CATS casemix and pathways - FI holding page

protocols or guidelines which will also need to be developed on a health
community basis.
It is understood that both the NHS in the North West and Netcare have purchased
access to the Map of Medicine (www.mapofmedicine.com) which is intended to
assist in the development of evidence-based clinical pathways. The IS
Commissioning Team will establish how the Map of Medicine can be used to
support discussions in each health community.
It is proposed that these discussions should be arranged in each area during May-
June 2007.
13. It is understood that there are well-established clinical relationships across
primary and secondary care in Cumbria and Lancashire and that in the past,
clinical guidelines and multi-disciplinary services have been developed. The
recent consultation process enabled a range of constructive clinical discussions to
take place in which the impact of introducing additional services provided by the
independent sector has been discussed.
To facilitate this ongoing dialogue, PCTs are asked to nominate a clinical lead(s)
who will co-ordinate further discussions between local clinicians and clinical
leads from Netcare and the Department of Health. NHS Trusts are also
encouraged to nominate clinical leads in the specialties where PCTs will be
commissioning IS CATS services.
PCT clinical leads should be linked to the local IS mobilisation teams established
in all PCT areas and will receive support if required from the Cumbria and
Lancashire IS Commissioning Team.
It is proposed that Clinical Leads are appointed during May 2007 and that
discussions with Netcare leads should begin immediately thereafter.
14. As a result of consultation, some PCTs have proposed additional specialties or
sub-specialties e.g. Dermatology, Audiology for inclusion in the CATS
procurement. A list of these as understood at the end of March 2007 is shown in
Annex 5. As the work commissioned from Perot Systems relates only to specific
specialty areas, the IS Commissioning Team needs to ensure a similar casemix
listing is developed for these additional specialties.
It is therefore proposed to request the nomination of clinical leads/PBC leads from
the PCTs concerned to define a similar casemix listing which could be
commissioned from CATS. This information would then be circulated to a wider
clinical audience, including secondary care clinicians for further development.
This work will need to be completed in the nominated specialties by the end of
June 2007.
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