www.ncpc.org.uk

SIMON CHAPMANSIMON CHAPMAN

DIRECTOR OF POLICY DIRECTOR OF POLICY & PARLIAMENTARY AFFAIRS& PARLIAMENTARY AFFAIRS

END-OF-LIFE CARE COMMISSIONING

The King’s Fund, 20 January 2011

EDDY and MYRLE

EDDY• 86 years old• Lived in sheltered housing for 5 years - wants to stay there• In pain; breathless; in bed much of the time; not eating much; depressed• Doesn’t want CPR or antibiotics for a chest infection

MYRLE• Eddy’s daughter, lives nearby, visits daily• Helps Eddy on personal budgets (health and social care)

Eddy is on the GP’s end-of-life register. Quarterly meeting in seven week’s time.

www.ncpc.org.uk

‘THE CENTRAL THEME OF NHS COMMISSIONING’

• Understanding the health needs of a local population or a group of patients and of individual patients.

• Working with patients and the full range of health and care professionals involved to decide what services will best meet those needs and to design these services.

• Creating a clinical service specification that forms the basis for contracts with providers.

• Establishing and holding a range of contracts that offer choice for patients wherever practicable.

• Monitoring to ensure that services are delivered to the right standards of quality.

Liberating the NHS: Commissioning for Patients

www.ncpc.org.uk

www.ncpc.org.uk