qianshanwanshui blog
March « 2010 « PRImage

Archive for March, 2010

JVPRimage: Thumbs up to Nation…

Wednesday, March 31st, 2010

JVPRimage: Thumbs up to National Express for giving armed forces personnel half price coach travel :)

JVPRimage: http://www.youtube….

Wednesday, March 31st, 2010

JVPRimage: http://www.youtube.com/watch?v=6UE7XqiDT6E
Bullying is awful. This is why PRimage and Saving Lives in America is advocating for change…

JVPRimage: Krispy Kreme plans …

Wednesday, March 31st, 2010

JVPRimage: Krispy Kreme plans to double the number of stores in UK and Ireland – YuM! – I love them!

JVPRimage: Eating chocolate cu…

Wednesday, March 31st, 2010

JVPRimage: Eating chocolate cuts risk of heart attack – bring on the Easter eggs!

JVPRimage: Good that the Home …

Tuesday, March 30th, 2010

JVPRimage: Good that the Home secretary is to ban mephedrone following a consultation with the Advisory Council on the Misuse of Drugs.

JVPRimage: Good news! House pr…

Tuesday, March 30th, 2010

JVPRimage: Good news! House prices are up – the average house price has risen £3,000 (0.7%) in March

JVPRimage: Health Committee re…

Tuesday, March 30th, 2010

JVPRimage: Health Committee report on Commissioning – PRimage comment at www.primage.org

JVPRimage: PRImage: http://www…

Tuesday, March 30th, 2010

JVPRimage: PRImage: http://www.primage.org/ via @addthis

Health Committee report on Commissioning – PRimage comment

Tuesday, March 30th, 2010

Judy Viitanen and PRimage are interested to see that today the Health Committee has published its report on Commissioning. It is particularly critical of PCTs’ records, citing a lack of skills, reorganisation, high staff turnover and limited clinical knowledge as some of the weaknesses. PRimage totally agree with the HSC comment that the trusts’ perceptions of how they were performing were often removed from reality, and we believe that the MPs are right to be concerned about ‘complacency’ among NHS managers.We also feel that the purchaser/provider split and the Government’s commissioning policies need reviewing – and as such the report’s comments that they ‘may need to be abolished’ if research proves they are ‘uneconomic’ is spot-on!

Kevin Barron, Chair of the Health Committee, described commissioning as, “a disappointment” over the past 20 years. kbarron

The report also highlights the challenges faced in moving towards more community based services. Commenting: “The weakness of commissioners faced by powerful providers means that reforms have threatened to undermine some of the Government’s key aims, such as switching care from hospitals to the community.”

The report concluded ‘whatever the anecdotal local evidence, the headline national figures suggest that PCTs made little or no in-road in 2008–09 to transferring care from hospitals into the community or in dampening demand, either in terms of investment or activity’.”

Judy has been assessing the report’s key conclusions and recommendations – in particular:

Commissioning for specialised services: Insufficient progress has been made on implementing the Carter Review of specialised commissioning for rare diseases and conditions. Many PCTs remain disengaged from specialised commissioning and the coming period of financial restraint could threaten funding in this area.

Weaknesses of commissioning: Commissioners do not have adequate levers to enable them to motivate providers of hospital and other services. The HSC recommend that the DH commission a quantitative study of what levers should be introduced to enable PCTs to motivate providers of services better and a review of contracts to ensure that rigid, enforceable quality and efficiency measures are written into all contracts with providers of health care.

Government’s attempts to improve commissioning: Commissioning cannot be improved in isolation. PCTs need to have more power in dealing with providers. It needs to be able to offer more evidence-based financial incentives to providers to improve relations. The HSC recommend that the Government institute a rigorous quantitative assessment of what levers should be introduced to enable PCTs to motivate providers of services.

JVPRimage: motorists taking pr…

Monday, March 29th, 2010

JVPRimage: motorists taking prescription drugs may face prosecution if proposed changes to the road laws are adopted by the government.