The future of commissioning

NHS Providers has launched a new publication series “Provider Voices” which promotes the views of leaders from a range of trusts and other parts of the service on some of the key issues facing the NHS.

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The first report Where next for commissioning? includes eight interviews that address concerns including the role of Sustainability and Transformation Partnerships (STPs) and accountable care systems (ACSs), the challenge of integrating health and care commissioning, and the future of the purchaser-provider split.

Related:

 

Integration and Better Care Fund Policy Framework

The Better Care Fund will provide financial support for councils and NHS organisations to jointly plan and work together to deliver local services.

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This document sets out the story of integration of health, social care and other public services, and provides an overview of related policy initiatives and legislation.

It is intended for use by those responsible for delivering the Better Care Fund at a local level (such as clinical commissioning groups, local authorities, health and wellbeing boards) and NHS England.

It includes the policy framework for the implementation of the statutory Better Care Fund in 2017 to 2019, which was first announced in the government’s Spending Review of 2013 and established in the Care Act 2014.

It also sets out proposals for going beyond the Fund towards further integration by 2020.

The Social Care Institute for Excellence’s report, Integration 2020: Scoping research, has also been published.

Full paper: Integration and Better Care Fund Policy Framework 2017 to 2019

Outcomes-focused integrated care: lessons from experience

This new paper, an update to ‘From the Ground Up’, captures some of the learning and experience from our work on developing integrated practice | IPC

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Image source: IPC

As local authorities and health organisations undergo significant periods of transformation, IPC has supported the cultural and organisational changes needed to deliver outcome-focused care, as well as operational design, from the start of the process through to implementation and evaluation.

The need to integrate care has long been a key issue and people’s understanding of what it takes to successfully implement it has evolved over time.  There has been a shift of focus from co-location and organisational structures towards working with teams to clarify and consolidate the professional roles and relationships which will make integration work in practice.

Here, we explore ‘what works’, offering guidance to those embarking on a significant period of change and integration on what they may need to consider.  It draws on IPC’s practice-based experience of integration across a range of different organisational set-ups and cultures.

Read the full report here

Primary and acute care system (PACS)

NHS England launches frameworks to increase integration of health and care services

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NHS England has published Integrated primary and acute care systems (PACS) – Describing the care model and the business model

A PACS can be defined as a population-based accountable care model, with general practice at its core. It is organised around patients’ needs and aims to improve the physical, mental and social health and wellbeing of its local population.

However, it will also include most hospital based care, as well as primary, community, mental health and social care services. By aligning the goals and incentives of hospitals with other health and care providers, it offers the potential for a radical new approach to population health.

The integrated (PACS) Framework outlines the next steps required to set up the model – including the need to develop new contractual, funding and organisational form. It sets out three contractual options that will help make a phased transition towards a fully-fledged PACS – a single provider with a single contract for all local health and care services.

This puts clinicians in the driving seat by pooling and allocating resources to areas that will have the greatest impact on the health of their local community and creates a shared responsibility towards the most vulnerable patients.

Place-based services of care

Public Health England. Published online:12 May 2016

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Image source: gov.uk

The government requires all local areas to integrate health and care services by 2020. The place-based approach offers new opportunities to help meet the challenges facing the NHS.

The place-based approach offers new opportunities to help meet the challenges facing the NHS.

Place-based systems of care (PDF, 1.27MB, 51 pages).

Healthcare professionals are essential to the commissioning and delivery of integrated services for individuals, communities and population and provide Right Care, that maximises:

  • the value that the patient derives from their own care and treatment
  • the value the whole population derives from the investment in their healthcare
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Image source: gov.uk

See Right Care programme

Local government has been leading the place-based agenda using influence to promote the general wellbeing of communities and citizens.

Read the full guidance here