Value based commissioning Rachel Lissauer Assistant Director, - - PowerPoint PPT Presentation

Value based commissioning

Rachel Lissauer Assistant Director, Clinical Commissioning NHS Haringey Clinical Commissioning Group

Value-Based Commissioning

• What does it mean to commission for value?
• Why is Haringey doing this?
• How are we taking it forward?

We want your views about…

• Which outcomes do you think matter most? If we were
• nly going target a few which would we measure?
• In your experience, how well is our system set up to

achieve these outcomes?

• What would we do more/less/differently in future to

achieve the outcomes?

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Why is Haringey doing this?

• We currently pay for activity not results
• So that we can focus on outcomes for people in

Haringey that matter

• We want to create the right incentives for:

– enabling people to remain independent – recover quickly – remain well in mind and body

• To do this we need to focus on outcomes

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Creating a value based system

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Five interdependent and reinforcing components: Organisation of care around patient populations/medical conditions (not around existing institutions) Measure patient outcomes and cost across the full care cycle (so we understand impact) Move to bundled payments / contracts for full care cycles (payment for independence rather than illness) Integrate care delivery across separate facilities Expand excellent services across geography Underpinned by: Information Technology (access to the right information across organisations)

What are we doing?

Two projects: Older people with frailty – in partnership with Enfield CCG People with diabetes – in partnership with Islington CCG

• Patients, carers, clinicians and commissioners have defined outcomes

which matter most

• We want to understand these outcomes with you today
• We are working with GPs to identify and plan for patients at risk
• We are thinking about what and how we can measure
• We are mapping the current service
• We are designing new ways to deliver through localities and how VBC

can help deliver our Better Care Fund vision

• We will cost out care and develop contracts that support the vision
• If it all works, pilots will go live in April 2015.

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Haringey’s locality model

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Mental Health Services District nursing service Rehabilitation Services Social Services Physiotherapy, OT, SALT GP Care co-ordinator and patient Specialist Services inc: Bladder & Bowel; Diabetes; Geriatrician; Pallative Care; Psychiatry; Tissue viability Integrated Care Team,

Multidisciplinary, co-located

Single Point of Access Referral to SPA Triage Allocation of care co-ordinator Single Assessment Referral to Specialist Services Within IC Team Within Specialist Services GPs Patient/family/carers Social Services Acute Trusts GP aligned to group

• f GPs

Rapid Response/ hospital at home/ virtual ward

Seeking your views

Round table discussions in 6 groups: Older people and Diabetes:

Outcomes

• Are these the right outcomes? If we could only measure a few, which should we

choose?

• Is there consensus in your group or do people’s views differ?

Your use and experience of current services?

• Have you used any of these services?
• If so, what was your experience? How well were they set up to achieve these
• utcomes?

The future

• What would need to happen differently in future to help the outcomes be achieved?

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