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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
2
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
4
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
7
Produced by
PHE Knowledge & Intelligence Team – Northern and Yorkshire
Programme deep dives - Methodology
8
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’
10
11
Right Care for Populations
Follow Right Care online• Subscribe to get a weekly digest
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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