26 | Cancer Commissioning Strategy Framework Cancer Commissioning Strategy Framework | 27 Appendix 5 - Commissioning Tools, Templates and Resources Directory 1. Commissioning Tools Effective commissioning is supported by a range of practical tools, frameworks and performance measures that ensure high-quality service delivery. These include: • Service Specifications and Clinical and Operational Guidelines Comprehensive frameworks outlining service expectations, clinical and operational requirements and outcome measures to maintain high standards of cancer care. • Business Cases Strategic proposals guiding commissioning decisions, covering: Standardising Services – Ensuring equitable access to cancer services, treatments, and outcomes. New Services and Service Transformation – Addressing unmet needs and improving patient care pathways. Business as Usual (BAU) – Transitioning pilot programmes (often funded through cancer transformation initiatives) into permanent services and sustaining existing service levels. Introducing Innovations – Incorporating new technologies and medical advancements into current service models. 1. Commissioning Tools 2. Templates and Resources A collection of key resources to support commissioning processes: • Data Directory – A central repository of essential cancer datasets for informed commissioning decisions. • Project Initiation Document (PID) Template – A structured template to define project objectives, scope, and Implementation Plans. • Impact Assessment Templates and Examples – Tools to evaluate the potential effects of commissioning decisions. • Operational Guidelines – Best practice recommendations for service implementation and management. • Briefing Paper Template – A standard format for summarising key information for stakeholders. • Fragile Services Framework – A structured approach to identifying and managing vulnerable cancer services at risk of instability. • Stakeholder Mapping Tool – A framework for identifying and engaging key stakeholders in commissioning processes. • Black Book – A directory of key stakeholders and organisations interested in partnership working. • Communications Plan Template – A structured guide for effective stakeholder engagement and information sharing. 2. Templates and Resources Acknowledgment This document is the result of extensive collaboration, research and engagement, to clarify the purpose and responsibilities of commissioning and sets out the process for commissioning cancer services in North Central London. The development of the “NCL Fragile Service Framework” has been truly collaborative, shaped through one-to-one discussions, multidisciplinary workshops and detailed stakeholder consultations. The “Cancer Commissioning” and “Fragile Services” frameworks combined provide a rigorous methodology, and in combination with real-world data, risk assessment and stakeholder perspectives will ensure that commissioning decisions are not only evidence-based but also patient-centred and sustainable. We would like to extend our sincere thanks to all the clinicians, patients and wider stakeholders who contributed their expertise, time and insights. Lucy McLaughlin NCL Head of Cancer Commissioning. lucy.mclaughlin@nhs.net Joseph Dale Programme Manager - Commissioning. joseph.dale2@nhs.net
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