The commissioning and benchmarking tool
Use the smoking cessation service for people having elective surgery 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 referrals of people having elective surgery to a smoking cessation service is 50% of people who smoke and are waiting for elective surgery, or (based on the national average) around 0.5% of people aged 15 years and older per year.
The commissioning and benchmarking tool calculates benchmark activity based on a number of smoking related variables, the elective admission data for your selected organisation(s) and the indicative benchmark rate of 50% of people who smoke and are waiting for elective surgery taking up the offer of smoking cessation support. This is considered to be a more accurate method of identifying local needs for the service. For the average primary care trust this equates to 0.5% of the population aged 15 years and older, per year.
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 smoking or different rate of elective surgery than the national average you may need to provide services for relatively fewer or more people.
Review current commissioned activity
You may already commission smoking cessation services for people having elective surgery within 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, and to model the required changes over a period of 4 years.
Use the tool to calculate the level and cost of activity you intend to commission and to consider how the smoking cessation services for people having elective surgerymay be provided, comparing the costs of commissioning the service using different models. The tool is pre-populated with data on the 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 a smoking cessation service for people having elective surgery
- Specifying a smoking cessation service for people having elective surgery
- Determining local service levels for a smoking cessation service for people having elective surgery
- Assumptions used in estimating a population benchmark
- The commissioning and benchmarking tool
- Ensuring corporate and quality assurance