© 2013 Primary Care Commissioning CIC© 2013 Primary Care Commissioning CIC

System based commissioning to improve value

Creating the environment for provider led change

Understanding that we can do things differently

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PCC also supports commissioners to look at an outcome or value based approach to commissioning. The NHS needs to change how and what we commission in order to incentivise and enable the system to improve. This half day facilitated development workshop supports understanding a new approach to commissioning, understand the challenges and begin to develop the approach for the local population. It will explore the stages to developing a genuine population based outcomes focused commissioning programme, the key considerations and allow an opportunity for development of local plans.

Introduction to value based commissioning

 

What is the purpose of commissioning?• Understanding value

Present contracting and commissioning arrangements• Incentives and behaviours

Focus on outcomes not activity – OBC - a different approach• Changing incentives and behaviours

Priority setting and identification of the right population• Patient and member engagement

Setting the outcomes• System engagement and ownership

Commissioning from a system• New relationships

Setting the budget• How much do we spend – How much should we spend?

Contracting and procurement

So what… what does this mean for us?

“Very interesting and stimulating event. Has made me think differently about

approach.”Delegate from NHS England

“Excellent session made me think differently”

“Excellent – topics covered extensively, far exceeded expectations”

Wigan CCG

“Really made us think”Greater Manchester CSU

“Really useful event…Feel more confident developing outcome indicators as a

result.”Royal Free London NHS Foundation Trust

Transforming primary care

In order to create the environment for change the NHS needs to combine the development of how and what is commissioned with supporting the development of the provider landscape through putting patient and clinical engagement at the heart of the design process.

This approach will promote a community based service model with general practice as the hub of care to give the foundations for a sustainable NHS with patient focused holistic care.

© 2014 Primary Care Commissioning CIC

Contracting with providers

Commissioner Commissioner

© 2014 Primary Care Commissioning CIC

Capitation based funding Agreed outcome

measuresCo-commissioning?

© 2014 Primary Care Commissioning CIC

Systems and networks

Population

activities

activities

activities

activit

ies

activities

activ

ities

activities

activities System

Network

© 2014 Primary Care Commissioning CIC

Outcomes and supporting indicators

Clinical Outcome measures

Social outcome measures

Patient reported outcome measures

Patient defined outcomes measures

System perspective

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system based contracts

‘Federations’

Potential for general practice..?

© 2014 Primary Care Commissioning CIC

More information

Contact Peter Bullivant, development manager

Peter.bullivant@pcc.nhs.uk

07717 300 633