4. 4
The Right Care Manifesto
For Patients
For Populations
Better Value
Healthcare
Accountable
Integrated
Systems
Mobilise the patient
No patient should make decisions
in avoidable ignorance – the
informed and empowered
patient leads to more
appropriate and sustainable care
– embrace the Shared Decision
Making paradigm
Understand spend and
outcome
To deliver high value
healthcare, commissioners
need to manage the services
they contract at programme
budget levels – how much is
spent on diabetes and for what
outcome for the population
served?
Understand variation
commissioners and providers
need to identify unwarranted
variation and benchmark
against other populations in
order to remove waste and
shift spend to higher value
interventions
Manage the whole
pathway
In order to deliver integrated
care providers need to work
together and accept clinical
and financial responsibility for
entire programme budgets
Devolve Pathway Design and
Management
Commissioners should focus on
outcomes - devolving
performance management
(clinical outcomes delivered
within budget) and responsibility
to develop integrated pathways to
a provider in the programme
budget pathway
Address whole populations
to maximise value, not just
those patients who appear in
clinic – and provide clinical
leadership to develop the
network which delivers the
service to the population and
to lead innovation
5. Five Key Ingredients:
1. Clinical Leadership
2. Indicative Data
3. Clinical Engagement
4. Evidential Data
5. Effective processes
1 key objective + 3 key phases + 5 key ingredients =
Commissioning for Value
5
OBJECTIVE - Maximise Value (individual and population)
Key ingredients and phases
6. 6
In summary, right Care
1. Helps health economies find where they are wasting
money on sub-optimal healthcare.
2. Helps them replace that with optimal healthcare and
save money.
An improvement methodology that meets needs of all
perspectives and delivers efficiency and a sustainable
health economy
Overview
8. 8
Future - enabling the system to deliver by
industrialising Right Care and expanding at pace
• Making CCGs capable via CCG Development programme, including
Governing Body development, Improvement and Clinical Lead training
and coaching, practitioner network, advice and trouble-shooting
• LPF/ CSU Development programme and accreditation
• National Programme partnerships, e.g. Specialist Commissioning,
Parity of Esteem, Urgent Care, Elective Care, Shared Decision Making,
Future Focussed Finance
• Spreading across whole system via collaboration with PHE, Monitor,
TDA and DH
• Helping the system to design and deliver optimal across system,
driving efficiency via healthcare improvement
9. 9
Headline next steps
• 2015/16
Summer/ Autumn - Recruit and train Delivery Partners
Autumn - Recruit first cohort of CCGs
Winter - Embed in first cohort
• 2016/17
First annual cycle for first cohort
Recruit and embed in second cohort
Launch Practitioners Network for ‘Right Care health economies’
• 2017/18
Second cycle for first cohort
First cycle for second cohort
Recruit and embed third cohort, and so on
Key question: how to get core leadership on board in advance of
‘arrival’?
10. 10
Find out more about Right Care online
Follow Right Care online
• Subscribe to get a weekly digest
of our blog alerts in your inbox,
• Receive occasional eBulletins
• Follow us on Twitter
@qipprightcare
The Atlas of Variation in
Healthcare Series
Commissioning for Value
Programme and CfV insights
packs for CCGs
Value Tools
Casebooks – who is doing it now
Online learning video series
Resource Centre
www.rightcare.nhs.uk
11. 11
A post-card from Right Care
Dear All
We know that we have to use the resources
available for health care differently and focus
on population health care, thinking about the
whole system, not just organisations.
We have made a good start in identifying
unwarranted variation and will roll-out our
Right Care philosophy, which started with the
production of the Atlas of Variation in
healthcare, across the NHS.
New models of care are now being designed
around populations and patients, and that
feels right.
We would like your Ideas on a post card
please.
Right Care Colleagues
NHS England
Right care @nhs.net
Posted JUNE 2015
