This document from the Department for Health and Communities and Local Government sets out a framework for commissioning services. It focuses on partnership between everyone that can contribute to promoting physical and mental health and well-being, including the business community, local government, government regional offices and the third sector as well as NHS organisations.The health and social care services are still too focused on commissioning for volume and price, rather than for quality and outcomes. Too much long-term care is provided in institutional settings. Health inequalities still exist. There is too much of a focus on treating illness rather than preventing it. There are too few providers, and little incentive to innovate.
Departments propose to develop a single health and social care vision and outcomes framework. This document sets out a vision and practical proposals for the commissioning of health care and well-being from 2008/09. There are a number of consultation questions throughout the document and these are summarised in Annex E. Views on the proposals can be expressed on the consultation website, www.commissioning.csip.org.uk.
The framework document is available at: http://www.dh.gov.uk/assetRoot/04/14/38/54/04143854.pdf