Commissioning guides
Published 01 October 2011

Services for people with chronic obstructive pulmonary disease

This is an extract from the commissioning guide. The complete commissioning guide is available at www.nice.org.uk/guidance/cmg43

2 An integrated approach to commissioning high-quality integrated care for people with COPD

Commissioning integrated services for people with COPD is part of the wider commissioning strategy for respiratory care and long-term conditions. This guide for commissioners covers services for people with COPD within the NICE pathway for COPD and the areas of care map for the quality standard for COPD.

Commissioners should consider the whole care pathway for respiratory care and long-term conditions when commissioning services for people with COPD. They should consider how services for people with COPD are integrated across health and social care. Commissioners should work with emerging clinical commissioning groups, service-users, health and wellbeing boards, local authorities, primary care, acute and secondary care, community services and social care.

An outcomes strategy for chronic obstructive pulmonary disease (COPD) and asthma in England sets out outcomes for COPD that organisations need to achieve in order to deliver on the Government's commitment to improve health outcomes and reduce inequalities.

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 COPD and their carers have appropriate access to specialist, condition-specific information and support when indicated. Commissioners should ensure joint working across health and social care using the generic long-term conditions model and long-term conditions commissioning pathway. This approach is reflected in the outcomes strategy for chronic obstructive pulmonary disease (COPD) and asthma in England

The end of life care workstream of the Quality, Innovation, Productivity and Prevention (QIPP) programme focuses on improving systems and practice for identifying people as they approach the end of life and planning their care, particularly for high-risk groups such as those in residential and nursing homes.

Commissioners may wish to work with service providers to carry out baseline assessment and clinical audit using NICE implementation support for NICE clinical guideline 101. This will enable commissioners to identify where recommendations from NICE clinical guideline 101 have been implemented and highlight areas for improvement.