Excellent value for money
Some commissioners, and those who contract nutrition and dietetic series, can sometimes have limited or a conceptualised knowledge of the role of a dietitian beyond that of obesity and diabetes. This can lead to an undervaluing of dietitians' input and they are less likely to reap the rewards of commissioning or contracting nutrition and dietetic services.
If, however, dietetics is appreciated as part of a holistic, integrated package of care focused on evidence-based outcomes achievable for the patient, the commissioner and/or contractor can then put in place a complete package on a one stop basis.
It is vital to consider the following when thinking about commissioning and/or contracting of nutrition and dietetic services:
|Is the service offered evidence-based?||
|The service is focussed on outcomes for the service user at all times.||
|Dietitians are already commissioned / contracted.||
|The service has a wide network of partnerships and stakeholders it works with.||
|The service has a wide portfolio of services offered.||
|The service offers quality and value for money.||
“Treatment by the dietitian has various social benefits. The health of the patient (and his/her family) improves, such that costs of health care can be avoided and the production of the patient increases. The treatment of patients with obesity and obesity-related diseases creates social benefits of € 0.4 to € 1.9 billion over a period of five years. For every € 1 spend on dietary counselling of these patients, society gets a net € 14 to € 63 in return: € 56 in terms of improved health, € 3 net savings in total health care costs and € 4 in terms of productivity gains.”
Cost-benefit Analysis of Dietary Treatment (Commissioned by the Dutch Association of Dietitians, November 2012).
You may also find the NHS England Resources for Clinical Commissioning Groups (CCGs) a useful tool.