How we commission NHS services in north east London
What are NHS services?
NHS services include things like:
- Primary care: services provided by GPs (general practitioners), pharmacists, dentists, and optometrists.
- Secondary care: specialist services usually provided in hospitals, such as outpatient clinics, planned operations, and maternity care.
- Urgent and emergency care: A&E departments, NHS 111, ambulance services, and urgent treatment centres.
- Mental health services: support for conditions like anxiety, depression, psychosis, and more, including talking therapies and inpatient care.
- Community health services: district nursing, health visiting, rehabilitation, and care for people with long-term conditions.
- Public health services: vaccinations, screening programmes, smoking cessation, and health promotion.
- Specialised services: highly complex care such as cancer treatment, rare diseases, and organ transplants.
A range of NHS organisations, private businesses, local authorities and community organisations provide these services, and we work with them and residents to ensure they are properly funded, joined-up, high quality, and responsive to local needs.
You can see some of the services you can access via your GP, on our service directory.
We also implement national guidance on what medicines and treatments people can get.
How do we decide what to commission?
When commissioning services, we consider:
- local health data and population needs
- clinical evidence and best practice
- feedback from patients and communities
- value for money and long-term sustainability
Good commissioning balances these priorities within the budgets we receive. We are committed to reducing health inequalities and our commissioning decisions are guided by detailed insights into where outcomes, access and experiences vary – such as by ethnicity, income or where you live.
You can read our latest Commissioning Framework (March board paper, p.168) which covers our commissioning plans and priorities for the next three years.
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