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Simon Chapman, director of policy, ethics, and parliamentary affairs for the National Council for Palliative Care, discusses the challenges around commissioning services at end of life.
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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
