The King’s Fund was commissioned by the Department of Health to conduct research that would explore how and why clinical commissioning groups (CCGs) and local authorities chose to engage with the voluntary, community and social enterprise (VCSE) sector. This report first sets out the methodology we used and then presents ...
World Class Commissioning is a policy that seeks to bring a "step change" in the capacity and capability of primary care trusts to act as effective commissioners. However, the enduring weakness of commissioning is unlikely to be addressed by WCC alone. It is not just a matter of aligning incentives; ...
This report describes how clinical commissioning groups (CCGs) in England are innovating with two broad models – the prime contract and alliance contract. It draws on experiences from five geographical areas, covering different population and disease groups (cancer, end-of-life care, musculoskeletal services, mental health rehabilitation, and older people’s services). It ...
Under the Health and Social Care Act, the NHS Commissioning Board and Clinical Commissioning Groups (CCGs) will be accountable for improving health and treatment outcomes in the NHS.
We've produced two slide sets to help CCGs make the best use of measurement to support them to commission for improved outcomes.
In early 2009 The King’s Fund conducted a survey of primary care trusts (PCTs) in England, examining the use of external support for commissioning, and eliciting views on the world class commissioning programme. The survey revealed that PCTs are increasingly turning to external organisations, and the private sector in particular, ...
The government’s End of Life Care Strategy set out to improve the care that patients receive at the end of their life and to give them meaningful choice about where they are cared for and where they die. Implementation of the strategy has proved challenging, however, for a number of ...
Since internal markets were created in the NHS, commissioners have purchased health care on behalf of patients and the public from a variety of competing providers. Commissioning was intended to drive improvements in the quality, accessibility and cost-effectiveness of services, but has so far largely failed to achieve these objectives. ...
This technical paper offers an understanding of the different contracting, reimbursement and incentive mechanisms available to deliver value and outcomes-based healthcare in a UK context.