SHCA survey backs NHS England commissioning of specialised services


The Specialised Healthcare Alliance has today published the results of a survey on significant changes under consideration by NHS England for specialised commissioning.

Over the summer, patient-related organisations, Chairs of NHS England’s Clinical Reference Groups and companies were asked for their views on the scope of specialised commissioning and the potential for Clinical Commissioning Groups to co-commission specialised services in future.

The key findings of the survey were as follows:

  • 90% of respondents preferred their service to remain part of specialised commissioning – none favoured leaving specialised commissioning.
  • 82% of respondents favoured either no change to commissioning responsibilities for their service or for more of their service to be incorporated within specialised commissioning. 9% opted for more commissioning responsibilities to fall to CCGs.
  • On the subject of co-commissioning, while respondents were open to collaboration between NHS England and local commissioners, only 15% of respondents would be happy to see this include pooling of budgets.
  • 20% of respondents were optimistic that improvements would be made to their service in the coming year, while 40% were pessimistic.
  • The shape of the response was broadly replicated in relation to those services flagged up by NHS England as more immediate candidates for devolution to CCGs, such as chemotherapy, HIV, neurosciences, radiotherapy and renal dialysis.

These results have been shared with NHS England to help inform the ongoing work of the taskforce.

The full survey report is available here: SHCA Survey Results 2014