public health contribution towards ltc year of care commissioning model
DESCRIPTION
Presentation made by Dr Abraham P. George Consultant / Asst Director in Public Health Kent County CouncilTRANSCRIPT
![Page 1: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/1.jpg)
Public Health contribution towards LTC Year of Care Commissioning Model
Dr Abraham P. GeorgeConsultant / Asst Director in Public Health
Kent County Council
![Page 2: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/2.jpg)
What is the LTC Year of Care Commissioning Model?
“Shifting the focus away from reactive episodic care, towards a proactive person centred capitated
funding model, irrespective of organisational boundaries and disease based pathways of care”
![Page 3: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/3.jpg)
What does the programme involve?
- Currently in Year 3 - 5 sites across England- Multi-centre hospital bed audit on ‘RRR’- Analysis of service utilization of multi-morbid
patients across all care settings- Test-proof / shadow new currencies- Evaluate local integrated care models- Data quality improvement- Design local data sharing arrangements
![Page 4: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/4.jpg)
Local Profile
• >1.5 million population• Governance of
commissioning at multiple levels
• 1 County Council, 7 CCGs, 12 districts, 4 acute trusts, 1 community health trust, mental health trust, >200 practices
• Public Health Observatory team
• Well networked with other intelligence teams– JSNA development– Health & Social Care Maps– Local needs assessments– Other analyses
![Page 5: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/5.jpg)
Public Health involvement till date
• Work started in 2012 – QIPP LTC programme• Whole population profiling using risk stratification
– Burden of multiple morbidities – Impact on service utilisation - ‘Crisis curve’– Modelling how benefits of integrated care could be realised
• Delivery of national YOC programme in Kent - implementation at sub Kent / CCG level
• Submission of linked datasets to national team for analysis• Contribution to national guidance eg. MONITOR report of
designing linked datasets• Currently working health informatics service to develop
dashboard
![Page 6: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/6.jpg)
Kent whole population dataset report
http://www.nhsiq.nhs.uk/resource-search/publications/population-level-commissioning-for-the-future.aspx
![Page 7: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/7.jpg)
![Page 8: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/8.jpg)
![Page 9: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/9.jpg)
Key Challenges
• Information Governance is a key challenge – Current approach to data sharing has been difficult – different
expert opinions on how share / link data– National policy on data sharing for ‘indirect care’ is evolving eg.
role of ‘DSCROs’, Department Health consultation on ‘Accredited Safe Havens’
• Data quality and accessibility– Good support from provider organisations– Quality / completeness of data variable across different
organisations
• Commissioner buy-in– Still some way off in application toward CCG plans– Difficult to change mind-set of commissioning capacity towards
outcomes.
![Page 10: Public Health contribution towards LTC Year of Care Commissioning Model](https://reader033.vdocuments.site/reader033/viewer/2022061118/546228c0af79597c138b48fa/html5/thumbnails/10.jpg)
Vision for integrated intelligence
• Map data available from rest of public sector orgns and services beyond NHS – housing, police, fire & rescue, education
• Working with partners – changing and mind set about ‘evidence based investment / disinvestment’
• Harness skills and expertise from local intelligence teams
• Develop technical solutions for IT architecture, ‘safe haven arrangements’, system modelling tools