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Commissioning Intentions. Sarah Casemore Deputy Director of Clinical Commissioning [email protected] These intentions span across the

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Commissioning intentions

Commissioning Intentions

Sarah Casemore

Deputy Director of Clinical Commissioning

[email protected]


These intentions span across the

Transforming Elderly Care, Planned Care, Unplanned Care, Mental Health and Learning Disabilities and End of Life Care priorities of the NHS G&W CCG.

They are high level and depend upon clear and detailed plans being agreed through the Clinical Commissioning Committee.

The NHS Guildford and Waverley CCG (NHS G&W CCG) has developed commissioning intentions for 2014/15.

These commissioning intentions extend beyond those agreed in 2013/14 to ensure that the delivery of Quality, Innovation, Productivity and Prevention (QIPP) enables the NHS G&W CCG to establish a sustainable financial footing into the future.

  • Eliminating excess bed days through enhanced discharge from community services

  • Improve Community Nursing productivity and integration with Primary Care

  • Develop urgent care strategy to reduce A&E attendances


The agreed commissioning intentions are:-

  • Out of Hours (OOH) procurement aimed at integrating OOH with our agreed clinical pathways

  • Enhance the Referral Support Service to ensure right time, right place, right person for management of all patients

  • Review internal referrals within acute Hospitals and eliminate those where GPs could manage the patient

  • Incorporate telephone follow ups rather than face to face clinic appointments

  • Incorporate community clinics into specialties such as dermatology, gynaecology and ophthalmology

  • Targeted stop smoking interventions to specific populations

  • Implement structured education and support to clinicians, for long term conditions such as diabetes


Commissioning intentions continued
Commissioning Intentions Continued

  • Increase access through Improving Access to Psychological Therapies (IAPT) to 15% by April 2015

  • Redesign rehabilitation services across mental health and learning disability services to ensure care and support is provided in people communities

  • Improved liaison psychiatry at Royal Surrey County Hospital (RSCH) 8am-8pm 7 days a week

  • Implement new palliative care bed provision in RSCH


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