Loss of commissioning tools could drive up CCG workload

A DoH decision to discontinue its support for the development of two commissioning tools could drive up clinical commissioning groups' (CCG) workload, the Nuffield Trust has warned.

The DoH announced in August that it would not commission national upgrades for the Patient at Risk of Re-hospitalisation (PARR++) and Combined Predictive Model tools that aim to help commissioners predict unplanned hospital admissions.

The Nuffield Trust has now warned that by deciding not to provide these tools centrally, the DoH added ‘another responsibility to the list of CCGs’ responsibilities’.

It said CCGs will now have to ‘get to grips with risk prediction’ and have produced a guidance document to help.

'Choosing a predictive risk model: a guide for commissioners in England' describes the main principles behind predictive risk modelling, the key points to consider when making choices about available tools.

It also provides information about the likely set up and running costs of different options.

Nuffield Trust head of research Martin Bardsley said the financial situation in the NHS makes it ‘even more important’ that risk prediction tools are used to target investment to reduce the need for hospital admissions.

He said: ‘Previously the NHS could access some freely available national tools available in England which were widely used.  

‘These are not being updated centrally and so commissioners will increasingly have to navigate through what is set to become a highly competitive market with all the advantages and pitfalls that that entails.’

But a DoH spokeswoman said it ‘makes sense’ to ask the people using the tools to control their improvements and upgrades.

She said: ‘When the DoH first developed the PARR and CPM tools there was no readily available alternative to support risk stratification. This is no longer the case and moving to local solutions will help to drive a wider range of options and reduce costs overall.

‘The information behind the PARR and CPM tools can be made freely available to anyone who wants to build the tools locally if they want to continue using them.’

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Practices handed one-month opt-out window as revamped network DES unveiled

Practices handed one-month opt-out window as revamped network DES unveiled

NHS England has unveiled a revamped DES package for 2020/21 confirming new targets,...

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered a huge increase in face-to-face appointments in the week before NHS...

RCGP facing legal action over stance on assisted dying

RCGP facing legal action over stance on assisted dying

The RCGP is facing legal action over its decision to remain opposed to assisted dying...

Medeconomics Live aims to help practices thrive under the new GP contract

Medeconomics Live aims to help practices thrive under the new GP contract

The one-day, virtual Medeconomics Live conference aims to provide practices with...

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GP practices have faced a wave of abuse and complaints after a letter from NHS England...

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

The government has denied plans to make GPs 'gatekeepers' of the struggling COVID-19...