North West Commissioning Support Unit (NWCSU) aims to be a trusted and valued partner, working alongside our clients to enable excellence in the commissioning and delivery of healthcare services.
We provide the support, expertise and essential services to enable clients to deliver the best possible healthcare outcomes for the populations they serve. Our clients include clinical commissioning groups, local authorities, healthcare providers and a host of other public and voluntary sector bodies, primarily across the North West, but also nationally.
Working from strategic locations across Greater Manchester, Merseyside and Cheshire, our team delivers one of the largest portfolios of support services in the country, working closely with the region’s 24 clinical commissioning groups (CCGs), serving a population of 5.2 million with a combined budget of £6.6bn.
Working in collaboration with our clients we offer an integrated and innovative multidisciplinary approach to deliver real results. Our talented and professional team draws on skills, experience and capabilities from across the NHS, augmented with new insights and ideas from carefully selected and skilled private sector partners.
This blend gives us a unique understanding and ability to navigate the constraints and challenges facing our clients and the wider health economy, both now and into the future.
NWCSU has a strong belief in improvement through innovation and best practice. This is embedded within all the services we deliver.
Motivated by the desire to help clients to transform their local healthcare economies and deliver tangible benefits for patients and their communities, we see ourselves as an expert and trusted partner, with shared values and common goals.
NWCSU was created in October 2014 through the coming together of the commissioning support units in Greater Manchester and Cheshire and Merseyside. The purpose of creating the new organisation was to take the strengths and learning from each CSU, to create an organisation that provides high-quality services designed around the needs of our clients.
At NWCSU, we believe that our strength lies in the people who work for us, and we aim to ensure development and opportunity, and make sure this is a great place to work. For our latest vacancies, click here.
NWCSU is led by a team of directors, providing a wide range of experience, knowledge and leadership from the public and private sectors, and a particular background in healthcare. To contact any of our directors, fill in our contact form and select General Enquiries.
In order to maximise our reach locally, regionally and nationally, NWCSU is always seeking to establish partnerships with appropriate organisations in all sectors. Opportunities range from individual, short-term, projects of mutual benefit, to ongoing corporate partnering.
North West Commissioning Support Unit (NWCSU) works in partnership with healthcare commissioners, healthcare providers, local authorities and others, to enable excellence in the commissioning and delivery of healthcare services.
Introduction: The NHS provides comprehensive healthcare within resources available; this does not mean there is an obligation to provide every available treatment, drug, device or procedure.
We have specialist Effective Use of Resources expertise, which allows us to coordinate and manage decisions relating to individual requests for treatment that is not routinely commissioned. This is done within an appropriate governance arrangement demonstrating a fair and consistent process that stands up to external scrutiny.
NWCSU experts can help you manage Individual Funding Requests (IFR) and support the implementation of commissioning policies requiring prior approval within NHS standard contract mechanisms.
Offer: We administer all requests, screening these before a check is made against clinical commissioning policies. An IFR panel is convened to consider all requests; all the relevant information and evidence is collated and made available. We ensure patients and the referring clinician are notified of the outcome at each stage of the process.
We also recognise that some requests may be urgent, so have a fast-track system in operation to handle these. We also have a robust approach to handling appeals against decisions.
NWCSU has a specialist policy development team who carry out literature and evidence reviews, equality analysis and economic assessments, to ensure that criteria for access to treatment have a clear and robust basis.
Unique benefits and outcomes: Our service implements best practice and innovates in our delivery to ensure we deliver efficient and effective service. The intelligence from the central management informs commissioning decisions and supports effective resource allocation, which is lawful at all times and helps demonstrate that resources are deployed to achieve the optimal health gain for your population.
Our specialist support aids understanding of variation in treatments available (the potential for a ‘postcode lottery’) demonstrating a fair and consistent process to commissioning decisions thereby minimising the risk of litigation.
Introduction: Medicines optimisation plays a key role in every clinical area. We combine extensive experience with effective relationships and understanding of the local health economy to enable you to meet statutory responsibilities and make evidence based, clinically and cost-effective decisions to improve patient outcomes. Our staff have wide-ranging experience of putting policy into practice, so the recommendations we make are workable at local level.
Offer: We provide support for all aspects of medicines management and optimisation, tailored to your requirements, priorities and preferred ways of working. This may include services to support strategic medicines decision-making; horizon scanning and financial planning; medicines procurement; provider contract management support including high-cost drugs; advice and guidance for safety, governance and shared care; patient group direction development; advice for service commissioning or redesign; CCG locality service; medicines optimisation, care home and practice-based support.
Our team has a successful track record in supporting CCGs, local authorities and public health teams, NHS England Area Teams, GP practices and care providers.
Unique benefits and outcomes: We use best practice locally and nationally to provide management strategies that engage stakeholders, to improve performance and reduce clinical, reputational and financial risk.
We offer tried and tested systems that drive change and deliver outputs more efficiently. Our experts develop ideas and outputs at scale on behalf of our clients, and feed them into local discussions. Our operating model is flexible to clients’ needs; for example, our CCG offer operates as either a range of strategic service components to support CCG medicines management leads, or this is combined with CSU locality and practice-based support embedded within the CCG infrastructure.
As a significant provider of the full range of medicines management and optimisation services, we have the senior leadership, wider experience, insight and scale to integrate with clients’ local systems and deliver the right solution.
Introduction: NWCSU offers specialist clinical assessment and procurement support to help you deliver appropriate individual continuing care packages for patients with substantial and complex health needs, in accordance with legislative requirements and NHS frameworks.
At the heart of our team are registered nurses who have the necessary continuing healthcare (CHC), funded nursing care and complex care knowledge, skills and experience. This enables NWCSU to provide a complete service, from checking eligibility to ongoing case management and resolution of any disputes, concerns or performance issues.
Offer: This highly-specialised, individual clinical commissioning support offer includes coordinating and quality assuring assessments, establishing eligibility for health funding and procuring suitable packages of care that offer value for money as well as meeting patients’ specific needs.
Our nursing team can help proactively case manage eligible patients, taking responsibility for care planning, care coordination and regular clinical commissioning reviews.
We can help you manage relevant contracts, including ongoing assurance of the quality of service provision, and have the skills to identify and address poor performance, find ways to resolve concerns and enable continuous service improvements.
NWCSU has the expertise to manage any disputes or complaints about funding eligibility and can also deal with retrospective claims.
Unique benefits and outcomes: Our specialist and timely quality assurance and clinical authorisation processes ensure you meet legislative and NHS framework requirements.
We are governed by professional principles and practice, with clear governance and accountability arrangements and duty of care to patients. This ensures that we will report any quality or safeguarding concerns promptly and in accordance with local safeguarding board procedures.
Local health economy knowledge helps us to share best practice, support collaborative arrangements, identify trends and develop innovative solutions. Robust decision making and monitoring measures ensure that commissioned care packages are clinically and cost effective.
Introduction: Our specialist Clinical Quality team can support you to commission services that are safe, effective and promote continuous improvement.
We want to help you make clinical quality a top priority, including obtaining assurance through patient and public feedback that can also be used to drive service improvement, reduce health inequalities among your populations and provide value for money solutions.
Offer: We can help you monitor service contracts and provider performance, taking into account quality premium targets and other local and national quality factors. Performance and target data can be combined with softer qualitative intelligence to provide a fuller picture and measure outcomes as well as processes.
We can help with business case profiling to ensure new developments are safe and effective and support incident management, ensuring that lessons are learned. Our experts can help you recognise and investigate clinical quality risks early on and escalate these quickly.
The service will work with you to challenge poor results highlighted by quality standards assessment, using data sources such as Monitor reports and Care Quality Commission risk profiles. We will ensure you are aware of relevant quality standards and requirements, and of evidence-based best practice.
Unique benefits and outcomes: Our team combines strong clinical and managerial leadership expertise across health and social care, including quality, commissioning, research, innovation, and performance and incident management.
A network of clinical and managerial associates provides an expert presence on site and at quality meetings to offer specialist advice and support and promote quality improvement throughout your organisation. This helps ensure good practice in sharing relevant information.
We work closely with NICE, the Advancing Quality Alliance, public health observatories, academic health science networks, strategic clinical networks and other bodies to support the local commissioning agenda, and to encourage innovation in clinical quality.
Introduction: NWCSU’s Utilisation Management team is a collaboration of high level expertise between clinical and analytical specialists. We provide detailed intelligence on commissioned services from both strategic and clinical perspectives. Some of the information made available by UM is not obtainable from any other source.
Our processes have been approved by the royal colleges and the College of Emergency Medicine and follow NHS guidelines.
Offer: Our methodology includes systems diagnostics through data analysis and clinical and social care pathway reviews (whole systems), to establish the degree of variation in practice and to target highlighted opportunities.
We can inform and support the monitoring and management of pressures within your health and social care economy by offering the data analysis with clinical interpretation of the outputs. This combination enables greater understanding of how activity flows across the health and social care spectrum, how this impacts on services – and ultimately on patients.
When we carry out pathway reviews, we mobilise clinical teams (nurses) into hospital and community facilities to gather information at patient level.
Thanks to our clinical background, our clinical reviewer training is accredited by the Royal College of Nursing.
In this way we identify key system and process issues that can affect consistent performance, and can propose solutions, which will underpin improvement in care quality and increased performance, where applicable.
Unique benefits and outcomes: NWCSU’s UM offer focuses on addressing underlying issues, working collaboratively with clients through a solution-oriented approach, prioritising actions to deliver benefits and develop appropriate strategies for managing activity.
To do this, we actively engage clinicians and other health and social care stakeholders. We can also provide ongoing support where this is requested.
Introduction: Our team of legal, financial and healthcare experts can help you develop and manage robust, fit-for-purpose contracts in accordance with national policy requirements and timescales.
NWCSU offers a comprehensive but flexible range of support to help you improve quality and patient focus by actively managing relationships between clients and providers, monitoring provider performance and addressing issues early.
Offer: We can support you through the contract planning and development process in accordance with NHS other national requirements. NWCSU will work with you to address provider issues. We will negotiate between the different parties to the contract and escalate disputes appropriately to try and reach agreement.
We will help you deal with any changes to contracts, including decommissioning a service from a provider, ensuring compliance with governance processes.
Our team can also review all your contracts against any national and local requirements, and refresh documentation, including policies and guidance, to reflect changes. We can develop a database for your contracts, which can also support procurement activity as contracts are due to expire.
NWCSU can employ various methods to ensure providers meet their contractual requirements. We will ensure quality specifications are embedded in contracts, manage provider performance meetings, rigorously monitor quality and patient safety and any complaints or incidents, and advise on actions if concerns arise.
Unique benefits and outcomes: NWCSU provides support from a technically skilled team of contract managers with legal and financial qualifications and local healthcare knowledge. They can provide expert advice on contractual clauses, levers, penalties and regulatory requirements.
Support to ensure services you commission are delivered to an agreed standard reduces risk, especially as our experts will help you identify and resolve poor performance issues early on.
Robust communication is fundamental to our delivery to ensure clients are fully appraised of contract issues, are aware of risks and contracts reflect commissioner requirements.
Introduction: Our qualified specialists can offer an effective end-to-end procurement service to help you deliver your commissioning intentions and achieve your targets. Through our fully qualified Procurement team, NWCSU can help ensure your procurement systems comply with regulations and offer value for money.
Offer: We can be flexible and respond to your specific needs. We can help you plan and set contractual priorities to make the most of your resources, looking at where you currently spend money.
The Procurement team can draw on local market knowledge to explore the viability of delivering different healthcare services and address any barriers. NWCSU can help you build relationships with providers, to gauge the level of interest in tenders for a new service and encourage innovation.
We can work with you to make fully informed procurement decisions, based on a clear understanding of the risks and benefits of available options. Our experts can ensure your procurement is demonstrably robust and competitive by designing, project managing and coordinating the process for you.
We can help you develop your own procurement policies, procedures and tool, and provide appropriate training for your staff, commissioners and board members.
Unique benefits and outcomes: Our team are fully qualified members of the Chartered Institute of Purchasing and Supply and everything we do complies with the NHS Principles and rules for cooperation and competition.
We can ensure all your processes meet the requirements of Monitor and NHS England, the Public Contracts Regulations 2006 (UK) and other relevant EU and UK guidance.
Our specialist team combines extensive healthcare procurement experience with local market knowledge, and can save you money by identifying opportunities for joint procurement exercises.
We can also draw on wider CSU expertise where necessary and advise on related issues such as public and stakeholder engagement.
Introduction: Our Business Intelligence team has the local understanding and specialist and technical skills to help transform data into business knowledge tailored to your needs. NWCSU can provide you with timely and relevant data to monitor progress against national and local performance indicators, and identify trends, risks and areas for improvement.
We carry out data sourcing, quality assurance and processing in a reliable, consistent and safe way, and ensure that you have NHS-compliant commissioning and contract management processes and meet statutory reporting requirements.
Offer: NWCSU offers a suite of business intelligence tools and reports that enable us to meet your needs quickly and economically. Whether you wish to focus on performance, clinical areas, finance or medicines management, our tools and systems help target efforts where most needed, validate data and investigate over or under performance.
We are authorised to handle confidential patient data and transmit information through a secure and resilient network. Our accredited data services for commissioning regional office (DCSRO) offers storage, back-up and, if necessary, recovery of stored data. We have the subject matter expertise to ensure data is complete, accurate and up to date. Extensive local knowledge means we process business intelligence in a really meaningful way to inform your decisions.
Unique benefits and outcomes: We can ensure you comply with Information Governance regulations and guidance and all relevant commissioning assurance frameworks. The meaningful data our Business Intelligence service provides supports better risk management and forward planning, benchmarking and performance monitoring.
Client-based analysts are available to support your individual initiatives. NWCSU can share best practice and discuss relevant issues across the local health economy. Thanks to our strong links with data suppliers, you will receive intelligence as you want it, and we can resolve any issues on your behalf.
Introduction: Every NHS organisation needs to get its financial activities right. NWCSU offers professional help and a full range of financial support to help you plan effectively, manage budgets and monitor spending.
We have proven financial expertise in areas such as technical accounting, significant experience in NHS finance issues and local healthcare service knowledge.
You can benefit from ‘at scale’ services resulting in financial efficiencies and the flexibility and resilience offered by a larger organisation, plus bespoke services to meet your specific local needs and tailored solutions and improvements.
Offer: We can draw on a wide range of financial expertise and resources to offer the services you need, such as cash flow monitoring and management, support to produce financial analysis, accounts and
reports and professional advice to help you develop strategic financial plans and deliver healthcare transformation initiatives.
NWCSU can help you manage your contracts and interpret the financial impact of commissioning decisions, including healthcare activity not covered by NHS contracts. We offer particular expertise in managing
payments for packages of care. We provide accurate and robust data in line with legal and information governance requirements, and operate within a controlled environment.
We can help you identify and implement efficiency improvements and transfer skills and knowledge to your own teams, such as budget holder training.
Unique benefits and outcomes: We have the depth and breadth of skills and experience to offer appropriate and dependable cover that ensures you meet your statutory duties. Standardised, efficient and controlled processes offer consistency in financial analysis and reporting and full assurance.
Access to wider NWCSU services enables us to triangulate investigation and interrogation of any variances. We have access to specialist networks and strong relationships with providers and partner organisations, and can look across the local NHS commissioning environment to identify best practice.
Introduction: Our experienced Service Transformation team can provide you with robust intelligence, insight and evidence to develop and adapt services to respond to evolving local healthcare needs and your specific requirements.
We operate according to core principles of good governance, co-production and partnership, and delivering value for money.
Offer: NWCSU can help you develop and deliver commissioning plans, annual operational, strategic and QIPP plans, and specific service redesign and improvement programmes and projects.
Our team has the expertise to develop business cases and proposals for change, including quality assured service specifications. We can support you with analysis to make fully informed decisions and review risk to ensure programmes and projects are implemented effectively.
We offer a range of service improvement activities, including pathway reviews, benchmarking exercises, poor performance investigation, qualitative research and clinical audit, interpretation of guidance, policy and regulatory frameworks, and the development of communities of practice and collaborative initiatives.
We can help you review and gather evidence to support change decisions, alerting you to newly emerging intelligence. NWCSU can help develop an industry standard programme management office (PMO) to make the most of available resources and report on progress to governance bodies and stakeholders.
Unique benefits and outcomes: Our service transformation team has proven experience and skills in change management, project and programme management as well as in-depth knowledge of the NHS agenda and commissioning environment, including key system relationships.
We can adapt to meet your individual needs and changing priorities, drawing on expertise from different disciplines to develop tailored solutions. NWCSU has access to local governance systems and wider intelligence and best practice, enabling us to support service integration and identify collaborative opportunities.
We can support service transformation with our change management offer, creating capability and capacity within your own organisation through consultancy, coaching and training to embed new approaches.
Introduction: For any organisation with public sector values at its heart, reaching out and engaging with communities and stakeholders is vital. Our Communications and Engagement service offers a well-established team of professionals, dedicated to building and maintaining your reputation and ensuring your communities truly have the chance to engage with you.
Offer: Thanks to the full range of services we offer, the support our clients receive is truly bespoke. Our communications offer includes strategy creation and strategic advice, planning your media management, digital communications, campaigns and social marketing, stakeholder engagement and internal communications. We also have a creative design team, run media training, build websites, manage events and more.
Our engagement offer encompasses strategic and operational support, ranging from advice for major service changes to local pathway redesign, project level planning and individual participation.
As the Patients in Control agenda has become increasingly important to the NHS we have developed a unique training and support approach, enabling commissioners to embed this as part of their strategic planning.
If you would like we can deliver for you as well, tailoring our model to suit your needs and budget. This could mean providing a team for you or working with your own in-house team.
Alternatively we can support you from our bases across the region. Our approach offers consistent support from identifiable individuals, alongside the resilience and expertise of a large and experienced team of specialists.
Unique benefits and outcomes: A team of core staff, coupled with experienced associates, ensures resilience and offers a flexible and agile service. We can quickly scale up or down the level of service to reflect your changing needs, opportunities and budgets.
Equally, thanks to our knowledge and experience of the public sector, we can effectively navigate the complex systems our clients work in, building the relationships and making the links which are so important to your work.
We offer significant economies of scale. Our buying power and established supply chains in areas such as media space and campaign materials means we can pass on savings to you.
We make sure we learn from everything we do, and use that learning for the benefit of our clients, enabling us to continually drive improvement and innovation.
Introduction: Your workforce and organisational systems must respond to constantly changing business needs. We offer flexible support to help you improve and sustain your capability and capacity in line with employment legislation and operating frameworks.
Professional expertise, a strong NHS background and in-depth market knowledge enable us to provide a tailored mix of strategic advice, hands-on support, performance monitoring and consultancy.
We have delivered tangible improvements by identifying inefficiencies and enabling better decision making in a range of public sector settings, and can help you comply with current guidance and directives.
Offer: Our offer extends from workforce planning and recruitment through to managing change and embedding professional development. We can help you find and keep the right staff through skills gap analyses, safer recruitment processes and effective learning and development approaches.
Our experts can enable you to fulfil your responsibilities in relation to equality and diversity, and the health and wellbeing of your staff. We can provide a robust workforce assurance framework and methodology to closely monitor and benchmark performance.
Strategic support and advice will ensure you have the required governance in place to minimise risk in relation to HR.
Unique benefits and outcomes: The NWCSU team has commercial acumen as well as a strong focus on the end user and local responsiveness to help you make the most of resources.
Our clients benefit from economies of scale in areas such as training and e-learning, and professional advice and support from our team will enable you to redesign services so they are as efficient as possible. We have an excellent track record in helping organisations build good internal and external relationships.
We have the expertise to update your workforce systems and policies in line with legislation and best practice, and advise managers and staff on compliance with guidance.
Introduction: Our Information Technology (IT) service provides operational and strategic support to ensure your technical infrastructure, equipment and applications actively help you meet your goals.
Our specialists combine proven industry expertise with NHS experience. We fully understand the healthcare technology sector and keep pace with it to help you get the most value from investment in technology.
Offer: Our aim is to ensure your critical IT infrastructure is effectively maintained, monitored and repaired, reducing operating costs and providing a sound platform for integrated working and improved care service delivery.
We can help provide, maintain, support and manage desktop solutions, including NHS corporate applications, or develop bespoke solutions if you have specific requirements. NWCSU can provide you with safe and secure cloud-based and other network and internet connections, and telephone equipment and systems that conform to NHS standards.
Our professionally managed data centres handle patient and other information safely and securely and provide efficient back-up and recovery to reduce the risk of data or service loss. A single point of contact and remote tools means we can respond quickly to faults, problems and new requests.
NWCSU offers strategic planning and design services to define your technology requirements and can deliver complete ICT projects using PRINCE 2 industry and NHS recognised methods.
Unique benefits and outcomes: Our locality based experts mean you always have access to the right skills when you need them. Our local health economy knowledge supports seamless working across organisations, resulting in more effective service integration and cost savings.
NWCSU security and assurance services are designed for healthcare organisations. All our staff and policies, systems and practices comply with NHS information governance and other standards. We further reduce risk through regularly tested business continuity and disaster recovery plans.
Introduction: Our Integrated Governance service brings together specialist expertise in a range of topics to support compliance with legislation and regulations and embed strategic and operational best practice.
Offer: You can draw on support to meet certain needs, while being assured that resulting plans, procedures, resources and working practices will reflect best practice.
Risk and Assurance
Our experts will support you to implement a robust system of internal control, including a risk management framework, incident reporting, regular risk assessments and advice on remedial action.
Emergency Planning, Resilience and Response (EPRR)
Resilience specialists can support you to meet your statutory duties and help you prepare to respond to emergencies while maintaining services.
Information Governance
Our team will provide expert advice on information governance issues and help you develop the evidence required for your annual submissions to the national Information Governance Toolkit.
Equality and Diversity
Specialists will help to develop an equality and diversity strategy, action plans and your NHS Equality Delivery System 2 submission and equality data publication. We offer support with equality analyses, audits, and management of risks and opportunities.
Our expert support will enable you to implement specific requirements of relevant legislation, including access to a competent person in accordance with the requirements of the Health and Safety at Work Act (1974).
We will provide template policies and procedures reflecting current legislation and best practice, and support you to tailor these to local requirements.
Unique benefits and outcomes: Our teams combine specific professional qualifications, skills and experience with local knowledge and links to other agencies. We can also draw on wider NWCSU expertise in related areas.
A central point of contact and onsite dedicated presence ensures you receive bespoke advice and support when you need it, including training to help embed processes and practices.
Our service can support assurance of statutory compliance with a range of relevant legislation and regulations. We will update you on developments, requirements, current guidance and best practice.
Introduction: Our experienced customer care advisers offer a ‘one stop shop’ supporting patients and the public with:
NWCSU experts can help you develop a suite of policies against which we will deliver integrated customer services support that is compliant with statutory duties, NHS complaint regulations, legislation and best practice issued through the Office of the Information Commissioner.
Offer: NWCSU offers a streamlined and reliable service that ensures you comply with law and NHS complaint regulations are based on principles set out by the Information Commissioner and Ombudsman.
We also draw on recommendations from national inquiries and reports, and regulator investigations and decisions. We offer an experienced customer service team with national and local NHS and area knowledge.
Unique benefits and outcomes: Offering patient services at scale across the local health economy not only offers value for money, it enables us to benchmark activity, identify common trends and themes and share learning and best practice. We also give early warning of emerging concerns and developing approaches for the efficient and effective informal resolution of complaints.
Our wide geographic coverage provides useful insight and the ability to recognise and deal with ‘round robin’ and Freedom of Information requests.
Complaints can be a rich source of intelligence about quality, safety and risk. We can draw on wider NWCSU expertise such as provider management to triangulate patient enquiries and concerns with incidents, performance and quality data, identify patterns and issues and link lessons learned to developing early warning systems, service improvement and redesign.
The NWCSU Communications and Engagement team can help manage any reputational issues that arise and we can help you to build positive relationships with MPs.
The extra mile
reflects the work that NWCSU does over and above our core service delivery to
give something back to our local communities and ensure that we are a great
place for people to work. To do this, we have
split our corporate social responsibility into three areas – our people, our communities and our
society.
In order to enhance the working lives of our colleagues, there are a number of things we do. Through a variety of simple but important initiatives – from providing social opportunities to ensuring that working environments are comfortable and well-equipped – NWCSU aims to look after our most valuable asset – our people.
As an organisation, we know that we have a responsibility to consider our impact on wider society and the environment. To do this, we intend to investigate a wide range of plans to reduce and mitigate our carbon footprint. This process has already begun with the promotion of a greener travel plan. This places an emphasis on using public transport where possible, but we have also entered into a partnership with Liftshare to encourage colleagues to travel to work and meetings across the region together.
We have made a specific commitment to support three local charities: