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Commissioning for ValueOur outline programme for 2011/12

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Commissioning and Planning: allocating resources optimally

Clinical Networks and Systems of Care

Better Value clinical practice

Shared Decision Making

Population Medicine

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Commissioning and Planning: allocating resources optimally

Optimising allocative efficiency requires the techniques of programme budgeting and use of analysis tools to highlight variation and under performance compared to similar populations

• 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

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Clinical Networks and Systems of Care

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

• 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

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Better Value clinical practice

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

• 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

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Shared Decision Making

Creating the right culture and environment for patients to be actively engaged in the process of decision making about their own health care

• 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

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Population Medicine

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

• 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

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