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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

slide2
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
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