Copyright 2011 Right Care

What is the Right Care Approach?

June 2015

Right Care for patientsRight Care for populations

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1948-1972 Free1980’s Effectiveness1990’s Cost-effectiveness2000’s Quality and Safety 2010 and for the rest of the century

VALUE

The Value Century

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“Value” can mean different things in different contexts...

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The Right Care Manifesto

For Patients For Populations

Better Value Healthcare

AccountableIntegratedSystems

Mobilise the patientNo patient should make decisions in avoidable ignorance – the informed and empowered patient leads to more appropriate and sustainable care – embrace the Shared Decision Making paradigm

Understand spend and outcomeTo deliver high value healthcare, commissioners need to manage the services they contract at programme budget levels – how much is spent on diabetes and for what outcome for the population served?

Understand variationcommissioners and providers need to identify unwarranted variation and benchmark against other populations in order to remove waste and shift spend to higher value interventions

Manage the whole pathwayIn order to deliver integrated care providers need to work together and accept clinical and financial responsibility for entire programme budgets

Devolve Pathway Design and ManagementCommissioners should focus on outcomes - devolving performance management (clinical outcomes delivered within budget) and responsibility to develop integrated pathways to a provider in the programme budget pathway

Address whole populationsto maximise value, not just those patients who appear in clinic – and provide clinical leadership to develop the network which delivers the service to the population and to lead innovation

Five Key Ingredients:

1. Clinical Leadership

2. Indicative Data

3. Clinical Engagement

4. Evidential Data

5. Effective processes

1 key objective + 3 key phases + 5 key ingredients = Commissioning for Value

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OBJECTIVE - Maximise Value (individual and population)

Delivery Levers

CfV packs

Key ingredients and phases

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In summary, right Care

1. Helps health economies find where they are wasting money on sub-optimal healthcare.

2. Helps them replace that with optimal healthcare and save money.

An improvement methodology that meets needs of all perspectives and delivers efficiency and a sustainable health economy

Overview

www.england.nhs.uk

NHS Right Care Mobilisation plan

2015 - 2018

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Future - enabling the system to deliver by industrialising Right Care and expanding at pace

• Making CCGs capable via CCG Development programme, including Governing Body development, Improvement and Clinical Lead training and coaching, practitioner network, advice and trouble-shooting

• LPF/ CSU Development programme and accreditation

• National Programme partnerships, e.g. Specialist Commissioning, Parity of Esteem, Urgent Care, Elective Care, Shared Decision Making, Future Focussed Finance

• Spreading across whole system via collaboration with PHE, Monitor, TDA and DH

• Helping the system to design and deliver optimal across system, driving efficiency via healthcare improvement

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Headline next steps• 2015/16

Summer/ Autumn - Recruit and train Delivery Partners

Autumn - Recruit first cohort of CCGs

Winter - Embed in first cohort

• 2016/17

First annual cycle for first cohort

Recruit and embed in second cohort

Launch Practitioners Network for ‘Right Care health economies’

• 2017/18

Second cycle for first cohort

First cycle for second cohort

Recruit and embed third cohort, and so on

Key question: how to get core leadership on board in advance of ‘arrival’?

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Find out more about Right Care online

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@qipprightcare

The Atlas of Variation in Healthcare Series

Commissioning for Value Programme and CfV insights packs for CCGs

Value Tools

Casebooks – who is doing it now

Online learning video series

Resource Centre

www.rightcare.nhs.uk

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A post-card from Right Care

Dear All

We know that we have to use the resources available for health care differently and focus on population health care, thinking about the whole system, not just organisations.

We have made a good start in identifying unwarranted variation and will roll-out our Right Care philosophy, which started with the production of the Atlas of Variation in healthcare, across the NHS.

New models of care are now being designed around populations and patients, and that feels right.

We would like your Ideas on a post card please.

Right Care Colleagues

NHS England

Right care @nhs.net

Posted JUNE 2015