NHS HMR CCG is a commissioning organisation. The organisation exists to make sure that healthcare services are provided for our local population. Put simply, the core role of NHS commissioners is to buy healthcare services for their population in the following areas:
- Elective (planned) hospital care
- Rehabilitation care
- Urgent and emergency care
- Most community health services
- Mental health and learning disability services
- Transport services
Commissioning is a process by which the health needs of the local population are identified. Priorities for investment are set and appropriate services are purchased, monitored and evaluated. The CCG buys in or commissions services from provider organisations, including NHS trusts, for example, hospitals, and also private and voluntary organisations.
The following diagram illustrates the commissioning process:
Commissioning is a key function of the NHS and CCGs are important organisations which spend about 80 per cent of the NHS annual budget.
The Department of Health describes our role as:
- To be the advocate for patients and communities, securing a range of appropriate high-quality healthcare services for people in need
- To be the caretaker of tax-payers' money – this brings a requirement to secure best value in the use of resources
Commissioners are required to be advocates for health and wellbeing, encouraging and enabling individuals, families and communities to take greater and shared responsibility for staying healthy and managing their health and conditions. This means we must understand what affects health; engage and enable local people; and strengthen partnership working to improve health and wellbeing.
The services we commission fall under four key programmes /areas which all contain a subset of clinical programme areas. Click on the links to view the Plans on a Page.
We have a clinical focus through five Governing Body Clinical Leads and several project specific Clinical Leads who cover a range of clinical domains including:
- Unplanned Care
- Elective Care including choice
- Long Term Conditions
- Mental Health and Learning Disabilities
- End of Life
- Medicines Optimisation
- Children and Maternity
Further details about these commissioning areas can be found below.
- Unplanned Care(including transport) – this is care given to people at short notice with emergency, urgent or unexpected health needs, and can be anything from a person badly injured in a road traffic accident to a child with a rash. The aims of commissioning transport services are; to improve emergency ambulance turnaround times; to extend eligibility criteria to all patient transport users; to ensure new contracts meet the needs of the population; and to continue to support the development of community transport in partnership with the local authority.
- Elective Care – this is the assessment, diagnosis and treatment of health problems which are not considered to need urgent or emergency care. It can be offered by a variety of practitioners, in a variety of settings, including GP practices and hospitals.
- Long Term Conditions – these are conditions that can't be cured at the moment, but can be controlled by medication or other therapies, and are likely to last for more than one year. This definition covers many different conditions including diabetes, asthma and coronary heart disease. Long term conditions are more common in people living in deprived circumstances and in older people.
- Planned Care – hospital choice and access – we aim to ensure that patients have an informed choice of services, clinicians and appointments when they are referred for planned or elective care. Information about choice in the NHS.
- Cancer – our aim is to improve earlier diagnosis and treatment of cancer to reduce mortality and improve survival and improve access to appropriate treatments.
- Mental Health and Learning Disabilities – this is about improving mental health, reducing health inequalities and improving the quality of services for people with learning disabilities.
- End of Life Care – this is about ensuring that people's needs, priorities and preferences are met regarding care at the end of their life.
- Medicines Management – this is about improving the quality of prescribing medication.
- Children and Maternity – the aim of this area of commissioning is to significantly improve the health and wellbeing of children, young people and women.
- Health Improvement and Inequalities – the aim is to improve health and wellbeing and reduce health inequalities, prevent people from dying prematurely, and make lives as healthy as possible for as long as possible.
The 5 Year Forward View into Action: Planning for 2015/16 guidance describes the national priorities and processes needed for NHS organisations to maintain and improve the quality of services provided, while delivering change and maintaining financial stability. These are used as a basis for all our commissioning.