Services for people with chronic heart failure
This guide for commissioners is a resource to assist commissioners, clinicians and managers to commission high quality and evidence based services across England.
- Section 1 makes the case for commissioning services for people with chronic heart failure
- Section 2 An integrated approach to commissioning high-quality integrated care for people with chronic heart failure
- Section 3 helps you assess local service levels
- Section 4 describes service components
- Section 5 makes suggestions for contract specification
- Section 6 explains more about the cost impact of service redesign
- Section 7 signposts to further information
NICE guidance provides evidence based recommendations about clinically effective and cost-effective treatments and interventions to improve health outcomes for individuals and local populations. Making commissioning decisions based on the best available evidence such as NICE guidance and accredited information from NHS Evidence can help commissioners ensure that they are using their resources effectively.
This guide for commissioners should be read together with the following NICE guidance and quality standards:
- Chronic heart failure: management of chronic heart failure in adults in primary and secondary care NICE clinical guideline 108 (2010)
- NICE quality standards on chronic heart failure and depression in adults
- NICE pathways on chronic heart failure and depression
- Depression in adults with a chronic physical health problem: treatment and management NICE clinical guideline 91 (2009)
This guide for commissioners highlights any recommendations supporting cases for disinvestment or decommissioning by identifying treatments and interventions that do not add value, enabling commissioners to release resources or generate savings where appropriate.
Implementation of the guidance noted above is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement this guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. Nothing in the guidance should be interpreted in a way which would be inconsistent with compliance with those duties.
We are keen to improve the NICE guides for commissioners in order to better meet the needs of commissioners. Please send us your ideas for future topic-specific guides or other comments.
Read the NICE disclaimer for information on the use and accuracy of content on the NICE website.
A topic-specific advisory group was established to review and advise on the content of the guide for commissioners; details of membership can be found in section 8.
Date of publication: October 2011
This page was last updated: 22 November 2013