Download the epilepsy commissioning process template.
- Start with identifying an area of service improvement or redesign. Clarify which patient population – adult, learning disabilities and/or under 18s
- Meet with current providers and other stakeholders to agree parameters for collaborative working and set ground rules
- Understand local population – check public health team data, the JSNA and Health and Wellbeing board priorities in your area
- Review patient insights eg. results of patient surveys, complaints etc.
- Set up a co-production steering group from the outset. The NHS is legally obliged under Health & Social Care Act 2012 as a statutory duty to involve the public in all the commissioning steps through to implementation.
- Collate, benchmark, analyse and summarise the data from the Public Health England, Neurology Intelligence Network for adults and CHiMAT
for under 18s
a. Hospital Episode Statistics:
i. Non elective ED attendance and/or admissions
ii. Elective admissions
iii. Length of stay, both short and long
iv. Readmission rates
v. Primary care QOF, contracting team monitoring performance
- Investigate any queries that the data presents and identify areas of concern
- Undertake a clinical audit in secondary and primary care
- Ensure there is an information analyst on the co-production steering group
Map current service provision
- Review current service contract, spend, specification and performance against what is actually delivered
- Work with voluntary sector organisation to complete a mapping exercise with your patients and providers of health and social care to identify gaps in service provision
- Work with current providers to reduce gaps by remodeling services
- Prepare an action plan with your providers and other stakeholders to develop and implement
- Involve existing patient groups to review services and proposed changes to ensure needs are met.
- Ensure pathways are embedded within contracts to enable review and audit against them to monitor impact