HES is a national data warehouse containing details of admissions to National Health Service (NHS) hospitals in England and NHS commissioned activity in the independent healthcare sector.
Where disinvestment processes operate independently or parallel to commissioning, there is a risk that commissioning activities will continue as if programme budgets can simply expand to accommodate demand.
I've undertaken formal qualifications and structured development programmes, but have also learned a great deal from consciously taking the time to review commissioning activities undertaken elsewhere in the UK and abroad.
Philae's wake-up is part of a sequence of commissioning activities taking place over the next few weeks.
While the commissioning cycle (figure 1) provided a useful guide for primary care trusts, commissioning activities did not follow a neat series of stages within an annual cycle.
The task of identifying, prioritising and implementing a 'shift list' would presumably be the primary function of a dedicated disinvestment programme and would not easily be overshadowed or sidelined by commissioning activities operating in parallel or independently.
2 Until recently, commissioning activities such as planning (assessment and evaluation), purchasing (identifying and negotiating) and monitoring health services 3 4 were performed primarily by non-clinical managers in primary care trusts (PCTs) with little clinical input.
ABG – originator of the project in its final form, exercised rehabilitation consultations, commissioned rehabilitation activities, coordinated multidisciplinary team activities, obtained funds for the publication, translated the text from Polish and was responsible for drafting a cover letter.
Distinct commissioning activities occur during each of the five phases.
All the machine components have been built and in mid 2014 the commissioning activities should start.
