Copyright 2011 Right Care What is the Right Care Approach? June
2015 Right Care for patients Right Care for populations
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2 1948-1972 Free 1980s Effectiveness 1990s Cost-effectiveness
2000s Quality and Safety 2010 and for the rest of the century VALUE
The Value Century
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3 Value can mean different things in different contexts...
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4 The Right Care Manifesto For Patients For Populations Better
Value Healthcare Accountable Integrated Systems Mobilise the
patient No 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 outcome To 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 variation
commissioners 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
pathway In order to deliver integrated care providers need to work
together and accept clinical and financial responsibility for
entire programme budgets Devolve Pathway Design and Management
Commissioners 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 populations to 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
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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 5 OBJECTIVE - Maximise Value (individual and population) Key
ingredients and phases
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6 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
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www.england.nhs.uk NHS Right Care Mobilisation plan 2015 -
2018
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8 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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9 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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10 Find out more about Right Care online Follow Right Care
online Subscribe to get a weekly digest of our blog alerts in your
inbox, Receive occasional eBulletins Follow us on Twitter
@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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11 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
