Making sense of outcomes based commissioningv4
This document discusses outcomes-based commissioning, which prioritizes value, working with others to focus on populations rather than conditions, and contracting for outcomes rather than activity. It explains that outcomes can be clinical, social, patient-reported, or patient-defined. The document outlines how to raise awareness of outcomes-based commissioning and help engage stakeholders. Practical steps include facilitated discussions to review programs and agree action plans to support population segmentation, shared visions, understanding barriers, and adaptive accountable care systems. Primary care is positioned as the hub for systems of care for various populations. The document argues for changing approaches to better deliver value and outcomes.
Making sense of outcomes based commissioningv4
- 1. Making sense of outcomes-based commissioning Working with populations to change behaviours
- 2. What we mean by outcomes-based • Prioritising value • Working with others • Accountable, demonstrable • People, patients and populations over conditions • “Systems thinking” not organisations • Contracting for outcomes not activity • Rethinking the role of commissioning and the commissioner
- 3. Many outcomes and measures Clinical outcome measures Social outcome measures Patient reported outcome measures Patient defined outcome measures System perspective
- 4. How we can help (1) – awareness • Explain the benefits, opportunities and barriers to outcomes based commissioning • Stimulate knowledge of populations, systems and outcomes • Help you to engage with patients, clinicians and providers to create “systems thinking” • Explain contracting for outcomes • Understand accountable care systems
- 5. How we can help (2) – practical steps Starting with a facilitated discussion… • Help you to review existing programmes of change and realise opportunities to do things differently • Agree action plans • Support programme planning
- 6. Developing the right population segmentation Creating the shared vision Understanding the barriers System working to co-create solutions Changing how and what we commission Changing how and what we provide Adaptive accountable care systems Programme development
- 7. Primary care – the hub of systems of care Frail Chronic conditions with normal function Maternal and infant Children Healthy and preventive
- 8. Creating an environment for provider-led continual improvement Commissioner
- 9. Why change? • Growing challenges (economy, demand, democratic accountability) • Persistent challenges (long term conditions, health inequalities • Existing approaches don’t deliver best value for taxpayers or outcomes for patients • Requirement to change behaviours not just contracts • Focus on how much should we spend not how much should we save
- 10. Questions we help you to answer • What do we need to change? • Where do we start? • What is the role of clinical leads? • How to we work with patients? • What skills do we need? • What do we do next?
- 11. “Very interesting and stimulating event. Has made me think differently about our approach.” NHS England delegate “Excellent – topics covered extensively, far exceeded expectations” Wigan CCG
- 12. “It has given us much food for thought and will definitely help focus our thinking going forward.” Warrington CCG
- 13. “Really useful event…Feel more confident developing outcome indicators as a result.” Royal Free London NHS Foundation Trust “Really made us think” Greater Manchester CSU
- 14. More information Contact Peter Bullivant, development manager Peter.bullivant@pcc.nhs.uk 07717 300 633