Lessons for future commissioning
- Commissioners have a critical role in driving quality. Drawing on the enhanced quality standards to be determined by the NHS CB, local commissioners should agree standards above those set by the CQC, with the aim of driving improvement across the system. They should also set out longer term goals with providers by way of developmental standards and focus on improvements in effectiveness.
- It is for commissioners to determine what is to be provided – considering views of clinicians, other providers and procurement expertise. They must also have mechanisms to seek the full involvement of the public and enable their views to be taken into account. For this purpose, commissioners must raise their public profile.
- Information and an understanding of how to act on it are key. The report found that a critical gap in the system of oversight of quality and safety arose from the inability of the commissioners to collect information on provider quality and to understand and make use of the contractual mechanisms that were available to them. On the evidence available, the report found that this was endemic among commissioning organisations. Commissioners should also be responsible for audits, inspections and investigations.
- During the constant change in the NHS, it is essential to put in place systems and processes that can manage the inevitable risks that would occur as the new system establishes itself.
All of this requires investment in knowledgeable and skilled local personnel, a sufficient infrastructure of technical support that can enable effective local monitoring and the full involvement of the public. This is where Agencia can help.....
How can Agencia help?
Agencia has been carefully examining the specific recommendations of the Francis Report to see how they, working with its client organisations, can take forward the necessary improvements to ensure that the circumstances in Mid Staffordshire cannot be repeated and we continually improve patient care. Agencia can provide you with the following support:
- Independent “honest broker” support in your response to the Francis report.
- Be a critical friend focussing on real issues and lessons to be learnt.
- We excel in highly sensitive and political situations by being expert listeners and using experienced and knowledgeable consultants who are also very approachable
- Our consultation and engagement experience is extensive – public, service users, carers and staff across organisational boundaries.
- Give staff and patients an unthreatening outlet for concerns.
- Help you in clinical development using an approach based on engagement with key clinicians and staff.
- We are specialists in redesigning services to improve patient experience within an agreed financial envelope.
For more information or to discuss any support needs you might have, please contact Mike Robson on (01482) 649900 or MikeRobson@agenciaconsulting.com
