Gloucester care providers association annual conference 2010
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Gloucester Care Providers Association Annual Conference 2010. Dignity in Care and Outcome Based Commissioning Helen Bown Joint Commissioner Older People & Physical Disabilities NHS Gloucestershire Jan Halliday Strategic Commissioning Manager Gloucestershire County Council. Aims :.

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Gloucester care providers association annual conference 2010

Gloucester Care Providers AssociationAnnual Conference 2010

Dignity in Care and Outcome Based Commissioning

Helen Bown

Joint Commissioner

Older People & Physical Disabilities

NHS Gloucestershire

Jan Halliday

Strategic Commissioning Manager

Gloucestershire County Council


Gloucester care providers association annual conference 2010

Aims :

  • Some understanding of an “outcome”

  • Outcomes and outcome based commissioning

  • Linkage between Essential Standards (CQC) outcomes and Dignity in Care


Outcomes

Outcomes?

An outcome can be defined as:

‘….. the impact or end results of services or a persons life …..’

  • Strategic and General

    • Improve the health of older people

  • Individual orSpecific

    • I want to stay as well as possible, in order that I can

      live independently in my own home.


Outcomes defined by independence well being and choice dh 2005

Outcomes, defined by independence, well-being and choice (DH, 2005)

  • Improved health and emotional well-being

  • Improved quality of life

  • Making a positive contribution

  • Choice and control

  • Freedom from discrimination

  • Economic well-being

  • Personal dignity


Current commissioning and procurement

Current Commissioning and procurement

  • Expresses commissioning activity through contracting for outputs

    • (number of hours of domiciliary care delivered)

  • Difficult to measure the benefits

    - do I feel better for this service?

  • Does not captures the “added value”


Why change

Why Change?

  • Looking for a return on investment

  • Refocus on the goals of C&ACD

  • Greater opportunities for flexibility and responsiveness

  • Control passes to Service Users

  • Improves Service User satisfaction

  • Quantity, efficiency, effectiveness


Progress so far issues

Progress so far/Issues

  • Not yet mainstream! but gaining momentum

  • Requires changes to contracting framework

  • How do we measure success?

  • Trust!

  • Resource intensive

  • Traditional service boundaries need to be redrawn:

    care/leisure/housing

  • A fair price:

     Service User

     Provider


Measuring outcomes

Measuring Outcomes

Looking for indicators/measurements that evidence a

change


Outcomes dignity in care and cqc re registration

Outcomes, Dignity in Care and CQC Re-registration

  • CQC Outcomes are themes for looking at the elements of a service

  • Not expressed in the language of outcomes

  • Are about the quality of a service


Cqc outcomes dignity in care and outcomes for older people

CQC Outcomes, Dignity in Care and Outcomes for Older People

  • See handout!


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