Minor Injury Units, Urgent Treatment Centres, 111 and Out of Hours GP and Ambulance Services. Joint Commissioners .... M
Who are the Commissioners for Children and Young People?
Clinical Commissioning Groups Reading: “Commissioning a good child health service”
Local Authority NHS England Specialised Commissioning For further detail click on link below: Manual for prescribed specialised services
NHS England Primary Care Changes in co commissioning Click on link above
Joint Commissioning (Under Section 75) Not in all SEC Areas and covers different services
NHS England
Local Authority
Public Health
Public Health
What services does this include for CCG, Joint Commissioning and Specialised Commissioning?
Clinical Commissioning Groups (CCGs) Acute Services including: Outpatient Clinics , Paediatric Assessment Units, Inpatient Units (Elective and non Elective) Accident and Emergency Units Minor Injury Units, Urgent Treatment Centres, 111 and Out of Hours GP and Ambulance Services
Joint Commissioners Under Section 75 Agreement or with Commissioning Support Unit (Not same in all areas across SEC)
* Childrens Community Nursing * Special School Nursing * Community Peadiatrics * Speech and Language (Can be joint with council) * Physiotherapy, Occupational Therapy * Continence services,
* wheelchair services (? Back to CCG) * Home oxygen services * Learning Disabilities * CAMHS Tier 2 and 3
* LAC- Medical and Nursing (CCG and LA)
What services does this include for Primary CARE, Public health and Local Authority ? NHS England Primary Care
GP Services This includes:
• essential and additional primary medical services through GP contracts and nationally commissioned enhanced services; • out-of-hours primary medical services (where practices have retained the responsibility for providing OOH services); • pharmaceutical services provided by community pharmacy services, dispensing doctors and appliance contractors; • primary ophthalmic services, * all dental services, including primary community and hospital services and urgent and emergency dental care.
NHS England Public Health * (Healthy Child Programme 0-5) including health visiting and family nursing partnership (commissioned on behalf of Secretary of State) (Responsibility for children’s public health 05 due to transfer to local authorities in October 2015) * Immunisation programmes * National screening programmes * School Immunisations * Antenatal and new-born screening programmes only * Contraceptive services commissioned through GP contract with Local Authority Health protection and promotion services provided by PHE. Will take the lead for public health at a national level. It will deliver a number of national health services and support the development of the public health workforce.
Local Authority
* School Nursing Healthy Child Programme 5-19 * Specialist services, including young people’s sexual health, teenage pregnancy services, outreach, HIV prevention, sexual health promotion, services in schools, college and pharmacies * Substance misuse services * Social Care Professionals * Health Visiting Healthy Child Programme 0-5 from 1st Oct 2015
What services does this include for Specialised Commissioning across Children’s Services?
Medicine
• Liver Transplantation Service (Children) Intestinal pseudoobstructive disorders service – children Small Bowel Transplantation Service (All Ages) Specialist Liver Disease Service (Children) Medicine Renal Medicine Rheumatology Gastroenterology, Hepatology and Nutrition Immunology and Infectious Diseases Endocrinology and Diabetes Medicine Haematology Medicine Respiratory Palliative Care Allergy
Surgery
• BeckwithWiedemann syndrome with macroglossia service (children) • Bladder exstrophy service (children) • Complex tracheal disease service (children) • Craniofacial service (All Ages) • Paediatric Surgery (& Surgical Pathology, Anaesthesia & Pain) • Paediatric Surgery Chronic Pain • Paediatric Surgery Neonates
Cancer
Metabolic Disorders
Congenital Heart Disease
• The following service specifications have been prepared by the CRG: • Retinoblastoma service (children) • Paediatric Oncology
• The following service specifications have been prepared by the CRG: • Alkaptonuria service (Children) • Barth syndrome service (Children) • Lysosomal storage disorders service (Children) • McArdle’s disease service (Children) • Severe acute porphyria service (All Ages) • Metabolic Disorders (Adult) • Metabolic Disorders (Children) • Metabolic Disorders (Laboratory Services
• The following service specifications have been prepared by the CRG: • •Pulmonary hypertension service for children • •Paediatric Cardiac – Cardiology & Surgery
What services does this include for Specialised Commissioning across Children’s Services? Neurosciences Paediatric Intensive Neonatal Critical Complex Care Care Gynaecology • Paediatric Intensive Care • Extra Corporeal Membrane Oxygenation (ECMO) Service for Neonates, Infants and Children with Respiratory Failure • Paediatric Intensive Care Retrieval (Transport) • Paediatric High Dependency Care • Paediatric Long Term Ventilation
• Neonatal Critical Care • Neonatal Critical Care Retrieval (Transport)
• Ataxia telangiectasia service for children • Vein of Galen malformation service (All Ages) • Paediatric Neurosciences Neurosurgery • Paediatric Neurosciences Neurology • Paediatric Neurosciences Neurodisability • Paediatric Neurosciences Neurorehabilitation • Childrens Epilepsy Surgery Service
• Choriocarcinoma service (All Ages) • Reconstructive Surgery Service for Adolescents with Congenital Malformation of the Female Genital Tract • Complex Gynaecology Severe Endometriosis • Complex Gynaecology Urogenital Anorectal Conditions • Complex Gynaecology Congenital Gynaecological Anomalies • Complex Gynaecology Recurrent Prolapse and Urinary Incontinence • Complex Gynaecology Urinary Fistulae
Multisystem Disorder • Complex childhood osteogenesis imperfecta service • Cryopyrin associated periodic syndrome (All Ages) • Diagnostic service for amyloidosis (All Ages) • Diagnostic service for primary dyskinesia (adults and children) • Gender identity development service for children and adolescents • Lymphangioleiomy omatosis service (adults) • Primary Ciliary Dyskinesia (PCD) Diagnosis and Management Service (Children) • Rare mitochondrial disorders service (All Ages)
What services does this include for Specialised Commissioning in other areas across Adult Services for transition purposes?
Trauma All Ages
Mental Health
Cancer and Blood
Internal Medicine
• Clinical Reference Groups • Complex Disability Equipment • Specialist rehabilitation for patients with highly complex needs • Adult Neurosurgery • Neurosciences • Stereotactic Radiosurgery • Burn Care • Cleft Lip & Palate • Specialised Pain • Specialised Ear Surgery • Specialised Orthopaedic Services • Hyperbaric Oxygen Therapy • Specialised Ophthalmology Services • Spinal Cord Injury • Complex Spinal Surgery • Major Trauma • Adult Critical Care
• Specialised Services for Eating Disorders • High and Medium Secure Mental Health • Low Secure Mental Health • Specialised Mental Health Services for the Deaf • Gender Identity Services • Perinatal Mental Health • Tier 4 Child & Adolescent Mental Health Services (CAMHS) • Tier 4 Severe Personality Disorder Services (adults) • Mental Health Specialised • Forensic Pathway Group • Child & Adolescent Mental Health Service (CAMHS) Secure
• Teenage and young People Cancer
• Clinical Reference Groups • Cystic Fibrosis • Hepatobiliary and Pancreas • Specialised Endocrinology • Vascular Disease • Severe and Complex Obesity • Renal Dialysis • Renal Transplant • Specialised Colorectal Services • Complex Invasive Cardiology • Cardiac Surgery • Pulmonary Hypertension • Specialised Dermatology • Specialised Rheumatology • Specialised Respiratory • Interventional Radiology • Specialised Imaging • Specialised Diabetes • Heart & Lung Transplantation
