Evaluation of New Care

Models

Evaluation of Complex Care conferenceNuffield Trust, 22 June22 June 2015

New Care Models programme announced in Five Year Forward View to contribute to addressing three “gaps”

2

Radical upgrade in prevention

Health & wellbeing

gap1

New models of care

Care & quality

gap 2

Efficiency & investment

Funding &

efficiency gap

3

New Models of Care

Multispecialty Community Providers

- moving specialist care out of hospitals into the community

Integrated primary and acute care

systems - joining up GP,

hospital, community and mental health

services

Acute carecollaboration - local hospitals

working together to enhance clinical and

financial viability

Enhanced health in care homes

 - offering older people better, joined up health, care and rehabilitation

services

Urgent and emergency

care  - new approaches to

improve the coordination of services

& reduce pressure on A&E departments.

29 Vanguards developing their visions locally

4

Care model

Applicant

PACSWirral University Teaching Hospital NHS FT

PACSMansfield & Ashfield & Newark & Sherwood CCGs

PACS Yeovil HospitalPACS Northumbria Healthcare NHS TrustPACS Salford Royal Foundation TrustPACS Lancashire NorthPACs Hampshire & Farnham CCGPACS Harrogate & Rural District CCGPACS Isle of WightCare model

Applicant

MCP Calderdale Health & Social Care Economy

MCPDerbyshire Community Health Services NHS FT

MCP Fylde Coast Local Health EconomyMCP Vitality

MCPWest Wakefield Health and Wellbeing Ltd (new GP Federation)

MCPNHS Sunderland CCG and Sunderland City Council

MCPNHS Dudley Clinical Commissioning Group

MCP Whitstable Medical PracticeMCP Stockport Together

MCPTower Hamlets Integrated Provider Partnership

MCP Southern HampshireMCP Primary Care CheshireMCP Lakeside SurgeriesMCP Principia Partners in Health

Care model

Applicant

Care Homes

NHS Wakefield CCG

Care Homes

Newcastle Gateshead Alliance

Care Homes

East and North Hertfordshire CCG

Care Homes

Nottingham City CCG

Care Homes

Sutton CCG

Care Homes

Airedale NHS FT

Improved health & wellbeing, care & quality and efficiency, at scale

Widespread adoption of new models of care which have positive impact

Models of care that improve outcomes

and efficiency

Well designed models

Based on sound

theory of change

Evidence- and best-practice-

based

Well implemente

d models

Rapid cycle evaluation

and improveme

nt

Evaluation shows improvement in outcomes and

efficiency

Against local

metrics

Models of care that are

replicable

Knowledge of

“active” ingredient

s

Role of context

Interventions used and part played

Knowledge of

implementation

Codification and

transmission of knowledge

Disseminated and

taken-up

Against national outcome metrics

Elements of the evaluation

Evaluation to support the aims of the programme

What is the context?

How was model developed?

What interventions are planned?

What enablers are needed?

What impacts are expected?

Is implementation as planned?

Barriers?What is working and not working,

and why?What are the early results: outcomes, numbers of people affected, changed

processes?

What is the final model?

What have been the outcomes and

impacts?What are the key

elements of success?

During planning and set up (pre April 2016)

During implementation and model development

After implementation is complete

Evaluation to understand the elements of the new care models, how they are implemented, what effects

they have, for whom, how and why

To develop and describe new care models, for implementation across the country, which will improve

health outcomes and efficiency.

Monitoring of impact comparing national outcome metrics with counterfactual

Monitoring of progress against outcome, output and process metrics

Interviews, qualitative and quantitative research to establish the “how” and “why”

NCM aim

Evaluation aim

Evaluation phases and questions to be answered

Evaluation activities

Evaluation needed across the life-cycle