Summary of commissioning responsibilities and the resource impact of achieving the quality standard

Summary of commissioning responsibilities and the resource impact of achieving the quality standard

Who is responsible for commissioning?

  • Clinical commissioning groups (CCGs) commission mental health services for their local population.

  • NHS England local area teams commission GP services for their local population and NHS England also commissions highly specialised mental health services such as secure mental health services.

  • Local authorities commission smoking cessation, lifestyle weight management services, and drug and alcohol services.

Who should commissioners work with?

To improve the quality of care for psychosis and schizophrenia in adults, commissioners should work with:

  • Mental health trusts to commission care for adults with psychosis or schizophrenia.

  • GP practices to promote the correct referral and care pathways for adults with psychosis or schizophrenia, and ensure that ongoing support for people with psychosis and schizophrenia is provided in primary care.

  • Acute secondary care providers to promote the correct referral pathway, for example, for adults who go to an accident and emergency department (A&E) with symptoms of psychosis.

  • Healthcare professionals in all settings to ensure that the physical health of adults with psychosis or schizophrenia is monitored regularly.

  • Local authority commissioned providers of residential rehabilitation and outreach services, drug and alcohol services, smoking cessation services and lifestyle weight management services because smoking, drug and alcohol misuse and poor physical health are common in adults with psychosis and schizophrenia.

Responsibilities and resource impact for each of the quality statements

The table below summarises the commissioners and providers, and the likely resource impact for each quality statement.

Table 1 Responsibilities and resource impact for achieving the quality standard for psychosis and schizophrenia in adults

Quality statement

Commissioner(s)

Providers

Resource impact

1. Referral to early intervention in psychosis services

CCG

Mental health trusts

Potential savings from fewer hospital admissions.

2. Cognitive behavioural therapy

CCG

Mental health trusts

Additional costs for CBTp.

3. Family interventions

CCG

Mental health trusts

Additional treatment costs.

4. Use of clozapine

CCG

Mental health trusts, GP practices

Additional drug costs.

5 Supported employment programmes

CCG

Mental health trusts, GP practices.

Potential savings from improved mental and physical health. Greater contribution to the economy from adults with psychosis or schizophrenia.

6. Monitoring physical health

CCG, NHS England

General practice, Mental health trusts

Potential savings from early identification and treatment of physical problems.

7. Promoting healthy eating, physical activity and smoking cessation

CCG, NHS England, Local authorities

NHS smoking cessation services, independent or charity sector stop smoking services

Potential savings from improved general health, avoiding future treatment costs.

8. Carer‑focused education and support

CCG

Mental health trusts, charities, independent sector mental health providers

Education programme costs.

Abbreviations: CBTp, cognitive behavioural therapy for psychosis; CCG, clinical commissioning group.


This page was last updated: 12 February 2015