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Commissioning for Value Deep Dive Packs pilot Sue Baughan Public Health England

Commissioning for Value Deep Dive Packs pilot Sue Baughan Public Health England

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Commissioning for Value Deep Dive Packs pilot

Sue BaughanPublic Health England

Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

Commissioning for Value Packs – Pilot in Yorkshire and Humber

• Built on previous work to look at value through intelligence– Spend and Outcome tool– DH Health Investment

packs– Work with Right Care in

Derby

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Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

Our approach

Looked at indicators of spend,

outcome and quality across all programmes of

care and identified priority

programmes

Encouraged emergent CCGs to• Sense check • Compare with existing

plans and priorities• Think about the whole

picture• Take an intelligence

driven approach

3

Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

Our approach

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Encouraged emergent CCGs to• Sense check • Compare with

existing plans and priorities

• Think about the whole picture

• Take an intelligence driven approach

Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

Our approach

Looked at indicators of spend,

outcome and quality across all programmes of

care and identified priority

programmes

Encouraged emergent CCGs to• Sense check • Compare with existing

plans and priorities• Think about the whole

picture• Take an intelligence

driven approach

Worked with Right Care to offer training and

coaching in using intelligence to drive

transformation

5

Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

The data is wrong

DENIAL

It does not apply to me

ANGER

I will get the correct data

BARGAINING

There is nothing I can do about it

DEPRESSION

Acceptance and action

RESOLUTION

Adapted from Elisabeth Kübler-Ross 5 stage model

(Though more modern grief theories such as that of John Bowlby described as ‘ebb and flow of processes such as shock and numbness, yearning and searching, disorganization and despair, and reorganization’ have some attraction)

The five stages of grief

Source: East Midlands Quality Observatory

Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

Programme deep dives – preparing to act – key elements

• CCGs identified programmes to look at further

• Commitment to use intelligence to drive transformation

• Clinical, commissioning, business intelligence and public health engagement

• Local intelligence

• Quantifying potential impact – how ambitious to be

• Analysis at practice level

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Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

Programme deep dives - Methodology

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Analysed indicators across

the pathway from prevention to end

of life focussing on spend and

quality

Compared CCG with other similar

CCGs and identified key opportunities

for value improvement and

quantified the potential impact

Identified high performing CCGs in the cluster and

‘what works’ from the

evidence base

Worked with multi-disciplinary team in CCG to; • add local data• agree clear

summary and key messages

Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

Programme deep dives - bringing in local intelligence

• Have the plans worked?

• Testing the size of the opportunities identified

• Links to identified needs of the population– JSNA– Unmet need– Inequalities

• Preventative activity

9

Produced by

PHE Knowledge & Intelligence Team – Northern and Yorkshire

What happened?

• Half of the CCGs in the patch took up the offer of a deep dive – all chose respiratory or CVD initially

• Opportunities identified used in transformation programmes and QIPP

• Half of CCGs in the patch have received training in the Right Care approach to transformation

• Four CCGs have embedded this approach

• Many more evidenced this approach as part of ‘clear and credible plans’

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@qipprightcare

Find the full series at:www.rightcare.nhs.uk/resourcecentre

The NHS Right Care website offers resources to support CCGs in adopting this approach:

• online videos and ‘how to’ guides• casebooks with learning from previous

pilots• tried and tested process templates to

support taking the approach forward• advice on how to produce “deep dive”

packs locally to support later phases, within the CCG or working with local intelligence services

• access to a practitioner network