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Commissioning for Long Term Conditions

Long term conditions like asthma, heart disease and diabetes are an ideal focus for PBC. They create a significant workload for GPs and result in emergency admissions and A&E attendances. There is good evidence that high quality primary care, carefully tailored to individual need, can keep people well and reduce use of (and spend on) hospital care.

So how can practice based commissioning contribute to better services for long term conditions? How can you ensure local developments address local needs and reduce inequalities; provide a good experience for patients and good clinical outcomes; reduce the need for hospital care and create savings at the same time?

This module will cover different approaches to commissioning for long term conditions, ranging from single-speciality GPSI clinics to fully integrated services covering health and social care, self management and prevention.

Learning objectives

1. To learn how to create winning commissioning proposals for long term condition services that are good for patients, meet local needs and tick boxes for the PCT

2. To understand the essential ingredients of high quality, cost-effective services for long term conditions that should be included in commissioned services

3. To understand options for the scope and scale of LTC commissioning and learn how to ensure commissioning plans reflect what is locally deliverable

The module will include an overview of needs assessment for long term conditions (see Needs Assessment module for more in-depth learning in this area) a section on "personalisation" and how to target high-risk individuals with long term conditions; and review of the "vital ingredients" for effective services: risk prediction; data feedback; self management support; social care; best practice guidance; timely access to specialists.

Learning facilitator: Dr Rebecca Rosen