Commissioning innovation

Public Services (Social Value) Act 2012 - what it means for you?

Social Value Act

The Public Services (Social Value) Act 2012 became law in March 2012, and is now mandatory as from 31st January 2013.

This means that all qualifying public procurements for services (basically anything that isn't excluded) has to take account of a broader definition of Value for Money than a simple cost-per-unit consideration.  This is excellent news for CommunitiesCommunity Groups, Community and Voluntary Services and Social Enterprises, and Charities.  it also means a bit more thinking and consultation for Procurement bodies (typically local authorities and NHS) but should not create any more actual work.

Transforming Community Services (TCS) – 3. Managing Performance

 

Transforming Community ServicesFor TCS 3. (this discussion) I'm going to assume that you are ready to procure your new service, and now you want to make sure it delivers better care, better use of resources, and delivers your part of the Nicholson Challenge (find £20billion in savings to prepare for the changing demographics).

Key areas to consider

  • Access to care 
  • Clinical Decision-Making
  • Managing Performance

Transforming Community Services (TCS) – 2. Specification and Commissioning

 

Second in our three-part series, we reflect on lessons learnt whilst developing new pathways for patient care.

Balanced Scorecard - Benefits of Transforming Community Services
  Internal External
People

Staff Satisfaction

  • Retention & recruitment
  • Sickness/ Absence
  • Staff survey

Patient Experience

  • Patient satisfaction survey
  • Friends and family referrals
  • Choice, usage, DNA
Processes

Financial and effectiveness

  • quantities and critical mass
  • impact on other pathways in the system
  • reduced bed days and further care

Clinical Outcomes

  • capacity
  • better health => less need of other services
  • better recovery => lower costs
  •  

 

Health and Care Improvement

NHS - best in the world!The UK health service is one of the best on planet earth.  

Why then do we talk it down and find so many opportunities for improvement?

Because technology (medical, care pathways, equipment) and understanding (what we know, how we know what causes what) is moving at such a pace that what was cutting edge last year has been replaced by the new cutting edge.

Getting GPs involved in Clinical Commissioning Groups (CCG)

Life in the YearsMost healthcare providers, in UK the same as everywhere else, get paid for each activity they do.  If someone needs care, they get paid.  If someone is well, they don’t.  So there isn’t much incentive (for the healthcare provider) to keep people well, even though it is much better for the person, much better for the nation, and much lower cost.  Minney.org Ltd is working with one CCG to generate enthusiasm and involvement, and the results are fairly successful….

Clinical Commissioning Groups and the NHS

Commissioning Innovation

As we race forwards into clinical commissioning, there are lessons to be learnt from other people.  The latest book “The Innovator’s Prescription: A Disruptive Solution for Health Care” by Christensen, Grossman and Hwang points to some things we need to take account of. It makes good reading . . .

Beeching not Gershon

The political parties are falling over themselves to say they will protect the health service budgets. But is this true? (http://www.hsj.co.uk/news/finance/andy-burnham-makes-no-promises-over-nhs-cuts/5006740.article)
Department of Health (DH) has asked SHAs and PCTs to identify £20bn of savings.

The case for change - funding innovation in social care

Allan Bowman, Chair of SCIEIt's not enough to throw money at the problem. We need long-term commitment, planning and the intent to collaborate before we can ask care providers to risk their neck to introduce the innovation that is so vital for delivering care tailored to individuals, with quality outcomes, and in the quantity required.

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