1. What is the commissioning cycle?

1. A low temperature programme on a washing machine
2. The process of making new buildings serviceable
3. A four-step method of contracting health services
4. A four-step process for planning and contracting health services

2. When was the purchaser/provider split established in the NHS?

1. 1991
2. 2001
3. 2011
4. 1997

3. What were the expected advantages of this market-based approach?

1. Drive down costs and raise quality
2. Drive down quality
3. Drive up costs and reduce quality
4. Reduce waste

4. How best can commissioners ensure that service users are actively involved in the commissioning process?

1. By involving service users in identifying need and gaps in services
2. By circulating leaflets telling service users what will be commissioned
3. By providing forums where service users can read about planned developments
4. By providing multiple means of involvement at every stage of the process

5. How best can commissioners ensure direct care staff/organisations are actively involved in the commissioning process?

1. By ensuring that all stages of the process include meeting and listening to staff
2. By providing opportunities to engage and involve staff in all steps of the process
3. By asking for data and information on a regular basis
4. Through circulating emails that keep everyone informed

6. What key quality would a mental health case manager need to demonstrate?

1. A specialist knowledge and understanding of patient pathways
2. The ability to monitor the quality of service delivery and know what ‘good’ looks like
3. To be able to place service users at the centre of decision making
4. To be efficient in keeping records up to date

7. What is the key factor that commissioners need to prioritise in planning services?

1. The collaboration of all stakeholders most notably service users and clinical staff
2. The demands of the population concerned
3. A contractual framework which incentivises innovation
4. The needs of the population concerned