Practice-based commissioning (PBC) is a policy intended to give more decision-making power over NHS resources to general practitioners (GPs), and allow them to design and deliver completely new services or commission others to do so. It has a number of underlying policy objectives including delivering more cost effective and convenient ...
Health care commissioners will need to deliver a sustainable system in the face of the most challenging financial and organisational environment seen in decades. They must shift the current emphasis on acute and episodic care towards prevention, self-care and integrated and well co-ordinated care to cope with an aging population ...
Improving management of high cost patients, especially those with long term conditions, it is increasingly viewed as an important strategy for improving health outcomes and controlling health care expenditures. An essential component of any strategy to improve care and services for these patients is the development of a case finding ...
This paper was commissioned by The King’s Fund to inform the Inquiry panel. The views expressed are those of the authors and not of the panel. and Better management of people with long-term conditions has been a key priority of the NHS since the early 1990s. At that time it was recognised that if people with long-term conditions were managed effectively in the community, they should remain relatively stable and enjoy a quality of life free from ...
The reforms set out in the coalition government’s White Paper have wide ramifications, particularly for GPs. NHS Lincolnshire decided to help GPs to understand the issues and behaviours that might emerge as a result of the reforms by running a simulation exercise with This report offers observations about individual and ...
Over the past decade a number of health policies have sought to put the patient first and to improve health outcomes. Choice and competition have been key elements of these policies, but the importance of integrated care was highlighted by Lord Darzi in the final report of the NHS Next ...
Case management is a well-established way of integrating services around the complex needs of people with long-term conditions. It is a targeted, community-based and pro-active approach that identifies individuals at high risk of hospital admission, assesses their needs, produces a personal care plan, and ensures co-ordination of that plan. However, ...
Practice-based commissioning (PBC) has been a major strand of NHS policy since 2005. There continues to be a high level of commitment to the policy among GPs, but many still remain hesitant about its impact to date and unsure if its potential will be fulfilled. In 2007, The King's Fund ...