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Simon Chapman on end-of-life commissioning

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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Simon Chapman on end-of-life commissioning

  1. 1. SIMON CHAPMAN DIRECTOR OF POLICY & PARLIAMENTARY AFFAIRS www.ncpc.org.uk END-OF-LIFE CARE COMMISSIONING The King’s Fund, 20 January 2011
  2. 2. EDDY and MYRLE <ul><li>EDDY </li></ul><ul><li>86 years old </li></ul><ul><li>Lived in sheltered housing for 5 years - wants to stay there </li></ul><ul><li>In pain; breathless; in bed much of the time; not eating much; depressed </li></ul><ul><li>Doesn’t want CPR or antibiotics for a chest infection </li></ul><ul><li>MYRLE </li></ul><ul><li>Eddy’s daughter, lives nearby, visits daily </li></ul><ul><li>Helps Eddy on personal budgets (health and social care) </li></ul><ul><li>Eddy is on the GP’s end-of-life register. Quarterly meeting in seven week’s time. </li></ul>www.ncpc.org.uk
  3. 3. ‘ THE CENTRAL THEME OF NHS COMMISSIONING’ <ul><li>Understanding the health needs of a local population or a group of patients and of individual patients. </li></ul><ul><li>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. </li></ul><ul><li>Creating a clinical service specification that forms the basis for contracts with providers. </li></ul><ul><li>Establishing and holding a range of contracts that offer choice for patients wherever practicable. </li></ul><ul><li>Monitoring to ensure that services are delivered to the right standards of quality. </li></ul><ul><li>Liberating the NHS: Commissioning for Patients </li></ul>www.ncpc.org.uk
  4. 4. www.ncpc.org.uk

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