QIPP | Right Care <br />Commissioning for Value<br />Our outline programme for 2011/12<br />Right Care<br />
Commissioning and Planning: allocating resources optimally<br />Clinical Networks and Systems of Care <br />Right Care<br />Better Value clinical practice<br />Shared Decision Making<br />Population Medicine <br />
Commissioning and Planning: allocating resources optimally<br />Optimising allocative efficiency requires the techniques of programme budgeting and use of analysis tools to highlight variation and under performance compared to similar populations<br />Right Care<br /><ul><li>Developing the use of programme budgeting to increase value from spend
Promoting the use of the Spending and Outcome Tool (SPOT) and other tools to examine commissioner’s outcomes and expenditures compare with other commissioners and identify improvement opportunities
Developing the public health profession to support commissioners and clinicians in understanding population health and epidemiology skills
Highlighting un-warranted variation through products such as the NHS Atlas of Variation and encouraging annual reporting on un-warranted variation</li></li></ul><li>Clinical Networks and Systems of Care <br />Health communities establish sustainable systems of care, have agreed objectives, standards and outcomes, and use health investment tools and best value pathways to minimise un-warranted variation<br />Right Care<br /><ul><li>Identify individual health economies (population labs) to lead on one major common condition e.g. arthritis, diabetes, bipolar disorder, and develop “best value system templates”. These will be shared with all Consortia as a model of improvement
Population labs localising national Map of Medicine pathways
Knowledge management project to establish a Chief Knowledge Officers network and facilitate knowledge transfer from population labs to commissioners across the NHS
Work with Quality and Public Health Observatories to create the specification for a health outcome and value intelligence service to support new GP consortia
Develop a “2040” network of future clinical and managerial leaders in training, working with them to produce “QIPP Improvement Casebooks” for specific services</li></li></ul><li>Better Value clinical practice<br />Continuous improvement in value by shifting investment from lower value interventions to higher value interventions, using programme budgeting and marginal analysis as a framework for investment decisions<br />Right Care<br /><ul><li>To establish a NHS Commissioning Board led framework for local work on interventions of lower clinical value
To work with patient organisations and specialist societies to ensure full engagement in the evolution of clinical practice </li></li></ul><li>Shared Decision Making<br />Creating the right culture and environment for patients to be actively engaged in the process of decision making about their own health care<br />Right Care<br /><ul><li>Work with East of England to lead the development of Shared Decision Making tools and their roll-out to GP Consortia across England
Work with the DH Information Standard and NHS Choices to encourage all NHS organisations to adopt the Information Standard for health information services</li></li></ul><li>Population Medicine <br />Developing the culture for all clinicians to be responsible to the whole population they serve, not just the patients who consult them, for the management of resources invested in healthcare<br />Right Care<br /><ul><li>Developing the role of a ‘clinical lead for the population’ within a single care system for e.g. Diabetes or Rheumatology and define their role
Develop Communities of Practice for individual conditions and services, which unite generalist and specialist care clinicians with patient representatives - to assess population healthcare needs and improvement opportunities
Work with professional clinical bodies to embed skills development in population medicine as part of on-going professional development</li></li></ul><li>Clinical Networks and Systems of Care <br />Download the full story here…<br />Right Care<br />
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