The commissioning and benchmarking tool
Use the antenatal and postnatal mental health services commissioning and benchmarking tool to determine the level of service that might be needed locally and to calculate the cost of commissioning the service as described below.
Identify indicative local service requirements
The indicative benchmark based on the national average of women who require antenatal and postnatal mental health services is 12%. This includes 8% (80 per 1000 deliveries) who require and take up psychological therapies and 4% (40 per 1000 deliveries) who require advice and care from a specialist perinatal mental health service.
The commissioning and benchmarking tool helps you to assess local service requirements using the indicative benchmark as a starting point. With knowledge of your local population and its demographic, you can amend the benchmark to better reflect your local circumstances. For example, if your population has a significantly lower or higher prevalence of mental disorders you may need to provide services for relatively fewer or more people.
The commissioning and benchmarking tool is specifically designed to support commissioners who wish to commission services for the 8% (80 per 1000 deliveries) of women who require referral for psychological therapies. For information on costs associated with perinatal networks and inpatient service provision refer to the NICE costing report and NICE costing template for NICE clinical guideline CG45 on antenatal and postnatal mental health.
Review current commissioned activity
You may already commission antenatal and postnatal mental health services for your population. You can download your own up-to-date secondary care activity data into the tool and data specifications and user notes are provided to help. You can review and amend the downloaded data for your population to calculate the service levels and cost of the service you currently commission. When commissioning outpatient appointments or activity outside of secondary care the tool provides you with tables that you can populate to help you calculate your total current commissioned activity and costs.
Identify future change in capacity required
Using the indicative benchmark provided, or your own local benchmark, you can use the commissioning and benchmarking tool to compare the activity that you might need to commission against your current commissioned activity. This will help you to identify the future change in capacity required. Depending on your assessment, your future provision may need to be increased or decreased.
Model future commissioning intentions and associated costs
You can use the commissioning and benchmarking tool to calculate the capacity and resources needed to move towards the benchmark level to model the required changes over a period of 4 years.
You can also use the commissioning and benchmarking tool to calculate the level and cost of psychological therapies that you intend to commission and to consider the settings in which the service may be provided, comparing the costs of commissioning the service across the various settings. The tool is pre-populated with data on the potential recurrent and non-recurrent cost elements that may need to be considered in future service planning, which can be reviewed and amended to better reflect your local circumstances.
Commissioning decisions should consider both the clinical and economic viability of the service, and take into account the views of local people. Commissioning plans should also take into account the costs of monitoring the quality of the services commissioned.
This page was last updated: 02 March 2012
- Commissioning antenatal and postnatal mental health services
- Specifying antenatal and postnatal mental health services
- Determining local service levels for antenatal and postnatal mental health services
- Assumptions used in estimating a population benchmark
- The commissioning and benchmarking tool
- Ensuring corporate and quality assurance