Clinical commissioning: GPs in charge?

"Clinically led approaches to planning and designing health services are more likely to be both innovative and effective. For this reason, clinical commissioning groups (CCGs) were set up to put GPs at the heart of NHS planning decisions. What progress have CCGs made in implementing their clinically led model and what more needs to be done? This report looks at what has been learnt – including strategies to overcome challenges and identification of the main barriers to effective involvement – and makes recommendations for the future. Its findings about clinical involvement are relevant not only to policy-makers and CCGs but also to other organisations across the NHS involved in planning and designing services."

Clinical commissioning: GPs in charge?
R Robertson, S Ross, C Naylor, H Holder, S Machaqueiro
The King's Fund
July 2016

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Large-scale general practice in England

"In this paper authors present the findings of a review of the literature which contributes to the Nuffield Trust’s stream of work on large-scale general practice, including the recently published findings of a 15-month mixed methods research study, Is Bigger Better? Lessons for Large-Scale General Practice. The report, published in collaboration with the London School of Hygiene & Tropical Medicine, aims to answer the following questions:

1. Which organisational form(s) have large-scale collaborations of GP practices adopted in England
2. What are they expected to deliver?
3. What evidence is available on their impact in England?
4. What can we learn from initiatives with similarities?"

Large-scale general practice in England: What can we learn from the literature?
L Pettigrew, N Mays, S Kumpunen, R Rosen
Nuffield Trust
September 2016

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People-centred health systems in the WHO European Region

"This publication is a collection of personal stories describing experiences in health systems associated with improved health and well-being. While these examples are not intended to replace technical guidance on how to organize, finance or deliver health and social services, they emphasize people-centred approaches from the perspective of patients and carers."

People-centred health systems in the WHO European Region: Voices of patients and carers
World Health Organization
October 2015

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Co-production in practice

"The low uptake of telecare and telehealth services by older people may be explained by the limited involvement of users in the design."

Co-production in practice: how people with assisted living needs can help design and evolve technologies and services
J Wherton, P Sugarhood, R Procter, S Hinder, T Greenhalgh
Implementation Science, 2015, 10:75

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Why do patients with multimorbidity in England report worse experiences in primary care?

"Health policymakers should recognise that the patient experience and healthcare needs of people with multimorbidity are likely to be different to those with a single long-term condition, and should take this into account when designing health services for people with multiple long-term conditions. We recommend that research modelling the relationship between multimorbidity and patient experience of care should include the impact of health-related quality of life."

Why do patients with multimorbidity in England report worse experiences in primary care? Evidence from the General Practice Patient Survey
CAM Paddison, CL Saunders, GA Abel, RA Payne, JL Campbell, M Roland
BMJ Open, 2015, 5:e006172

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Commissioning recommendations for psychological support

"This guide provides recommendations for commissioners when providing emotional and psychological support on the diabetes care pathway."

London’s diabetes care pathway: Commissioning recommendations for psychological support
NHS London Strategic Clinical Networks
August 2014

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Learning disabilities: good practice project

"The project is all about finding places where services for people with learning disabilities are very good. It aims to get people talking to each other to make services better."

Learning disabilities: good practice project
J Hough, K Martin
Department of Health
November 2013

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Evaluating disease management programmes: learning from diverse approaches across Europe

"The project reviewed the policy context for, and approaches to, chronic disease management in 13 European countries, using a structured data collection instrument that organised chronic disease management around four components: active patient involvement, service design, decision support and clinical information systems."

Evaluating disease management programmes: learning from diverse approaches across Europe
E Nolte, et al.
RAND Europe
October 2012

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Designing and commissioning services for adults with asthma

"This good practice guide outlines the case for improving outcomes for people with asthma and what the elements of a good service look like."

Designing and commissioning services for adults with asthma: a good practice guide
Primary Care Commissioning
September 2012

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Opening up healthcare innovation

"Innovative solutions for a 21st century healthcare system."

Opening up healthcare innovation
J Bessant, C Kunne, K Moslein
Advanced Institute of Management Research
February 2012

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Complex care needs are often poorly coordinated

"This study indicates a need for improvement in all countries through redesigning primary care, developing care teams accountable across sites of care, and managing transitions and medications well."

New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated
C Schoen, R Osborn, D Squires, M Doty, R Pierson, S Applebaum
Health Affairs, 2011, 30(12)

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