right care overview and national roll out
TRANSCRIPT
Copyright 2011 Right Care
What is the Right Care Approach?
June 2015
Right Care for patientsRight Care for populations
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1948-1972 Free1980’s Effectiveness1990’s Cost-effectiveness2000’s Quality and Safety 2010 and for the rest of the century
VALUE
The Value Century
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The Right Care Manifesto
For Patients For Populations
Better Value Healthcare
AccountableIntegratedSystems
Mobilise the patientNo 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 outcomeTo 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 variationcommissioners 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 pathwayIn order to deliver integrated care providers need to work together and accept clinical and financial responsibility for entire programme budgets
Devolve Pathway Design and ManagementCommissioners 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 populationsto 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
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
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OBJECTIVE - Maximise Value (individual and population)
Delivery Levers
CfV packs
Key ingredients and phases
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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
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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
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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’?
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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
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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