Commissioning for Equality

Written by admin on Wednesday, May 11, 2011 14:10

<!--[if gte mso 9]><xml> Normal 0 false false false EN-GB X-NONE X-NONE MicrosoftInternetExplorer4 </xml><xml> </xml><object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui></object> <style> st1\:*{behavior:url(#ieooui) } </style> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} </style> A small group of Race for Health members has been working on a new commissioning tool which is designed to help organisations improve the effectiveness of their commissioning in relation to equality. C-TIE (Commissioning Tool for Improving Equality) is a systematic framework which assesses how well an organisation is working. Perhaps more importantly, it also highlights what action is likely to have the most impact on improving performance and so helps organisations prioritise and set realistic and achievable objectives. It does this by looking at four different ‘domains’ (commissioning arrangements, workforce, community engagement and external environment) in a way which

  • Is linked directly to health outcomes
  • Takes account of how different parts of the system work together
  • Can feed in to the new Equality Delivery System (EDS) being introduced across the NHS, providing evidence for all of the EDS Goals and Outcomes
  • Can work even where data quality is poor.

The tool has been designed to be easy to use and to make sense of this complicated combination of elements in a straightforward way. In partnership with their local communities, organisations are expected to establish a score for themselves against a series of standards within each of the four domains. A total set of scores is generated by the tool, which takes account of the different impact of each element. The results can then be used to model what would happen if action is taken at different points in the system, so that the most effective intervention to improve performance can be identified.

A small group from Bristol, Luton, Norfolk and Westminster has been working on the tool and developing guidance, before testing it out in a small number of PCTs/Commissioning Consortia, with a focus on improving CHD and Stroke outcomes.

Race for Health Leads involved in C-Tie:

Bristol David Harris

Luton Mina Jesa

Norfolk Kadhim Alabady

Westminster Brian Colman

Liverpool and Wolverhampton have also expressed an interest in taking part at this trial stage: others are very welcome to join.

For more information, please contact David Harris, NHS Bristol at: david.harris@bristol.nhs.uk

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