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<p>NHS England and the Department expects clinical commissioning groups (CCGs) and
local authorities to work collaboratively to commission appropriate respite and palliative
care services for children with life-limiting conditions, to make the most efficient
and effective use of health and social care funding.</p><p> </p><p>NHS England’s ‘Choice
Commitment for end of life care’ document recognises that children’s palliative care
is particularly dependent on this good collaboration between clinical and non-clinical
services across a variety of settings. NHS England has also provided support to CCGs
in this area in the form of a joint NHS 10 Point Efficiency Plan with NHS Improvement.</p><p>
</p><p>NHS England is also working with colleagues across the National Health Service
and local authorities to ensure the health and care needs of specific patient groups,
including children’s palliative care services, are planned collaboratively where appropriate.
This includes working with commissioners, clinicians, voluntary, community and social
enterprises, local authorities and people with lived experience to refresh the children’s
palliative and end of life care service specification and the commissioning pathway
to reflect collective responsibilities across health and social care. Work will continue
on this until spring 2019.</p>
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