commissioning
TRANSCRIPT
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’
