Commissioning

Recommendations related to commissioning

26
Recommendations
81% accepted
Government Response
Accepted (16)Accepted in Part (5)Not Accepted (1)Awaiting Response (4)
Recommendations in This Theme

recommendation across 4 inquiries

Tagged Recommendations
26 total
R101 Response Pending
Muckamore Abbey Inquiry
Whole-system commissioning with cross-agency risk assessment
Planning and commissioning services for people with learning disabilities and autistic people should be done as a single process across the whole system (including primary care, housing, benefits and independent …
Department of Health NI
R20 Response Pending
Muckamore Abbey Inquiry
Independent advocacy for service users and families
Properly trained independent advocates should be made available to service users and families to support effective communication with staff and for raising concerns and complaints. DoH/SPPG should specify the level …
Department of Health NI
R72 Response Pending
Muckamore Abbey Inquiry
Review supervision models for commissioned services
SPPG must commission a review of the potential models for supervision of staff in private and third sector services commissioned by HSCTs, including all associated costs.
Department of Health NI
R97 Response Pending
Muckamore Abbey Inquiry
Funded access to primary care
The SPPG must ensure that commissioning includes provision for people with learning disabilities and autistic people cared for in any facility to have fully funded access to primary care services. …
Department of Health NI
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 …
- The Department of Health and Social Care stated in April 2025 that GP practices are required to produce annual complaint reports and provide them …
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 …
- NHS England issued national guidance on System Quality Groups (SQGs) in January 2022 to facilitate intelligence-sharing and learning between all organisations in an integrated …
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 includes service condition 37, which allows commissioners and providers to agree on local quality requirements and enhanced standards (DHSC …
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 NHS Standard Contract 2024/25 enables commissioners to promote improvement by requiring compliance with enhanced standards through local quality requirements (DHSC and NHS England …
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 abolished Clinical Commissioning Groups and established 42 Integrated Care Boards (ICBs) with broader responsibilities for population health (Health …
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 the statutory bodies responsible for NHS commissioning and service oversight (Health and …
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 …
- The Health and Care Act 2022 permits Integrated Care Boards to enter joint working arrangements with other ICBs to manage complex commissioning tasks (Health …
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 …
- DHSC and NHS England stated in April 2025 that the Commissioning for Quality and Innovation (CQUIN) scheme is used to select indicators for measuring …
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 mandates that Integrated Care Boards are responsible for planning health services and managing the NHS budget for their …
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 Health and Care Act 2022 established 42 Integrated Care Systems (ICSs) to bring together health and care organisations to develop shared plans (Health …
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 includes provisions allowing commissioners to require audits of provider performance and to enter premises for inspection (DHSC/NHS England implementation update …
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 Parliamentary and Health Service Ombudsman (PHSO) introduced the NHS Complaint Standards in 2022 to provide a consistent approach to complaint handling across the …
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.
- Local Authorities are responsible for commissioning independent health complaint advocacy services (DHSC/NHS England implementation update to the Thirlwall Inquiry, April 2025). - DHSC and …
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 established Integrated Care Boards (ICBs) to replace Clinical Commissioning Groups (Health and Care Act 2022). - DHSC and …
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 …
- The Health and Care Act 2022 established 42 Integrated Care Boards with statutory responsibilities for population health, bringing together NHS organisations and local authorities …
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 government did not accept this recommendation in 2013 (Hard Truths: the journey to putting patients first volume 2, DHSC, November 2013). - DHSC …
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 published the NHS Oversight Framework to identify where providers require support and to provide an objective basis for intervention (NHS Oversight Framework, …
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 …
- The Health and Care Act 2022 replaced Clinical Commissioning Groups with 42 Integrated Care Boards (ICBs) tasked with oversight of population health and provider …
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 …
- Integrated Care Boards (ICBs) replaced Clinical Commissioning Groups on 1 July 2022, assuming responsibility for population health and NHS commissioning (Health and Care Act …
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 Standard Contract (General Condition 5.1) requires providers to apply Principles of Good Employment Practice and abide by the staff pledges in the …
Commissioners