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Commissioning 8 Steps
Step 4: Identifying your priorities for improvement
Now you know what the national priorities are and how you are doing at delivering high- quality services, you can work with your stakeholders to identify where you need to focus your efforts. By involving key stakeholders at the earliest stage you will capture important ideas about prioritisation and encourage them to be engaged in changes that need to be made.
We recommended that the outcome of your local health needs assessment (Step 3) and benchmarking of local services against national standards (Step 2) is fed into a local steering group (or local improvement group) to consider:
- What the gap analysis identified,
- What priorities arose from stakeholder engagement,
- What are the local commissioning priorities
for all services
- Whether a balance between commissioning considerations been taken
into account across the whole
pathway
- Are the national priorities and targets being addressed
Key considerations for a local steering group (or local improvement group) would include:
- Does the local economy commission sufficient
quality-assured services to meet the real needs of individuals within the
population with an emphasis on support for self-care;
- Ensuring services are considered as an
integrated pathway, offering the right care, by the right person, at the right
time and place for each individual with diabetes;
- Whether the local model of care is supported
by integrated IT and technology;
- Does the integrated model of care include collaborative
one-to-one consultations between the person with diabetes and the healthcare
professional, based on a partnership approach which is effective in supporting
self-management (care planning);
- How to ensure compliance with relevant policy, local priorities and NICE clinical standards.
This step is all about identifying which areas will be your priorities for the coming year. Whatever your priority areas it’s important to think about these objectives:
- Commission quality-assured services to meet the real needs of individuals: focus on support for self-care; designate an executive director to oversee the work.
- Ensure services are integrated: focus on the right care, by the right person, at the right time and place; have support from integrated IT and technology.
- Establish collaborative one-to-one consultations:use a partnership approach to support self-management; embed in care planning.
- Ensure compliance with relevant policy: focus on local priorities and NICE clinical standards.
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