As one of NHS England’s recognised niche specialist commissioning support providers, we offer a full range services to assist you in improving patient outcomes. Our experience covers all long term conditions, with a particular specialism in the field of neurology.

How can Commissioning Excellence support you?

Commissioning Excellence provides expert commissioning support services through a model of co-production as one of NHS England's recognised niche specialist providers. Our experienced team offers flexible support to create efficiencies and ensure high quality services for patients and their families. Our bespoke services will be tailored closely to your objectives, fulfilling your precise commissioning support needs.

Our expertise covers numerous areas within the commissioning process. This includes audit, data analysis, service mapping and modelling, plus idea sharing events - all delivered with the benefit of our extensive experience and our characteristic flexibility, creativity and insight.

Our vision is to be the recognised expert and partner of choice for commissioning support, particularly in the field of neurology. Our delivery against this vision ensures patients have access to the right services, in the right place, at the right time.

Contact us today to improve your services with our leading expertise.

Working with Commissioning Excellence

Our main ambition is your satisfaction as our client. We know that ready-made solutions are not an option, so we provide flexible, creative and personally-tailored approaches, and our work is shaped by our core principles:

  • We believe in partnerships – we think team solutions are the best solutions
  • We ensure our work is aligned to your strategic plans and objectives
  • We are professional, we are thorough and we act with integrity
  • We take your problems to heart – we make them our challenges

"Just 15% of CCGs have assessed local costs relating to the provision of their neurology services, with close to 60% of patients reporting problems in accessing the services or treatment they need. We are therefore highly supportive of NHiS’s Commissioning Excellence ambition to assist payers and providers in developing services relevant for patients with neurological conditions."

Steve Ford, Chief Executive of Parkinson’s UK

Needs Assessment

Work with us to develop the definitive big picture of what’s working and what’s not across your geographical area. We will help you to develop your Joint Strategic Needs Assessment in neurology, forecasting the future healthcare and wellbeing requirements of your population. Together, we will identify gaps in service provision and focus your strategic direction to meet those needs.

"HES Data and a subsequent audit of our services enable us to develop an overview of how services were working and how patients viewed those services. This impartial needs assessment has catalysed discussions with the CCGs we serve and within our Trust enabling development of a new 9 year strategy for the MOVE-hIT."

Dr Alan Whone, Director of MOVE-hIT and Lucy Mooney, Deputy Director of MOVE-hIT

Contact us today for expert, tailored support with your health needs assessment.

Business Intelligence

Commissioning Excellence’s highly experienced staff can provide you with a reliable evidence baseline to inform key decisions affecting the health and wellbeing of the population. Our factual analysis incorporates a wide range of data to meet your needs, including public health and social care data, plus Hospital Episode Statistics (HES). Applying our expertise to this information allows us to produce expert local intelligence, risk stratification and predictive modelling, which can improve and inform any number of projects.

“Commissioning a data intelligence report helped us to understand use of UCL partners neurology services and the needs of our CCGs within the area. This has been most helpful and has contributed to our 20 year clinical strategy. In consequence we have now started a £24 million reconfiguration of the hospital over the next two years and looking to a more major building project in 5 years.”

Professor John Duncan Divisional Clinical Director University College London Hospitals Queens Square London

Contact us today to see how our unique analysis can help develop your plans.

Service Redesign

We have unparalleled experience in providing commissioning support to help redesign services for people with long-term and neurological conditions. Using our unique resources we will help you undertake audits and reviews to carry service redesign, and can work with you to develop clinical specifications, pathways and local services that are efficient, productive and patient-friendly.

Commissioning Excellence’s data can support service redesign through fact-based scenario-modelling, mapping and analysis. Previous projects have included development of transferable integrated care models, full analysis of patient flows and service configurations, as well as priority recommendations. Our results are tailored and flexible to allow you to take full advantage of your own unique redesign opportunities.

“Service redesign provided us with development of integrated, person-centred care and greater focus on proactive management of neurology patients most in need of care”

CCG Commissioning Lead

Contact us today to see how we can help you improve your services.


We are specialists in gathering first-hand input from all commissioning stakeholders, including patients, the voluntary sector, social care, physicians, payers and providers. This input is accessed through our extensive network of connections, and via a range of interactive mediums, such as interviews, focus groups, surveys, social media and other electronic campaigns. The insight generated from these interactions dovetails with our considerable experience to form an integral part of our service reviews.

Additionally, we also facilitate stakeholder communication through our local Commissioning Networks (Neurology, Mental Health and Rheumatology), Educational Workshops and National Leadership forums. Our events provide stakeholders with a platform to share expert knowledge and analyse relevant data. This allows for current health needs to be understood, prior to the development of new services. By attending our events, stakeholders establish the role they can play in commissioning process so that enhanced efficiencies and outcomes can be achieved.

“By having jointly agreed guidelines and processes for what are complex – and often confusing – arrangements, it will simplify the system for professionals as well as patients and carers.”

Marilyn Ekers, Acting Chair of North Yorkshire and York Neurological Alliance

Talk to us today about facilitating stakeholder communication.

Commissioning Excellence: Editorial articles

August 1st 2016

NHiS Commissioning Excellence appoints Associate Director for mental health support service

NHiS Commissioning Excellence appoints Associate Director for mental health support...

NHiS Commissioning Excellence, which helps the NHS and related patient organisations to plan and commission services, has appointed Laurence Mascarenhas as an Associate Director for its mental health support service.

July 12th 2016

New report finds technology investment is key to vanguards’ vision for the future of the NHS

New report finds technology investment is key to vanguards’ vision...

The NHS must invest in new technology if innovative models of care being trialled by its vanguards are to be rolled out, according to a report by NHiS Commissioning Excellence, which helps the NHS plan and commission patient services.

April 29th 2016

Improving outcomes for people with MS

Improving outcomes for people with MS

This MS Awareness Week the MS Trust is highlighting the need for fair and equitable services for people with MS following their survey of 2000 people which shows there is a growing disparity in the care on offer.

April 20th 2016

Major breakthrough in understanding neurological conditions sparks rethink on improving care

Major breakthrough in understanding neurological conditions sparks rethink on improving...

Today a report is published which brings new insight into how people with various neurological conditions can be better supported to stay well.

Meet the Commissioning Excellence team

Sue Thomas

Sue Thomas

Chief Executive for Commissioning Excellence

With a clinical background in nursing, Sue has held leading national roles since 1991. This has included 18 years as national policy and practice adviser for long term conditions at the Royal College of Nursing. Following this, Sue set up a unique commissioning support organisation for the voluntary sector, the Neurological Commissioning Support (NCS) unit, taking this to NHS England niche provider status in 2014.

Sue has been an expert advisor to numerous Department of Health work streams and NICE, as well as having a place on the Board of the Royal College of Physicians former National Council for Chronic Conditions. She has also give evidence to many national strategic reviews including All Party Parliamentary Groups, the Public Accounts Committee and the Royal College of Physicians.

Sue has led numerous service transformation projects in both primary and secondary care as well as providing commissioning mentorship to numerous other voluntary sector organisations. Sue is a Florence Nightingale Scholar, A Winston Churchill fellow and is author of over 160 published articles and 12 book chapters. She frequently speaks both nationally and internationally and is a faculty member of the 2015 International Movement Disorders Conference which was recently held in San Diego.

Deborah Matthews

Deborah Matthews

Lead Commissioning Advisor for Commissioning Excellence

Deborah has worked for many years as an NHS commissioner, latterly for Kernow Clinical Commissioning Group (CCG) in Cornwall. Here, her responsibilities included the commissioning of neurology services as well as responsibility for commissioning the air ambulance service for Cornwall and the Isles of Scilly.

Prior to joining NHiS's Commissioning Excellence directorate, Deborah worked for the Neurological Commissioning Support (NCS) unit. In this time, Deborah took the lead on providing service reviews for CCGs, providers and Strategic Clinical Networks. In her commissioning support role she also worked on a number of co-creation models of care for people with long term conditions, setting up innovative approaches to care like the RENEW exercise programme in Cornwall. Deborah has provided expert commissioning recommendations to multiple leading neurological organisations and has extensive experience in data analysis, service mapping and redesign. She is member of the National Institute for Health and Care Excellence (NICE) Commissioning reference panel and a panel member of the Mansfield and Ashfield Nottinghamshire General Practice PPI.

Laurence Mascarenhas

Laurence Mascarenhas

Commissioning Adviser for Commissioning Excellence

Laurence joins the Directorate of Commissioning Excellence covering London and Southeast England having worked in the NHS for 20 years, across multi-agencies in the public, private and third sectors.

After his exit from the NHS, Laurence returned to work for a not for profit organisation, following an earlier two year secondment as an Associate Director from NHS Surrey. During his time in the NHS Laurence has undertaken a number of service reviews, redesigned care pathways and implemented transformation projects for various long term conditions including mental health. Notable among them was the Virtual Wards in Croydon and Integrated care for patients with COPD in Surrey, which subsequently led to the improved management of respiratory illness in primary care.

As a Commissioner for mental health services in Southwest London, Laurence worked closely with the local authority to publish the Merton Mental Health Needs Assessment and represented Merton CCG on the Steering Group for the development of the Dementia Hub managed by the Alzheimer’s Society. Additionally, he was also responsible for the delivery of various QIPP projects.

Laurence is passionate about empowering people to manage their own health and as a member of the reference group for Quality Institute for Self-Management Education and Training (QISMET), has contributed to the development of quality standards for self-management.

Get in touch today to see how we can help

Whether you'd like to call, or tell us more about your challenges in the form below, we'll be sure to put you in touch with the right member of the NHiS team.

0845 121 3686

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