Improving commissioning of specialised services


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Support NW London’s hospitals to provide the most efficient and effective services to treat rare illnesses and disorders

Delivery date:

  • ongoing

To do this we will:

  • support NW London hospitals  that provide specialist services (from renal dialysis and secure inpatient mental health services, through to treatments for rare cancers and life threatening genetic disorders) to make sure they deliver them as efficiently and effectively as possible
  • implement the national Hepatitis C programme to reduce chances of liver disease
  • complete reviews of Child and Adolescent Mental Health Services (CAMHS), HIV care, children’s transport and neuro-rehabilitation and put in place any  suggested improvements
  • improve efficiency and quality of care for patients through innovation, reducing delays in treatment,  more effective use of beds, cost effective prescribing and enhanced care at the end of life

It is better for people because:

  • providing specialist service efficiently and effectively will improve their care and experience
  • using the NHS budget as effectively as possible means the NHS can free up more funding for new drugs and technology to treat rare illnesses

It is better for the health and care system because:

  • by keeping spending on specialised services within budget, more funding will be available for other NHS services in hospitals and local communities
  • by spending smarter, more funding will be available to invest in new drugs and technology for specialised services.

Key facts:

  • The NHS spends around 14 per cent of its budget every year on specialised services
  • in 2015/15, NHS England invested £14.6bn in 146 specialised services in England,  an increase of seven per cent in funding from the year before
  • investment in specialised services included nearly £3bn  on specialised cancer services and £2.6 billion on  high-cost drugs in 2015-16

Expected outcomes:

  • around 500 people treated for Hepatitis C infection in 2016/17 reducing the likelihood of liver disease.
  • work aligned to the NW London  ‘Like Minded’ mental health programme
  • identify opportunities for better patient care and greater efficiency by service so  quality, outcomes and cost-effectiveness are equal or better than similar services in other parts of the country.