Commissioning policy and strategy

Resources relating to the End of Life Care Strategy and government policy on commissioning.

End of Life Care Strategy: Promoting high quality care for all adults at the end of life

Published July 2008, the Strategy aims to improve the provision of care for all adults at the end of life, and their families and carers.

Download the End of Life Care Strategy 1.07MB PDF Download the End of Life Care Strategy - executive summary 1190Kb PDF

NICE end of life care for adults quality standard

NICE quality standards are a set of specific, succinct statements and measures that describe aspirational but achievable care for adult patients across the NHS in England.

This end of life care quality standard includes 16 statements for the care of adults with advanced, progressive, or incurable conditions who are approaching the end of their life and are expected to die within the next 12 months.

Implementing the End of Life Care Strategy: Lessons for good practice

This paper uses evidence from The King’s Fund’s evaluation of the Marie Curie Delivering Choice Programme to highlight examples of good practice and learning for the organisation and delivery of end-of-life care across England.

End of Life Care Strategy Quality Markers and Measures for End of Life Care

The Quality Markers are designed to support commissioners and providers in delivering improvements in end of life care.

See also the IMPRESS response to Department of Health (England) End of Life Care Strategy: Quality Markers Consultation (below)

Download IMPRESS response to Department of Health (England) End of Life Care Strategy: Quality Markers Consultation 1.68MB PDF

Living Matters, Dying Matters: A Palliative and End of Life Care Strategy for Adults in Northern Ireland

Northern Ireland’s strategic framework to help health and social care commissioners and providers design and deliver palliative and end of life care services.

You can also download the related consultation document below.

Clinical and service integration: the route to improved outcomes

This document identifies and describes the different forms integrated care takes, explores the different levels within the system at which it operates and sets out the evidence for the different systems.

Living and Dying Well: A national action plan for palliative and end of life care in Scotland

A framework to support a person centred approach to delivering consistent palliative and end of life care in Scotland.

Commissioning: Third Report of Session 2010–11

The third report on the House of Commons Health Committee’s inquiry into improving the effectiveness of commissioning in the NHS.

The report evaluates the changes in commissioning proposed by the health White Paper Equity and excellence: liberating the NHS.

See also the Government’s response to this document (below).

Improving the Productivity of the English NHS

This Research Bulletin summarises the results of the Centre for Health Economics’ research into efficiency and productivity in the NHS in England.

NHS Sustainable Development Route Map

The Route Map is a collaborative effort across the NHS and its partners to describe a sustainable health system and the components that are needed to achieve it.

PCT cluster implementation guidance

This guidance on the creation of PCT clusters, as announced in 2011/12 Operating Framework outlines the process of consolidating management capacity.

The joint strategic needs assessment

Joint strategic needs assessments (JSNAs) analyse the health needs of populations to inform and guide commissioning of health, well-being and social care services within local authority areas. The JSNA will underpin the health and well-being strategies, a proposed new statutory requirement and commissioning plans


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