Making Outcome-Based Payment A Reality In The NHS – Office of Health Economics.

Report that explores the feasibility of introducing one type of flexible payment mechanism –outcome-based payment (OBP) –for cancer medicines into the NHS in England. This model links the price the NHS pays for a medicine to the outcomes it achieves

Guidance for heads of procurement on the implementation of EU Exit actions: February 2019 – NHS Improvement

Information for NHS providers about the extensive planning and contingency measures that have been put in place for the healthcare system nationally and the additional actions that we are asking providers to undertake as a priority as part of the

2018/19 Contract Alignment Exercise Guidance on the national process for resolving disputes – NHS England

This document sets out the national approach to managing contractual disputes between NHS commissioners and Trusts under the 2018/19 Year To Date Contract Alignment Exercise.

The 2019 Voluntary Scheme For Branded Medicines Pricing And Access: Chapters And Glossary – Department of Health and Social Care

The voluntary scheme for branded medicines pricing and access is a non-contractual voluntary agreement between the Department of Health and Social Care (DHSC) and the Association of the British Pharmaceutical Industry (ABPI).  DHSC is acting on behalf of the UK government,

Price increases for generic medications: Sixty-Second Report of Session 2017–19: Report, together with formal minutes relating to the report – House of Commons Committee of Public Accounts

During 2017, the prices of certain generic medicines purchased by community pharmacies for the NHS increased unexpectedly, affecting an unusually high number of medicines. Although the Department of Health & Social Care (the Department) and its arms-length bodies took action

The NHS Terms and Conditions for the Supply of Goods and the Provision of Services: Guidance – Department of Health and Social Care

The NHS terms and conditions are for the use of NHS bodies procuring goods and services from commercial organisations. They were updated in January 2018 to reflect changes in government policy and General Data Protection Regulation (GDPR) legislation.

Issues Surrounding the Estimation of the Opportunity Cost of Adopting a New Health Care Technology: Areas for Further Research – Office for Health Economics

Proposes new approaches in three areas to improve understanding of supply side opportunity costs for the NHS. It explores improving efficiency, production functions and purchaser priorities.

Supporting Primary Care Services: NHS England’s contract with Capita: Fifty-Seventh Report of Session 2017–19: Report, together with formal minutes relating to the report – House of Commons Committee of Public Accounts

Report from the House of Commons Public Accounts Committee that find NHS England’s outsourcing of primary care support services to Capita Business Services Ltd (Capita) a shambles. Its short-sighted rush to slash by a third the £90 million it cost

Investigation into NHS spending on generic medicines in primary care – National Audit Office

Report from the National Audit Office that finds an increase in prices of certain generic medicines: The NHS spent an estimated £4.3 billion on generic medicines in 2016‑17, of which most was spent in primary care. The prices of certain generic

NHS operational productivity: unwarranted variations Mental health services Community health services – NHS Improvement

This report from the Carter review has looked at the productivity and efficiency of mental health and community health services. It has done so in the context of the Five Year Forward View and its delivery plan which are clear that these

The rising cost of medicines to the NHS: What’s the story? – King’s Fund

Report from the King’s Fund that looks at how much the health service spends in total on medicines, both generics and branded medicines, based on publicly available data. In recent years, spending on branded medicines has been constrained by the Pharmaceutical

Making savings on ambulance fuel: (NHS Efficiency Map) – HFMA

NHS efficiency map case study from the HFMA, identifies that the price of fuel amounts to a significant non-pay cost for ambulance trusts. East Midlands Ambulance Service NHS Trust provides a case study in using bunkered fuel that the trust has purchased at a reduced

An overview of NHS Procurement of Medicines and Pharmaceutical Products and Services for acute care in the United Kingdom – Specialist Pharmacy Service

The purpose of this paper is to give an overview of the current arrangements for the procurement of medicines and pharmaceutical products and services in the UK. It includes an overview of arrangements for NHS England, NHS Scotland, NHS Wales and HSC Northern

NHS efficiency map: redesigning services: Scanning for efficiency and safety – Healthcare Financial Management Association

This case study covers the use of scanning (of products, places and patients) to improve efficiency and safety. It initially arose from a procurement strategy, but has now gone wider than that, addressing the wider NHS issue of having information readily available to make the right decisions.

Pharmaceutical Price Regulation Scheme (PPRS) 2014: payment percentage for 2018 – Department of Health

Outlines the level of payment due from members of the Pharmaceutical Price Regulation Scheme (PPRS) in 2018. This will be 7.80%. The PPRS is a voluntary agreement to control the prices of branded drugs sold to the NHS. It is negotiated between the Department of

Falling short: Why the NHS is still struggling to make the most of new innovations – Nuffield Trust

Nuffield Trust report on the slow adoption of innovations by the NHS that finds it is due to: An overly supply-driven and top-down approach to innovation. Shifts towards the co-production of solutions between clinicians and industry are encouraging, but initiatives

Government response to the House of Commons Health Committee report Brexit and health and social care – people & process – Department of Health

Response that identifies the main policy areas affected by the UK’s withdrawal from the EU (and for which the Department of Health has the lead within Government) are the health and care workforce, medicines regulation and the supply chain, reciprocal healthcare and public

Does Hospital Competition Improve Efficiency? The Effect of the Patient Choice Reform in England: (CHE Research Paper 149) – University of York Centre for Health Economics

Uses the 2006 relaxation of constraints on patient choice of hospital in the English NHS to investigate the effect of hospital competition on dimensions of efficiency including indicators of resource management (admissions per bed, bed occupancy rate, proportion of day

Vive la devolution: devolved public-services commissioning – Reform

This paper from the Think Tank, Reform, argues that commissioning of over £100 billion of public-services spend, including 95 per cent of the NHS’s budget, can be devolved to around 38 regions. International examples show that this model can deliver better outcomes at

NHS Commissioning of Specialised Services: (Briefing Paper Number 7970) – House of Commons Library

NHS specialised services, those providing treatment for rare conditions or requiring specialised teams, are commissioned differently in England to most NHS care. Due to the highly specialised nature of services, the relatively small number of hospitals providing some treatments, and the small number