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Evidence based commissioning: calculating shift potentials for paediatric services

Katie Barnes (Smithdown Children's NHS Walk‐in Centre, Liverpool Community Health, Liverpool, UK)
Philip Longfield (Liverpool Community Health, Liverpool, UK)
Katie Jones (Smithdown Children's NHS Walk‐in Centre, Liverpool Community Health, Liverpool, UK)
,
Gill Littlemore (Smithdown Children's NHS Walk‐in Centre, Liverpool Community Health, Liverpool, UK)
Claire McDonough (Smithdown Children's NHS Walk‐in Centre, Liverpool Community Health, Liverpool, UK)
Archie McIntyre (Smithdown Children's NHS Walk‐in Centre, Liverpool Community Health, Liverpool, UK)
Jo Robertson (Smithdown Children's NHS Walk‐in Centre, Liverpool Community Health, Liverpool, UK)
Neil Turton (Salford Health Matters, Salford, UK)
Kevin Urdhin (Salford Health Matters, Salford, UK)
Melanie McLaughlin (Salford Health Matters, Salford, UK)

Clinical Governance: An International Journal

ISSN: 1477-7274

Article publication date: 18 January 2013

533

Abstract

Purpose

The purpose of this paper is to show how the new arrangements for commissioning services in the English NHS can facilitate innovations in service delivery leading to improvements in outcomes and cost effectiveness.

Design/methodology/approach

The study uses cost modelling based upon the Hospital Episodes Statistics compiled by the NHS Information Centre to calculate recent expenditure upon treatment of routine childhood illnesses managed as short stay hospital admissions, and then uses a case study of a children's walk‐in centre to show how an alternative service can be provided, and a new service embedded in general practice to show a further alternative type of provision.

Findings

The study finds that large sums are currently being spent on inappropriate treatment of routine childhood conditions, especially in large urban conurbations. It demonstrates that in the case studies, the alternative provision can provide a viable and effective alternative.

Research limitations/implications

The research is based upon historical data by necessity. The new commissioning groups are not co‐located with the historical PCTs on which this study is based. The data are collected by providers and co‐ordinated by the NHS Information Centre. Therefore the investigators do not have control over the data quality. The second case study is a new service and therefore is used as an illustration of other service types.

Practical implications

This study suggests that paediatric ambulatory services can be provided at lower cost with better outcomes.

Social implications

This study provides the basis for a pilot study in Salford, where additional social benefits are targeted including better school attendance and increased self‐awareness over child health amongst local families.

Originality/value

The study provides quantitative evidence for commissioning alternative paediatric ambulatory services.

Keywords

Citation

Barnes, K., Longfield, P., Jones, K., Littlemore, G., McDonough, C., McIntyre, A., Robertson, J., Turton, N., Urdhin, K. and McLaughlin, M. (2013), "Evidence based commissioning: calculating shift potentials for paediatric services", Clinical Governance: An International Journal, Vol. 18 No. 1, pp. 39-48. https://doi.org/10.1108/14777271311297948

Publisher

:

Emerald Group Publishing Limited

Copyright © 2013, Emerald Group Publishing Limited

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