Addressing the ‘postcode lottery’ in local resource allocation decisions: a framework for clinical commissioning groups

Abstract

The NHS Constitution emphasizes patients’ rights to expect these decisions to be made ‘rationally’. The National Prescribing Centre (NPC), now the Medicines and Prescribing Centre at the National Institute for Health and Clinical Excellence, has directed considerable effort in recent years at defining the parameters of rational decisionmaking,
and supporting PCTs in improving their approaches to prioritization and resource allocation. The NPC, commissioned by the Department of Health, embarked on a systematic process to develop a national ‘competency framework’ resource for those involved in making difficult prioritization decisions at a local level.This paper reports on how the NPC competency framework was developed, and presents a potentially transferable methodology for advancing a competency framework to support individual and organizational learning and improvement

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