Live webchat with Dame Barbara Hakin

Dame Barbara HakinDame Barbara Hakin, Managing Director of Commissioning Development at the Department of Health, answered your commissioning questions in a live webchat on 5 September.

Any questions that she did not have time to respond to will be answered on this website shortly.

You can read a transcript of the webchat below.

In Commissioning, Conversations, Pathfinder Learning Network | Tagged , ,

6 Responses to Live webchat with Dame Barbara Hakin

  1. Norman Briffa says:

    I am a consultant cardiac surgeon and I would like to know how adult cardiac surgery will be commissioned?
    Will demonstration of good outcomes on top of what is ‘expected’ be advantageous as far as be successful in getting commissioned work ?

  2. Victoria H says:

    Hello. Having worked in Psychology and Counselling services in the NHS for ten years, I am becoming increasingly concerned about the direction that services are having to go in. Many of my colleagues share my concerns. Because many departments who have created the ‘evidence base’ for CBT (Cognitive Behavioural Therapy) are CBT biased, there has been a lack of research opportunities for more Integrative approaches to Counselling and Psychotherapy. There now seems to be a limited view of therapy, from those who commission services, which only favours CBT. CBT is a very successful treatment for some but not for all. Just as someone with cancer would not just be offered one form of treatment but an array of options (allowing for individual difference), someone with depression/PTSD/anxiety etc, should be treated with the same understanding of difference. I am very concerned about the lack of patient choice within the NHS for different, more integrative, forms of therapy. Clinicians are also frustrated, seeing clients who are likely to keep coming back into services (in the long term) and require input from other models of therapy, but can only be offered CBT. Some of these people need other forms of therapy so that they are able to put CBT into action in order to bring about change. For the long term success of treatment and the long term financial benefits to the NHS, I would urge commissioners to consider a more broad range and view of therapy services. Many thanks for your time.

  3. Sarah Williams says:

    The Future Forum response on advice and leadership highlighted the ‘strategic gap’ for commissioning of services for less common conditions. Many neurological conditions, such as Parkinson’s, fall into this gap. To address this neurology needs to be represented on clinical senates and there need to be neurology networks. The NHS Commissioning Board also need to make sure that Clinical Commissioning Groups properly address neurology in their plans. What steps are you taking to make sure this happens?

  4. H says:

    How will system wide commissiong work, who will manage this and where will it be placed? Currently, there are a number of North West commissioning work programmes that are managed by nominated PCTs. Who will take control of these in the future and ensure commissioning transparancy continues?

  5. Mark Wilson says:

    Within the final report of its review of the operation of “Any Willing Provider” for the provision of routine elective care published on 28th July 2011, the NHS Cooperation and Competition Panel identified many examples of commissioners excessively constraining patient choice. The report contained a series of recommendations not only for commissioners but also for the Department of Health.

    How and by when does the Department of Health plan to implement CCP’s recommendations? Also, how does it intend to ensure that all commissioners implement the recommendations specifically made to them by CCP?

    Whilst we acknowledge that CCP’s report concerned only routine elective care, we should appreciate details of the action that the Department of Health intends to take to address non-compliance with the NHS Principles and Rules for Cooperation and Competition by commissioners of other NHS services including acute mental health, secure and step-down services together with community-based NHS Continuing Healthcare.

  6. Ann Mackay says:

    Much continuing healthcare is commissioned from independent care homes (registered social care providers). How will clinical commissioning groups be supported to work with the many thousands of care homes across the country, and what evidence base will be used to assess quality and determine fair fees and also to ensure that they are able to compete on a “level-playing field” with in-house NHS providers as is required under the NHS Principles and Rules for Cooperation and Competition?

    Care homes have the potential to provide a wide range of services to ensure speedy discharge from hospital and prevent hospital admissions. How will clinical commissioning groups engage with the independent social care sector to explore the integrated care options that are possible in their localities?

    The independent sector provides many services in care homes and supported living settings for people with learning disabilities. What work is underway to ensure clinical commissioning groups have the expertise necessary to commission appropriate healthcare for people with learning disabilities.

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