Community Health Service information

You asked

Does the CCG commission Community Health Services via a block contract? If the answer to question 1 is no, briefly describe the commissioning approach.

Our response

There is no single Community Health Service contract and so the requester will need to resubmit with a particular clinical area/specialty in mind. The contracts we have in place are a mix of block/tariff/cost per case.

Does the CCG’s Community Health Service contract specifically include the provision of care for ambulatory sensitive conditions which are designed to prevent emergency admission to hospital?

As per the response to question 1, there is no single contract for Community Health Services or to manage Ambulatory Service Conditions. This is split across multiple contracts. For example, the CCG does hold Locally Commissioned Services contracts with each of its GP Member Practices of which includes a number of standards which each practice is to work towards achieving each year. These standards include areas which would help to prevent conditions from developing or worsening and reduce the risk of hospitalisation:

  • Improving outcomes for people with long term conditions
  •  Management of diabetes
  • Proactive multi-disciplinary working to improve outcomes

The LCS contracts and standards within them are renewed with the practices each year.

Is the prevention of admission to hospital with one or more ambulatory sensitive condition a specific component of the current contract for district nursing services?

The commissioning of District Nursing Services does not sit with the CCG. These sit with the Manchester Local Care Organisation which is a separate organisation to the CCG.

Other than an inflationary uplift, has the Community Health Services contract increased, decreased, or remained the same during the 2019/20 and 2020/21 financial years?

Please see response to question 1. There is no single contract for Community Health Services, however all contracts including their costs/budgets are reviewed on an annual basis.

Have the CCG commissioned services in the last two years (2019/20 and 2020/21) that are specifically designed to prevent admission to hospital for patients with ambulatory sensitive conditions?

Please see response to questions 1 and 2.

If the answer to question 5 was yes – were these services to develop:

  • New Teams within the Community Health Services
  • Ambulatory Care in the Hospital Setting
  • Existing Community Health Services and Teams
  • Primary Care – General Practice Services or GP Federations

Other (briefly describe)

Please see response to questions 1 and 2.