commissioning

Commissioning fromnon-traditional providers

Dr Sue Roberts, Chair, Year of Care Partnerships, Northumbria Foundation

TrustMs Linsley Charlton, Senior Manager,

HealthWORKS Newcastle

Chair: Alice FullerPolicy & Parliamentary Affairs LeadNational Association for Palliative Care

Workshop: Commissioning from

Non traditional Providers

Living Well with LTCs Conference What can the voluntary sector contribute?

November 14th 2012

Sue Roberts: Year of Care Partnerships

Linsley Charlton: HealthWORKS Newcastle

What do you think?

Each person finds the green piece of paper with the scale on it on your table.

Mark with a line the point that indicates how much you agree or disagree with the following statement

‘The voluntary sector needs to understand how they are part of the solution to the challenge of LTCs’

Agree Disagree

1 2 3 4 5 6 7 8 9 10

Each person finds the white piece of paper with the scale on it on your table.

Mark with a line the point that indicates how much you agree or disagree with the following statement

‘It is critical that health services learn more about the role of the voluntary sector in managing Long Term Conditions’

Agree Disagree

1 2 3 4 5 6 7 8 9 10

Introduction:• How we got involved• ‘Thanks for the Petunias’• ‘answers?’ or ‘questions?’

The Lead Provider Model

Clinical and community worlds: Managing the interface

The individual's perspective…….Linking clinical and community support

Hours with NHS professional = 3 in a year

Self care / management = 8757 in a year

Fragmented and ad hoc schemes

‘Not sure PCT knows what to do’

‘Public Health does that!’

PCTs had no:Identified personNo development strategyNo identified work programme

2008: Year of Care Survey of

community support for self management

• Top Tips for Commissioning

• Commissioning for sustainability

• The on line Health Directory

• Case Studies

• Tools including metrics

• Food for thought!

Lead Non Traditional Provider

Care pathways, single or co morbiditiese.g. COPD, Diabetes, Obesity, Mental Illness

Initial assessment/stabilisation

Annual care planning

Menu of activities related to needs/dependency

Self care Minimal support Moderate support High support

Own programme

Direct access to services with initial induction and

regular review

Health link worker personalised

programme and intensive review

Pathways between medical and social models of health

A lead provider model

What next?

• Your initial thoughts?

• The Lead Provider Model : Pros and cons

• Clinical and Community worlds: managing the interface

Linz Charlton

Senior Manager

HealthWORKS Newcastle

Towards Long Term Condition Management

Our story so far…..(whistle stop tour!)

Lead ProviderAdvantages

Asset based approach (not reinventing the wheel!)

Using a range of organisations to work towards the aims of the intervention

Supporting smaller local third sector organisations

Valued by local people

Lead provider is a single point of contact for the commissioner

Lead provider takes the ‘risk’ of using smaller third sector organisations by collecting and reporting outcome data

Question

Any other advantages?

What do you think the challenges may have been?

Lead ProviderOur Challenges

• Tracking individuals• Measuring outcomes across

organisations• Sustainability for participants

and…………………

Possible solutions?

Possible Implications for the lead provider

• Robust data collection systems• Build in administration and data entry

costs• Outcomes• Sustainability

Bridging the gap Two worlds collide

Staying SteadyCommunity Fall’s prevention exercise programme

Hospital Fall’s services

Staying Steady

Community Self referral

Fall’

s pa

thw

ay

Community Rehabilitation Team

First Contact

The community

Bridging the gap…

Outpatient Lipid Clinic

Hearty Lives Newcastle Health trainers

Bridging the gapWhen ‘clinical’ meets ‘community’

Linz.charlton@hwn.org.uk www.hwn.org.uk

enquiries@yearofcare.co.ukwww.diabetes.nhs.uk/yearofcare

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