A commissioning perspective using payment A commissioning - PowerPoint PPT Presentation

A commissioning perspective – using payment A commissioning perspective – using payment mechanisms to influence community services provision i i Julie Wood Director, NHS Clinical Commissioners Kate Lavington Community Services & Vulnerable Adults Manager South Gloucestershire CCG and Rebecca Harrold Strategy & Partnerships Commissioning Manager – South Gloucestershire Council October 2013 www.nhscc.org

Using payment mechanisms to influence service community services provision service community services provision – what s what’s important to commissioners? P Payment (and contracting) mechanisms that ( d i ) h i h • Help deliver the strategy for more out of hospital care within a very Help deliver the strategy for more out of hospital care within a very constrained fiscal environment • Support the move towards outcomes based commissioning whilst Support the move towards outcomes based commissioning whilst acknowledging the need for some process metrics ( about inputs and interventions) to demonstrate delivery towards the outcomes sought • Reflect what the CCG intended to commission within its specification for services and not what it didn’t ! • Do not inadvertently incentivise more activity above that commissioned www.nhscc.org

Using payment mechanisms to influence service community services provision – what s service community services provision what’s important to commissioners? Payment (and contracting) mechanisms that • Enable services to be de-commissioned with a sensible conversation about any real co-dependencies, to be had about any real co-dependencies to be had • Are ‘fair’ to the commissioner AND the provider and enable sensible conversations to be had, where contracts are ‘over or under heating’ ti t b h d h t t ‘ d h ti ’ legitimately • Secure greater alignment between the currency used for payment - eg fixed payment / local PbR / clusters etc etc with the contracting arrangements within which delivery will operate – so the use of different contracting models ( for eg prime contractor / vendor models) as well as different payment mechanisms www.nhscc.org

Using payment mechanisms to influence service community services provision service community services provision – what s what’s important to commissioners? Payment (and contracting) mechanisms that • Enable CCGs to drive forward real service transformation and re- design of care pathways across service settings d i f th i tti • Enable ‘joined up’ delivery between organisations and aligned Enable joined up delivery between organisations and aligned incentives, where that is the right thing to do ‘in the best interest of patients’ • Provide an opportunity for longer term contracting based on a shared understanding of commissioner requirements and provider aspirations g q p p for delivery www.nhscc.org

Using payment mechanisms to influence service community services provision – what’s important to commissioners? Over to South Gloucestershire to hear about what they have been doing www.nhscc.org