making sense of outcomes based commissioningv4

Making sense of outcomes-based

commissioning

Working with populations to change behaviours

What we mean by outcomes-based

• Prioritising value

• Working with others

• Accountable, demonstrable

• People, patients and populations over conditions

• “Systems thinking” not organisations

• Contracting for outcomes not activity

• Rethinking the role of commissioning and the

commissioner

Many outcomes and measures

Clinical outcome measures

Social outcome measures

Patient reported outcome measures

Patient defined outcome measures

System perspective

How we can help (1) – awareness

• Explain the benefits, opportunities and barriers to

outcomes based commissioning

• Stimulate knowledge of populations, systems and

outcomes

• Help you to engage with patients, clinicians and

providers to create “systems thinking”

• Explain contracting for outcomes

• Understand accountable care systems

How we can help (2) – practical steps

Starting with a facilitated discussion…

• Help you to review existing programmes of change and

realise opportunities to do things differently

• Agree action plans

• Support programme planning

Developing the

right population

segmentation

Creating the

shared vision

Understanding

the barriers

System working

to co-create

solutions

Changing how

and what we

commission

Changing how

and what we

provide

Adaptive

accountable

care systems

Programme development

Primary care – the hub of systems of care

Frail

Chronic

conditions with

normal

function

Maternal

and infant

Children

Healthy and

preventive

Creating an environment for provider-led

continual improvement

Commissioner

Why change?

• Growing challenges (economy, demand, democratic

accountability)

• Persistent challenges (long term conditions, health

inequalities

• Existing approaches don’t deliver best value for

taxpayers or outcomes for patients

• Requirement to change behaviours not just contracts

• Focus on how much should we spend not how much

should we save

Questions we help you to answer

• What do we need to change?

• Where do we start?

• What is the role of clinical leads?

• How to we work with patients?

• What skills do we need?

• What do we do next?

“Very interesting and

stimulating event. Has

made me think

differently about our

approach.”

NHS England delegate

“Excellent – topics

covered extensively,

far exceeded

expectations”

Wigan CCG

“It has given us much food

for thought and will

definitely help focus our

thinking going forward.”

Warrington CCG

“Really useful

event…Feel more

confident developing

outcome indicators

as a result.”

Royal Free London

NHS Foundation

Trust

“Really made us

think”

Greater Manchester

CSU

More information

Contact Peter Bullivant, development manager

Peter.bullivant@pcc.nhs.uk

07717 300 633