Inquiry
Learning and information from complaints
Commissioners should require access to all complaints information as and when complaints are made, and should receive complaints and their outcomes on as near a real-time basis as possible. This …
- Integrated Care Boards (ICBs), which replaced Clinical Commissioning Groups from July 2022 under the Health and Care Act 2022, have responsibility for commissioning most …
Commissioners
F123 Accepted
Mid Staffs Inquiry
Responsibility for monitoring delivery of standards and quality
GPs need to undertake a monitoring role on behalf of their patients who receive acute hospital and other specialist services. They should be an independent, professionally qualified check on the …
- The Health and Care Act 2022 established Integrated Care Boards (ICBs) as the statutory commissioners of NHS services from July 2022, replacing Clinical Commissioning …
F124 Accepted in Part
Mid Staffs Inquiry
Duty to require and monitor delivery of fundamental standards
The commissioner is entitled to and should, wherever it is possible to do so, apply a fundamental safety and quality standard in respect of each item of service it is …
- The NHS Standard Contract 2024/25, mandated for all NHS-funded secondary care services, includes quality requirements, performance standards, and provisions for remedial action where standards …
Commissioners
F125 Accepted
Mid Staffs Inquiry
Responsibility for requiring and monitoring delivery of enhanced standards
In addition to their duties with regard to the fundamental standards, commissioners should be enabled to promote improvement by requiring compliance with enhanced standards or development towards higher standards. They …
- The Commissioning for Quality and Innovation (CQUIN) framework enables commissioners to incentivise quality improvement above the level of fundamental standards. CQUIN links a proportion …
Commissioners
F126 Accepted
Mid Staffs Inquiry
Preserving corporate memory
The NHS Commissioning Board and local commissioners should develop and oversee a code of practice for managing organisational transitions, to ensure the information conveyed is both candid and comprehensive. This …
- The Health and Care Act 2022 established Integrated Care Boards (ICBs) from July 2022, replacing 106 CCGs with 42 ICBs (subsequently reduced to 36 …
NHS England
F127 Accepted
Mid Staffs Inquiry
Resources for scrutiny
The NHS Commissioning Board and local commissioners must be provided with the infrastructure and the support necessary to enable a proper scrutiny of its providers' services, based on sound commissioning …
- The Health and Care Act 2022 established Integrated Care Boards (ICBs) as statutory bodies with their own budgets, staff, and governance arrangements. ICBs are …
NHS England
F128 Accepted
Mid Staffs Inquiry
Expert support
Commissioners must have access to the wide range of experience and resources necessary to undertake a highly complex and technical task, including specialist clinical advice and procurement expertise. When groups …
- Integrated Care Boards (ICBs) are required under the Health and Care Act 2022 to have access to clinical expertise for commissioning decisions. ICBs must …
Commissioners
F129 Accepted
Mid Staffs Inquiry
Ensuring assessment and enforcement of fundamental standards through contracts
In selecting indicators and means of measuring compliance, the principal focus of commissioners should be on what is reasonably necessary to safeguard patients and to ensure that at least fundamental …
- The NHS Standard Contract 2024/25 includes a suite of quality indicators and performance measures that commissioners use to monitor provider compliance with safety and …
Commissioners
F130 Accepted
Mid Staffs Inquiry
Relative position of commissioner and provider
Commissioners – not providers – should decide what they want to be provided. They need to take into account what can be provided, and for that purpose will have to …
- The Health and Care Act 2022 establishes ICBs as the statutory commissioners responsible for planning and commissioning NHS services to meet the needs of …
Commissioners
F131 Accepted
Mid Staffs Inquiry
Development of alternative sources of provision
Commissioners need, wherever possible, to identify and make available alternative sources of provision. This may mean that commissioning has to be undertaken on behalf of consortia of commissioning groups to …
- The Provider Selection Regime (PSR), introduced in January 2024 under SI 2023/1348, provides commissioners with a structured framework for identifying and selecting alternative providers. …
Commissioners
F132 Accepted
Mid Staffs Inquiry
Monitoring tools
Commissioners must have the capacity to monitor the performance of every commissioning contract on a continuing basis during the contract period: Such monitoring may include requiring quality information generated by …
- The NHS Standard Contract 2024/25 includes comprehensive provisions for commissioner monitoring of provider performance. The contract requires providers to submit regular quality and performance …
Commissioners
F133 Accepted in Part
Mid Staffs Inquiry
Role of commissioners in complaints
Commissioners should be entitled to intervene in the management of an individual complaint on behalf of the patient where it appears to them it is not being dealt with satisfactorily, …
- The NHS Standard Contract 2024/25 includes provisions requiring providers to have effective complaint handling arrangements and to report complaints data to commissioners. Commissioners can …
Commissioners
F134 Accepted
Mid Staffs Inquiry
Role of commissioners in provision of support for complainants
Consideration should be given to whether commissioners should be given responsibility for commissioning patients' advocates and support services for complaints against providers.
- The Health and Social Care Act 2012 (section 185) placed a duty on local authorities (not NHS commissioners) to commission independent advocacy services for …
Commissioners
F135 Accepted in Part
Mid Staffs Inquiry
Public accountability of commissioners and public engagement
Commissioners should be accountable to their public for the scope and quality of services they commission. Acting on behalf of the public requires their full involvement and engagement: There should …
- The Health and Care Act 2022 requires ICBs to involve patients and the public in decisions about the commissioning of services. ICBs must make …
Commissioners
F136 Accepted
Mid Staffs Inquiry
Public accountability of commissioners and public engagement
Commissioners need to be recognisable public bodies, visibly acting on behalf of the public they serve and with a sufficient infrastructure of technical support. Effective local commissioning can only work …
- Integrated Care Boards (ICBs) are established as statutory NHS bodies under the Health and Care Act 2022, with their own legal identity, branding, websites, …
Commissioners
F137 Not Accepted
Mid Staffs Inquiry
Intervention and sanctions for substandard or unsafe services
Commissioners should have powers of intervention where substandard or unsafe services are being provided, including requiring the substitution of staff or other measures necessary to protect patients from the risk …
- The NHS Standard Contract 2024/25 includes provisions enabling commissioners to take action where providers fail to meet contractual quality standards. These include issuing contract …
Commissioners
F138 Accepted
Mid Staffs Inquiry
Local scrutiny
Commissioners should have contingency plans with regard to the protection of patients from harm, where it is found that they are at risk from substandard or unsafe services.
- NHS England's System Oversight Framework (SOF) includes requirements for ICBs and NHS England regional teams to have contingency plans for the continuity of services …
Commissioners
F144 Accepted
Mid Staffs Inquiry
Need for ownership of quality metrics at a strategic level
The NHS Commissioning Board should ensure the development of metrics on quality and outcomes of care for use by commissioners in managing the performance of providers, and retain oversight of …
- NHS England (originally the NHS Commissioning Board) developed and maintains the NHS Outcomes Framework, a suite of outcome indicators used to assess the overall …
NHS England
F17 Accepted in Part
Mid Staffs Inquiry
Responsibility for setting standards
The NHS Commissioning Board together with Clinical Commissioning Groups should devise enhanced quality standards designed to drive improvement in the health service. Failure to comply with such standards should be …
- NHS England (formerly the NHS Commissioning Board) publishes quality standards and commissioning guidance. The NHS Outcomes Framework set out national outcome goals for the …
NHS England
F8 Accepted
Mid Staffs Inquiry
Clarity of values and principles
Contractors providing outsourced services should also be required to abide by these requirements and to ensure that staff employed by them for these purposes do so as well. These requirements …
- The NHS Constitution for England states it applies to "private and voluntary sector providers supplying NHS services" and covers staff "whether in public, private …
Commissioners