NHS RightCare Frailty Toolkit

NHS RightCare Frailty Toolkit
NHS RightCare June 2019

• Expert practical advice and guidance on how to commission and provide the best system wide care for people living with frailty. It provides opportunity to assess and benchmark current systems to find opportunities for improvement.

Testing the RightCare model

RightCare: wrong answers
Journal of Public Health, 03 November 2017 https://doi.org/10.1093/pubmed/fdx136

• The RightCare model of identifying opportunities for savings and quality improvements benchmarks CCGs against the "Best 5" of "Similar 10" CCGs. The author tests this model using public data on cancer mortality and concludes that the ‘Similar 10’ are inappropriate comparators and CCGs cannot expect to match the average performance of the RightCare ‘Best 5’.

NHS England Board meeting, 9 February 2017

NHS England Board meeting, 9 February 2017

Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU

Video available here.

Agenda

Item 2 – the minutes of the meeting held on 15 December
Item 3 – Chairman’s Report (no supporting papers)
Item 4 – Chief Executive’s Report (no supporting papers)
Item 5 – Conflicts of interest in the NHS
Item 6 – NHS Rightcare and the shift to value-based healthcare
Item 7 – NHS England Corporate and NHS Performance Report
Item 8 – Consolidated Month 9 2016/17 Financial Report
Item 9i – Report from the Commissioning Committee
Item 9ii – Report from the Investment Committee
Item 9iii – Report from the ARAC

Highlights :


4: Chief Executive's report

• Simon Stephens reinforced the following points:
• It not permissible for a GP practice to charge NHS patients for appointments.
• CCGs cannot change the national contrac relating to QOF.
• The Five year Forward View delivery plan for 2018/19 - 2019/20 will be published at the end of March. It is not a bidding paper but an examination of realistic deliverables to 2020.
• "STPs are here to stay" The delivery plan will include 
• the formal appointment process for STP leads
• STPs will take resources from across the system to beef up its process
• decision rights to facilitate reconfiguration changes to statutory organisations to support its work

CfV Where to look reports updated

Commissioning for Value: Where to Look pack updates
Right Care, updated January 2017

• Data for each CCG is compared to the 10 most demographically similar CCGs. 
• Headline opportunity areas are: potential lives saved per year, bed days, elective and non-elective spend, primary care prescribing, and includes opportunities for quality improvement and spend differences for a range of programme areas.
• The report includes a detailed look at 19 'Pathways on a page' with difference from the average of the 10 most similar CCGs.

Commissioning for Value at STP footprint level

Where to Look packs for STP footprint areas
NHS England December 2016

• NHS Right Care has compiled data packs of Commissioning for Value packs published in October 2016, but collated at an STP footprint level. The information in these packs include headline opportunities, improvement opportunity tables and pathways on a page showing how CCGs in each STP differ from their peers.

Commissioning for Value Focus Packs

Commissioning for Value Focus Packs
NHS England May 2016

• Commissioning for Value Focus packs provide detailed information at CCG level on the highest spending programme areas. 
• Areas now include 
• cancer (May 2016) 
• the CVD family of conditions including renal, stroke and diabetes (Apr 2016) 
• maternity and early years (April 2016) 
• mental health and dementia (May 2016) 
• musculoskeletal and trauma (May 2016) 
• neurology (April 2016) 
• respiratory. (April 2016) 
• The packs include a wider range of outcome measures and information on the most common procedures and diagnoses for the condition in question. 

Updated Commissioning for Value data packs

Commissioning for Value
Right Care and NHS England , January 2016

• ‘Where to Look’ packs refreshed for 2016 - a data pack for each CCG as pdf and the accompanying data and methodology spreadsheets. 
• Benchmarking data including
• 10 CCGs who have the most similar population.
• potential improvements around admissions, prescribing, potential lives saved
• Data refresh from 14 'Pathway on a Page' packs 
• Complex patients - Analysis of complex patients (as defined by inpatient admissions, outpatient and A&E attendances) for the 2% of patients that the CCG spends the most on for inpatient admissions in 2013/14. Includes analysis by age, spend by morbidity and A&E.
• Publication designed to coincide with NHS Shared Planning Guidance 2016/17 - 2020/21.

Right Care resources for Vanguards pilots

Right Care and Vanguards pilots,

Right Care, October 2015

• A number of Right Care resources have been pulled together onto a dedicated page to support Vanguard sites. 
• Resources include the Atlases of Variation, Commissioning for Value packs, Spend and Outcome Tools, Shared Decision Making and the Royal College of Surgeons Commissioning guides.