SlideShare a Scribd company logo
1 of 9
Download to read offline
Commissioning for
Value
A programme to help CCGs identify
value opportunities and improve
healthcare for their populations
September 2013
2
Commissioning for Value is about identifying priority
programmes which offer the best opportunities to improve
healthcare for your populations; improving the value that
patients receive from their healthcare and improving the
value that populations receive from investment in their local
health system.
Commissioning for Value – September 2013
What is Commissioning for Value?
“Value in any field must be defined around the
customer, not the supplier. Value must also be
measured by outputs, not inputs. Hence it is
patient health results that matter, not the
volume of services delivered. But results are
achieved at some cost. Therefore, the proper
objective is… patient health outcomes relative
to the total cost (inputs). Efficiency, then, is
subsumed in the concept of value. ”
Source: Porter ME. (2008). What is Value in Health Care?
Harvard Business School.
The Commissioning for
Value approach begins
with a review of indicative
data to highlight the top
priorities (opportunities)
for transformation and
improvement.
This is achieved using
Programme Budgeting
Marginal Analysis and
Spend and Outcome data
to highlight those clinical
programmes where the
health economy is an
outlier and therefore will
be most likely to yield the
most improvements to
clinical pathways and
policies.
The approach - where to look...using indicative data
3
Commissioning for Value – September 20134
Quality
Spend Direction
of Travel
Bespoke Commissioning for Value insights packs CCGs
By mid-October, we will deliver bespoke
Commissioning for Value packs to all
211 CCGs, with an offer of follow-up
events and support.
These packs will have triangulated data
for the top Programme Budget
Categories by spend for your population
and will suggest priority programme
areas which offer the best value
opportunity for service improvements
Commissioning for Value 20135
How will using this pack benefit my population?
• Achieved Turnaround (Warrington CCG - Winner of HSJ Commissioning Organisation of the
Year 2012)
• Financial sustainability (West Cheshire CCG - Winner of HSJ Commissioning Organisation of
the Year 2010)
• Clinically led annual QIPP planning and delivery (Borough of Wigan) Clinical Leaders driving
change (Vale of York CCG)
• Galvanising commissioners in a growing number of health economies (20+ CCGs and
growing)
CCGs can and are using
the “Right Care approach”
to shift spend
Year 1 – “Came from behind” - Implemented system mid year
Year 2 – “Delivered as went along” - Began at year start, achieved by end
Year 3 – “Planned ahead” - Began before year start, over- achieved
Year 4 – “Ahead of the curve” - 20% of QIPP delivered by start
Year 5 – Increased focus on Quality!
Achieving financial
stability in West Cheshire
It’s not just about money -
Right Care in West
Cheshire led to real
quality improvements in
just one annual cycle
- A&E attends & admissions, Elective & Non-
elective activity, OP Firsts and –
- Follow-ups – all decreased
- Outcomes & Quality – improved
- Integration occurred across health sectors
and with social care
Enabled by, for example :
- Medicines administration training to care
homes
- Personalised care plans (LTC)
- Community
endoscopy, optometry, ophthalmology, neurol
ogy & pain management pathways
- MRI Scanner Direct Access
• Constant clinical focus on improving quality and outcomes
• Significant engagement from constituent practices
• Involvement of the wider clinical community in commissioning
Domain 1
A strong clinical and multi-
professional focus
• System-wide strategic planning
• Evidence based operational planning
• Effective delivery of the plan
Domain 3
Clear and credible planning and
delivery
• CCG is clinically led and properly constituted with the right
governance arrangements
• Delivers statutory functions efficiently, effectively and economically
• Procures high quality support as required to meet the business
needs
Domain 4
Robust governance
arrangements
The use of these packs and the approach described can help CCGs develop the strategic
commissioning skills necessary for delivering quality care today and transforming services
for tomorrow, as outlined in the following 3 of the 6 assurance domains:
How will using this pack help my CCG Development
6
7
• understand what the insight packs are telling you about your population health
outcomes
• how to use the insights in the packs to direct your improvement efforts
• learn from early adopters who have successfully used this approach to deliver
results
• get face to face support in surgeries where your insight packs can be
discussed on an individual, CCG basis
• network with commissioning support services who can help you to move
forward
To support CCGs in making use of the insight packs, we are organising two
follow-up events to help CCGs:
Commissioning for Value 2013
Two follow-up events for CCGs…
8
London: Manchester:
Venue: The Business Design
Centre
Venue: Mercure Hotel, Manchester
Piccadilly
Date: Tuesday 12th November Date: Wednesday 13th November
Time: 9:30am for 10:00 start Time: 9:30am for 10:00 start
An online registration form is available at the URL below:
www.rightcare.nhs.uk/commissioningforvalue
Commissioning for Value 2013
Book your place online…
9
The Right Care website will offers a new Resource Centre to support
CCGs including:
• Online videos and ‘how to’ guides
• Theme based Webinars
• Case studies with learning from previous pilots
• Tried and tested process templates to support taking the
approach forward
• Advice on how to produce level 2 packs locally, within the CCG or
working with local intelligence services
Commissioning for Value 2013
www.rightcare.nhs.uk/resourcecentre
Other resources to help get the most our of Commissioning for Value

More Related Content

What's hot

150408 Posters for Evidence Live
150408 Posters for Evidence Live150408 Posters for Evidence Live
150408 Posters for Evidence LiveAlison Turner
 
Savannah innovations
Savannah innovationsSavannah innovations
Savannah innovationsSamantha Haas
 
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...Innovation Agency
 
Dan Wellings' HARC presentation
Dan Wellings' HARC presentationDan Wellings' HARC presentation
Dan Wellings' HARC presentationSax Institute
 
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Sax Institute
 
Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...
Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...
Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...Michelle Goulbourne @ DiaMind Health
 
John Appleby: Variations in health care
John Appleby: Variations in health careJohn Appleby: Variations in health care
John Appleby: Variations in health careThe King's Fund
 
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...Using Simulation Modelling to Test the Impact of Service Change – lunch and l...
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...Rebecca Wootton
 
Keith Ridge - Winterbourne Medicines Programme launch
Keith Ridge - Winterbourne Medicines Programme launchKeith Ridge - Winterbourne Medicines Programme launch
Keith Ridge - Winterbourne Medicines Programme launchNHS Improving Quality
 
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...Samantha Haas
 
What is Results-Based Financing?
What is Results-Based Financing?What is Results-Based Financing?
What is Results-Based Financing?RBFHealth
 
University of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh PooleUniversity of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh PooleSamantha Haas
 
Health Navigator lunch and learn – 15 January 2016
Health Navigator lunch and learn – 15 January 2016Health Navigator lunch and learn – 15 January 2016
Health Navigator lunch and learn – 15 January 2016Rebecca Wootton
 
Kerry wheeler hull wsdan 30 june 2011
Kerry wheeler hull wsdan 30 june 2011Kerry wheeler hull wsdan 30 june 2011
Kerry wheeler hull wsdan 30 june 20113GDR
 
Local and national uses of data
Local and national uses of dataLocal and national uses of data
Local and national uses of dataNuffield Trust
 
Impact of electronic health records in sri lanka: case study of four governme...
Impact of electronic health records in sri lanka: case study of four governme...Impact of electronic health records in sri lanka: case study of four governme...
Impact of electronic health records in sri lanka: case study of four governme...Shriyananda Rathnayake Jayasinghe, PMP
 

What's hot (20)

Quality improvement, using NICE tools and resources
Quality improvement, using NICE tools and resourcesQuality improvement, using NICE tools and resources
Quality improvement, using NICE tools and resources
 
150408 Posters for Evidence Live
150408 Posters for Evidence Live150408 Posters for Evidence Live
150408 Posters for Evidence Live
 
Savannah innovations
Savannah innovationsSavannah innovations
Savannah innovations
 
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...
 
Dan Wellings' HARC presentation
Dan Wellings' HARC presentationDan Wellings' HARC presentation
Dan Wellings' HARC presentation
 
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...
 
Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...
Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...
Implementing The Chronic Disease Management Framework - Shared Care - M Goulb...
 
Nsat mar2015
Nsat mar2015Nsat mar2015
Nsat mar2015
 
John Appleby: Variations in health care
John Appleby: Variations in health careJohn Appleby: Variations in health care
John Appleby: Variations in health care
 
Creating and sharing urgent care plans
Creating and sharing urgent care plansCreating and sharing urgent care plans
Creating and sharing urgent care plans
 
James Downie
James DownieJames Downie
James Downie
 
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...Using Simulation Modelling to Test the Impact of Service Change – lunch and l...
Using Simulation Modelling to Test the Impact of Service Change – lunch and l...
 
Keith Ridge - Winterbourne Medicines Programme launch
Keith Ridge - Winterbourne Medicines Programme launchKeith Ridge - Winterbourne Medicines Programme launch
Keith Ridge - Winterbourne Medicines Programme launch
 
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
Suleima salgado dph telehealth telemedicine presentation gpt conference_s_sal...
 
What is Results-Based Financing?
What is Results-Based Financing?What is Results-Based Financing?
What is Results-Based Financing?
 
University of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh PooleUniversity of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh Poole
 
Health Navigator lunch and learn – 15 January 2016
Health Navigator lunch and learn – 15 January 2016Health Navigator lunch and learn – 15 January 2016
Health Navigator lunch and learn – 15 January 2016
 
Kerry wheeler hull wsdan 30 june 2011
Kerry wheeler hull wsdan 30 june 2011Kerry wheeler hull wsdan 30 june 2011
Kerry wheeler hull wsdan 30 june 2011
 
Local and national uses of data
Local and national uses of dataLocal and national uses of data
Local and national uses of data
 
Impact of electronic health records in sri lanka: case study of four governme...
Impact of electronic health records in sri lanka: case study of four governme...Impact of electronic health records in sri lanka: case study of four governme...
Impact of electronic health records in sri lanka: case study of four governme...
 

Viewers also liked

Waste Not Want Not
Waste Not Want NotWaste Not Want Not
Waste Not Want Notsflaig
 
Start With The End In Mind
Start With The End In MindStart With The End In Mind
Start With The End In MindUptime Institute
 
Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...
Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...
Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...Ravanne Harris
 
13 the taxonomy-of-internet-data-centers
13 the taxonomy-of-internet-data-centers13 the taxonomy-of-internet-data-centers
13 the taxonomy-of-internet-data-centersWilliam Norton
 
Buyer beware
Buyer bewareBuyer beware
Buyer bewaresflaig
 
What is a Service Taxonomy and Why Do I Need One?
What is a Service Taxonomy and Why Do I Need One?What is a Service Taxonomy and Why Do I Need One?
What is a Service Taxonomy and Why Do I Need One?Evergreen Systems
 
Data Center Tiers Explained
Data Center Tiers ExplainedData Center Tiers Explained
Data Center Tiers ExplainedData Cave
 
Moving Your Data Center: Keys to planning a successful data center migration
Moving Your Data Center: Keys to planning a successful data center migrationMoving Your Data Center: Keys to planning a successful data center migration
Moving Your Data Center: Keys to planning a successful data center migrationData Cave
 
Commissioning services for substation and power plants
Commissioning services for substation and power plantsCommissioning services for substation and power plants
Commissioning services for substation and power plantsEvaldas Paliliūnas
 
IT Service Catalog: Build a Service Taxonomy in 4 Easy Steps
IT Service Catalog: Build a Service Taxonomy in 4 Easy StepsIT Service Catalog: Build a Service Taxonomy in 4 Easy Steps
IT Service Catalog: Build a Service Taxonomy in 4 Easy StepsEvergreen Systems
 
The Commissioning Process
The Commissioning ProcessThe Commissioning Process
The Commissioning Processd_mackay
 

Viewers also liked (13)

Waste Not Want Not
Waste Not Want NotWaste Not Want Not
Waste Not Want Not
 
Start With The End In Mind
Start With The End In MindStart With The End In Mind
Start With The End In Mind
 
Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...
Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...
Dev net and_tech_centers_working_together_final_for_tech_center_webex_session...
 
13 the taxonomy-of-internet-data-centers
13 the taxonomy-of-internet-data-centers13 the taxonomy-of-internet-data-centers
13 the taxonomy-of-internet-data-centers
 
Julie Henderson and Shaun Rowark (NICE): Commissioning in Healthcare show (Ci...
Julie Henderson and Shaun Rowark (NICE): Commissioning in Healthcare show (Ci...Julie Henderson and Shaun Rowark (NICE): Commissioning in Healthcare show (Ci...
Julie Henderson and Shaun Rowark (NICE): Commissioning in Healthcare show (Ci...
 
Buyer beware
Buyer bewareBuyer beware
Buyer beware
 
What is a Service Taxonomy and Why Do I Need One?
What is a Service Taxonomy and Why Do I Need One?What is a Service Taxonomy and Why Do I Need One?
What is a Service Taxonomy and Why Do I Need One?
 
Data Center Tiers Explained
Data Center Tiers ExplainedData Center Tiers Explained
Data Center Tiers Explained
 
Moving Your Data Center: Keys to planning a successful data center migration
Moving Your Data Center: Keys to planning a successful data center migrationMoving Your Data Center: Keys to planning a successful data center migration
Moving Your Data Center: Keys to planning a successful data center migration
 
Profibus commissioning and maintenance - Richard Needham
Profibus commissioning and maintenance - Richard NeedhamProfibus commissioning and maintenance - Richard Needham
Profibus commissioning and maintenance - Richard Needham
 
Commissioning services for substation and power plants
Commissioning services for substation and power plantsCommissioning services for substation and power plants
Commissioning services for substation and power plants
 
IT Service Catalog: Build a Service Taxonomy in 4 Easy Steps
IT Service Catalog: Build a Service Taxonomy in 4 Easy StepsIT Service Catalog: Build a Service Taxonomy in 4 Easy Steps
IT Service Catalog: Build a Service Taxonomy in 4 Easy Steps
 
The Commissioning Process
The Commissioning ProcessThe Commissioning Process
The Commissioning Process
 

Similar to A new tool for Clinical Commissioners, HWBs and everyone concerned with commissioning healthcare

Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle East
Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle EastTop 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle East
Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle EastSTELIOS PIGADIOTIS
 
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...STELIOS PIGADIOTIS
 
An Overview of the Right Care philosopy and approach
An Overview of the Right Care philosopy and approachAn Overview of the Right Care philosopy and approach
An Overview of the Right Care philosopy and approachrightcare
 
STFM PI conf 12.4.15 Gerdes
STFM PI conf 12.4.15 GerdesSTFM PI conf 12.4.15 Gerdes
STFM PI conf 12.4.15 GerdesMelissa Gerdes
 
Transforming Clinical Practice Initiative
Transforming Clinical Practice InitiativeTransforming Clinical Practice Initiative
Transforming Clinical Practice InitiativeCitiusTech
 
Raymond gpt 3.22.14 clean v5
Raymond gpt 3.22.14 clean v5Raymond gpt 3.22.14 clean v5
Raymond gpt 3.22.14 clean v5Samantha Haas
 
Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015NHS Improving Quality
 
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...Health Catalyst
 
Health improvement case study
Health improvement case studyHealth improvement case study
Health improvement case studyJennifer Brown
 
Inventive health engagement: persistently moving from volume to value
Inventive health engagement: persistently moving from volume to valueInventive health engagement: persistently moving from volume to value
Inventive health engagement: persistently moving from volume to valueMEDx eHealthCenter
 
Deloitte NHS in the Vanguard
Deloitte NHS in the VanguardDeloitte NHS in the Vanguard
Deloitte NHS in the VanguardCatherine Skilton
 
Frontier Medicine Better Health Partnership
Frontier Medicine Better Health PartnershipFrontier Medicine Better Health Partnership
Frontier Medicine Better Health PartnershipMineralRegional
 
CNO Summit 2015 - Peering into the future of NHS Providers, David Dalton
CNO Summit 2015 - Peering into the future of NHS Providers, David DaltonCNO Summit 2015 - Peering into the future of NHS Providers, David Dalton
CNO Summit 2015 - Peering into the future of NHS Providers, David DaltonNHS England
 
Practical Guide to Benefits Driven Change
Practical Guide to Benefits Driven ChangePractical Guide to Benefits Driven Change
Practical Guide to Benefits Driven ChangeMinney org Ltd
 

Similar to A new tool for Clinical Commissioners, HWBs and everyone concerned with commissioning healthcare (20)

Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle East
Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle EastTop 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle East
Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle East
 
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...
 
An Overview of the Right Care philosopy and approach
An Overview of the Right Care philosopy and approachAn Overview of the Right Care philosopy and approach
An Overview of the Right Care philosopy and approach
 
CBO health event: Learning from a Live SIB: Ways to Wellness SIB
CBO health event: Learning from a Live SIB: Ways to Wellness SIBCBO health event: Learning from a Live SIB: Ways to Wellness SIB
CBO health event: Learning from a Live SIB: Ways to Wellness SIB
 
STFM PI conf 12.4.15 Gerdes
STFM PI conf 12.4.15 GerdesSTFM PI conf 12.4.15 Gerdes
STFM PI conf 12.4.15 Gerdes
 
Webinar: CMS Innovation Center Update
Webinar: CMS Innovation Center UpdateWebinar: CMS Innovation Center Update
Webinar: CMS Innovation Center Update
 
Transforming Clinical Practice Initiative
Transforming Clinical Practice InitiativeTransforming Clinical Practice Initiative
Transforming Clinical Practice Initiative
 
Raymond gpt 3.22.14 clean v5
Raymond gpt 3.22.14 clean v5Raymond gpt 3.22.14 clean v5
Raymond gpt 3.22.14 clean v5
 
Webinar: Medicare Advantage Value-Based Insurance Design Model - CY2020 Desig...
Webinar: Medicare Advantage Value-Based Insurance Design Model - CY2020 Desig...Webinar: Medicare Advantage Value-Based Insurance Design Model - CY2020 Desig...
Webinar: Medicare Advantage Value-Based Insurance Design Model - CY2020 Desig...
 
Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015
 
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
 
ACOREACH-ModelOverviewWebinar-slides.pdf
ACOREACH-ModelOverviewWebinar-slides.pdfACOREACH-ModelOverviewWebinar-slides.pdf
ACOREACH-ModelOverviewWebinar-slides.pdf
 
Health improvement case study
Health improvement case studyHealth improvement case study
Health improvement case study
 
Webinar: Health Care Innovation Awards Round Two - Achieving Lower Costs Thr...
 Webinar: Health Care Innovation Awards Round Two - Achieving Lower Costs Thr... Webinar: Health Care Innovation Awards Round Two - Achieving Lower Costs Thr...
Webinar: Health Care Innovation Awards Round Two - Achieving Lower Costs Thr...
 
Inventive health engagement: persistently moving from volume to value
Inventive health engagement: persistently moving from volume to valueInventive health engagement: persistently moving from volume to value
Inventive health engagement: persistently moving from volume to value
 
Deloitte NHS in the Vanguard
Deloitte NHS in the VanguardDeloitte NHS in the Vanguard
Deloitte NHS in the Vanguard
 
Webinar: Comprehensive Primary Care Plus - Interested Payer Overview
Webinar: Comprehensive Primary Care Plus - Interested Payer OverviewWebinar: Comprehensive Primary Care Plus - Interested Payer Overview
Webinar: Comprehensive Primary Care Plus - Interested Payer Overview
 
Frontier Medicine Better Health Partnership
Frontier Medicine Better Health PartnershipFrontier Medicine Better Health Partnership
Frontier Medicine Better Health Partnership
 
CNO Summit 2015 - Peering into the future of NHS Providers, David Dalton
CNO Summit 2015 - Peering into the future of NHS Providers, David DaltonCNO Summit 2015 - Peering into the future of NHS Providers, David Dalton
CNO Summit 2015 - Peering into the future of NHS Providers, David Dalton
 
Practical Guide to Benefits Driven Change
Practical Guide to Benefits Driven ChangePractical Guide to Benefits Driven Change
Practical Guide to Benefits Driven Change
 

Recently uploaded

Derma Pharmaceutical Franchise Company - Solace Biotech Limited
Derma Pharmaceutical Franchise Company - Solace Biotech LimitedDerma Pharmaceutical Franchise Company - Solace Biotech Limited
Derma Pharmaceutical Franchise Company - Solace Biotech LimitedSBL DIGITAL
 
(IDE)and(IVD),QMS,21 CFR part820 , 801)
(IDE)and(IVD),QMS,21 CFR part820  , 801)(IDE)and(IVD),QMS,21 CFR part820  , 801)
(IDE)and(IVD),QMS,21 CFR part820 , 801)chahattyagi200
 
SMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptxSMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptxAbdirahmanWaseem
 
bleeding disorders 1 Dr.Nannika Pradhan
bleeding disorders 1  Dr.Nannika Pradhanbleeding disorders 1  Dr.Nannika Pradhan
bleeding disorders 1 Dr.Nannika Pradhanthesalberry
 
Ayurveda research in Hypothyroidism, P
Ayurveda  research  in Hypothyroidism, PAyurveda  research  in Hypothyroidism, P
Ayurveda research in Hypothyroidism, PDr.Shalu Jain
 
SGK PHÙ PHỔI CẤP ĐHYHN .pdf
SGK PHÙ PHỔI CẤP ĐHYHN                   .pdfSGK PHÙ PHỔI CẤP ĐHYHN                   .pdf
SGK PHÙ PHỔI CẤP ĐHYHN .pdfHongBiThi1
 
Ten lessons learnt as anesthetist.pptx
Ten  lessons  learnt as anesthetist.pptxTen  lessons  learnt as anesthetist.pptx
Ten lessons learnt as anesthetist.pptxtusharchokshi1
 
SGK VIÊM KHỚP DẠNG THẤP YHN .pdf
SGK VIÊM KHỚP DẠNG THẤP YHN              .pdfSGK VIÊM KHỚP DẠNG THẤP YHN              .pdf
SGK VIÊM KHỚP DẠNG THẤP YHN .pdfHongBiThi1
 
Substance use disorder (drug addict ), Addiction
Substance use disorder (drug addict ), AddictionSubstance use disorder (drug addict ), Addiction
Substance use disorder (drug addict ), AddictionZeinabEmad3
 
Ovarian tumors Lecture notes for MBBS.pptx
Ovarian tumors Lecture notes for MBBS.pptxOvarian tumors Lecture notes for MBBS.pptx
Ovarian tumors Lecture notes for MBBS.pptxSizan Thapa
 
HERPES SIMPLEX VIRUS 12032019 TUESDAY pptx
HERPES SIMPLEX VIRUS 12032019 TUESDAY  pptxHERPES SIMPLEX VIRUS 12032019 TUESDAY  pptx
HERPES SIMPLEX VIRUS 12032019 TUESDAY pptxPulkitMittal54
 
Neutraceuticals, Herb-drug & Herb-food inetractions
Neutraceuticals, Herb-drug & Herb-food inetractionsNeutraceuticals, Herb-drug & Herb-food inetractions
Neutraceuticals, Herb-drug & Herb-food inetractionsPradnya Wadekar
 
Basic of Thyroid Hormone:- An In-depth Analysis
Basic of Thyroid Hormone:- An In-depth AnalysisBasic of Thyroid Hormone:- An In-depth Analysis
Basic of Thyroid Hormone:- An In-depth AnalysisAshishMaletha2
 
HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...
HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...
HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...Genesis Institute of Pharmacy, Radhanagari.
 
Histology of lymph node(lymph node histology)
Histology of lymph node(lymph node histology)Histology of lymph node(lymph node histology)
Histology of lymph node(lymph node histology)pranavguleria2
 
ANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTION
ANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTIONANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTION
ANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTIONojaswinihemane
 
EMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdf
EMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdfEMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdf
EMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdfMayuriGamit2
 
CELL BLOCK PREPARATION AND ITS IMPORTANCE
CELL BLOCK PREPARATION AND ITS IMPORTANCECELL BLOCK PREPARATION AND ITS IMPORTANCE
CELL BLOCK PREPARATION AND ITS IMPORTANCEShubhadip Ghosh
 

Recently uploaded (20)

Catalysts for Change in SCLC: Optimizing the Use of Standard Therapies and Ac...
Catalysts for Change in SCLC: Optimizing the Use of Standard Therapies and Ac...Catalysts for Change in SCLC: Optimizing the Use of Standard Therapies and Ac...
Catalysts for Change in SCLC: Optimizing the Use of Standard Therapies and Ac...
 
Derma Pharmaceutical Franchise Company - Solace Biotech Limited
Derma Pharmaceutical Franchise Company - Solace Biotech LimitedDerma Pharmaceutical Franchise Company - Solace Biotech Limited
Derma Pharmaceutical Franchise Company - Solace Biotech Limited
 
(IDE)and(IVD),QMS,21 CFR part820 , 801)
(IDE)and(IVD),QMS,21 CFR part820  , 801)(IDE)and(IVD),QMS,21 CFR part820  , 801)
(IDE)and(IVD),QMS,21 CFR part820 , 801)
 
SMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptxSMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptx
 
bleeding disorders 1 Dr.Nannika Pradhan
bleeding disorders 1  Dr.Nannika Pradhanbleeding disorders 1  Dr.Nannika Pradhan
bleeding disorders 1 Dr.Nannika Pradhan
 
Ayurveda research in Hypothyroidism, P
Ayurveda  research  in Hypothyroidism, PAyurveda  research  in Hypothyroidism, P
Ayurveda research in Hypothyroidism, P
 
SGK PHÙ PHỔI CẤP ĐHYHN .pdf
SGK PHÙ PHỔI CẤP ĐHYHN                   .pdfSGK PHÙ PHỔI CẤP ĐHYHN                   .pdf
SGK PHÙ PHỔI CẤP ĐHYHN .pdf
 
Oral disorders .pptx
Oral disorders .pptxOral disorders .pptx
Oral disorders .pptx
 
Ten lessons learnt as anesthetist.pptx
Ten  lessons  learnt as anesthetist.pptxTen  lessons  learnt as anesthetist.pptx
Ten lessons learnt as anesthetist.pptx
 
SGK VIÊM KHỚP DẠNG THẤP YHN .pdf
SGK VIÊM KHỚP DẠNG THẤP YHN              .pdfSGK VIÊM KHỚP DẠNG THẤP YHN              .pdf
SGK VIÊM KHỚP DẠNG THẤP YHN .pdf
 
Substance use disorder (drug addict ), Addiction
Substance use disorder (drug addict ), AddictionSubstance use disorder (drug addict ), Addiction
Substance use disorder (drug addict ), Addiction
 
Ovarian tumors Lecture notes for MBBS.pptx
Ovarian tumors Lecture notes for MBBS.pptxOvarian tumors Lecture notes for MBBS.pptx
Ovarian tumors Lecture notes for MBBS.pptx
 
HERPES SIMPLEX VIRUS 12032019 TUESDAY pptx
HERPES SIMPLEX VIRUS 12032019 TUESDAY  pptxHERPES SIMPLEX VIRUS 12032019 TUESDAY  pptx
HERPES SIMPLEX VIRUS 12032019 TUESDAY pptx
 
Neutraceuticals, Herb-drug & Herb-food inetractions
Neutraceuticals, Herb-drug & Herb-food inetractionsNeutraceuticals, Herb-drug & Herb-food inetractions
Neutraceuticals, Herb-drug & Herb-food inetractions
 
Basic of Thyroid Hormone:- An In-depth Analysis
Basic of Thyroid Hormone:- An In-depth AnalysisBasic of Thyroid Hormone:- An In-depth Analysis
Basic of Thyroid Hormone:- An In-depth Analysis
 
HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...
HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...
HDT Unit 2: Nutraceuticals Global Market Overview And Growth Of Nutraceutical...
 
Histology of lymph node(lymph node histology)
Histology of lymph node(lymph node histology)Histology of lymph node(lymph node histology)
Histology of lymph node(lymph node histology)
 
ANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTION
ANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTIONANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTION
ANTIPERSPIRANTS AND DEODORANTS : MECHANISM OF ACTION
 
EMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdf
EMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdfEMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdf
EMBRYOLOGY AND FOETAL DEVELOPMENT-mayu.pdf
 
CELL BLOCK PREPARATION AND ITS IMPORTANCE
CELL BLOCK PREPARATION AND ITS IMPORTANCECELL BLOCK PREPARATION AND ITS IMPORTANCE
CELL BLOCK PREPARATION AND ITS IMPORTANCE
 

A new tool for Clinical Commissioners, HWBs and everyone concerned with commissioning healthcare

  • 1. Commissioning for Value A programme to help CCGs identify value opportunities and improve healthcare for their populations September 2013
  • 2. 2 Commissioning for Value is about identifying priority programmes which offer the best opportunities to improve healthcare for your populations; improving the value that patients receive from their healthcare and improving the value that populations receive from investment in their local health system. Commissioning for Value – September 2013 What is Commissioning for Value? “Value in any field must be defined around the customer, not the supplier. Value must also be measured by outputs, not inputs. Hence it is patient health results that matter, not the volume of services delivered. But results are achieved at some cost. Therefore, the proper objective is… patient health outcomes relative to the total cost (inputs). Efficiency, then, is subsumed in the concept of value. ” Source: Porter ME. (2008). What is Value in Health Care? Harvard Business School.
  • 3. The Commissioning for Value approach begins with a review of indicative data to highlight the top priorities (opportunities) for transformation and improvement. This is achieved using Programme Budgeting Marginal Analysis and Spend and Outcome data to highlight those clinical programmes where the health economy is an outlier and therefore will be most likely to yield the most improvements to clinical pathways and policies. The approach - where to look...using indicative data 3
  • 4. Commissioning for Value – September 20134 Quality Spend Direction of Travel Bespoke Commissioning for Value insights packs CCGs By mid-October, we will deliver bespoke Commissioning for Value packs to all 211 CCGs, with an offer of follow-up events and support. These packs will have triangulated data for the top Programme Budget Categories by spend for your population and will suggest priority programme areas which offer the best value opportunity for service improvements
  • 5. Commissioning for Value 20135 How will using this pack benefit my population? • Achieved Turnaround (Warrington CCG - Winner of HSJ Commissioning Organisation of the Year 2012) • Financial sustainability (West Cheshire CCG - Winner of HSJ Commissioning Organisation of the Year 2010) • Clinically led annual QIPP planning and delivery (Borough of Wigan) Clinical Leaders driving change (Vale of York CCG) • Galvanising commissioners in a growing number of health economies (20+ CCGs and growing) CCGs can and are using the “Right Care approach” to shift spend Year 1 – “Came from behind” - Implemented system mid year Year 2 – “Delivered as went along” - Began at year start, achieved by end Year 3 – “Planned ahead” - Began before year start, over- achieved Year 4 – “Ahead of the curve” - 20% of QIPP delivered by start Year 5 – Increased focus on Quality! Achieving financial stability in West Cheshire It’s not just about money - Right Care in West Cheshire led to real quality improvements in just one annual cycle - A&E attends & admissions, Elective & Non- elective activity, OP Firsts and – - Follow-ups – all decreased - Outcomes & Quality – improved - Integration occurred across health sectors and with social care Enabled by, for example : - Medicines administration training to care homes - Personalised care plans (LTC) - Community endoscopy, optometry, ophthalmology, neurol ogy & pain management pathways - MRI Scanner Direct Access
  • 6. • Constant clinical focus on improving quality and outcomes • Significant engagement from constituent practices • Involvement of the wider clinical community in commissioning Domain 1 A strong clinical and multi- professional focus • System-wide strategic planning • Evidence based operational planning • Effective delivery of the plan Domain 3 Clear and credible planning and delivery • CCG is clinically led and properly constituted with the right governance arrangements • Delivers statutory functions efficiently, effectively and economically • Procures high quality support as required to meet the business needs Domain 4 Robust governance arrangements The use of these packs and the approach described can help CCGs develop the strategic commissioning skills necessary for delivering quality care today and transforming services for tomorrow, as outlined in the following 3 of the 6 assurance domains: How will using this pack help my CCG Development 6
  • 7. 7 • understand what the insight packs are telling you about your population health outcomes • how to use the insights in the packs to direct your improvement efforts • learn from early adopters who have successfully used this approach to deliver results • get face to face support in surgeries where your insight packs can be discussed on an individual, CCG basis • network with commissioning support services who can help you to move forward To support CCGs in making use of the insight packs, we are organising two follow-up events to help CCGs: Commissioning for Value 2013 Two follow-up events for CCGs…
  • 8. 8 London: Manchester: Venue: The Business Design Centre Venue: Mercure Hotel, Manchester Piccadilly Date: Tuesday 12th November Date: Wednesday 13th November Time: 9:30am for 10:00 start Time: 9:30am for 10:00 start An online registration form is available at the URL below: www.rightcare.nhs.uk/commissioningforvalue Commissioning for Value 2013 Book your place online…
  • 9. 9 The Right Care website will offers a new Resource Centre to support CCGs including: • Online videos and ‘how to’ guides • Theme based Webinars • Case studies with learning from previous pilots • Tried and tested process templates to support taking the approach forward • Advice on how to produce level 2 packs locally, within the CCG or working with local intelligence services Commissioning for Value 2013 www.rightcare.nhs.uk/resourcecentre Other resources to help get the most our of Commissioning for Value