mears – from good to great through outcomes thinking
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Mears – from good to great through outcomes thinking. Alan Long. Mears Group. LGIU has undertaken research into outcome based commissioning in care. 210 responses from 113 Councils 75% said Time and Task system is an important blockage to development of outcomes thinking - PowerPoint PPT PresentationTRANSCRIPT
Alan Long
Mears – from good to great through outcomes thinking
Mears Group
• 210 responses from 113 Councils• 75% said Time and Task system is
an important blockage to development of outcomes thinking
• 90% say they pay on task and time system
• 13% say they pay by the minute
LGIU has undertaken research into outcome based commissioning in care
• The concept of outcome-focused services is highly valued but rarely delivered • ‘Time-task’ models can cause a challenge in times of shrinking resources.• Paying providers on a time basis gives them a poor incentive for investing in the
maintenance and rehabilitation of service users • Also pushes commissioners into a position where their only means of making
savings is to reduce the hourly rate. Over time, this has a serious impact on care quality and on care workers.
• Defining and measuring outcomes is challenging, but possible. • Relationships with providers are central to achieving better outcomes for
individuals in receipt of care
LGIU reports summary.
• Quality is the best way to reduce long term cost
• Price for the delivery of outcomes not minutes
• Reward quality of care that delivers real long term cost reduction e.g. reduced residential care, fewer hospital admissions
• Integrate services together- Care, Assistive technology and Community equipment
• Accept we should be paid less if we don’t deliver
outcomes
• Create the choice that service users want, notwhat is forced upon them
Achieving great care needs change..
• The system needs fundamental change not tinkering
• Needs much stronger partnership working between Providers, Commissioners and Service users
Conclusion