Services for people with chronic heart failure
This is an extract from the commissioning guide. The complete commissioning guide is available at www.nice.org.uk/guidance/cmg39
2 An integrated approach to commissioning high-quality care for people with chronic heart failure
Commissioning services for peoplewith chronic heart failure sits within the wider commissioning strategy for cardiovascular disease and long-term conditions.
Commissioners should consider the whole care pathway for long-term conditions when commissioning services for people with chronic heart failure. They should also consider how services for people with chronic heart failure are integrated across health and social care.
The long-term conditions workstream of the Quality, Innovation, Productivity and Prevention (QIPP) programme advocates a proactive generic management model of care for people with long-term conditions. Commissioners should ensure that people with chronic heart failure and their carers have appropriate access to specialist, condition-specific information and support when indicated.
Commissioners should work with health and wellbeing boards, local authorities, primary care, acute and secondary care, community services and social care.
Commissioners should ensure joint working across health and social care using the generic long-term conditions model and long-term conditions (LTC) commissioning pathway. They may also find the exemplar CQUIN goals on long-term conditions useful.
Commissioners may wish to work with service providers to carry out baseline assessment and clinical audit using NICE implementation support for NICE clinical guideline 108 on chronic heart failure. This will enable commissioners to identify where recommendations from NICE clinical guideline 108 have been implemented and highlight areas for improvement.