Commissioning services for people with Chronic Obstructive Pulmonary Disease (COPD)
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 COPD
- Section 2 Oulines an integrated approach to commissioning high-quality integrated care for people with COPD
- 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 sign posts 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 NHS Evidence accredited information 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 obstructive pulmonary disease: management of chronic obstructive pulmonary disease in adults in primary and secondary care NICE clinical guideline 101 (2010) (partial update of 12)
- Depression in adults with a chronic physical health problem: treatment and management NICE clinical guideline 91 (2009) (partial update of CG23).
- Smoking cessation services in primary care, pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women and hard to reach communities NICE Public health guidance 10 (2008)
- Brief interventions and referral for smoking cessation in primary care and other settings NICE Public health guidance 1 (2006).
- NICE quality standard on chronic obstructive pulmonary disease, NICE quality standard on depression in adults and NICE quality standard on end of life care for adults
- NICE pathways for chronic obstructive pulmonary disease, smoking and depression
This guide for commissioners on services for people with COPD, along with the NICE support for commissioners and others using the quality standard for COPD, update and replace the previous NICE commissioning guides on pulmonary rehabilitation and assisted discharge to reflect the NICE quality standard for COPD and the new and updated recommendations on COPD within NICE clinical guideline 101.
Commissioners who are commissioning services for people with COPD may also which to refer to the NICE guides for commissioners on stepped care for people with common mental health disorders and end of life care for adults.
This guide for commissioners is complementary to The Department of Health's commissioning pack on COPD which is also based on NICE clinical guidelines.
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 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: 02 March 2012