1 / 12

Enhancing Care Integration: The Pennine MSK Prime Contractor Model

This online learning series explores the innovative Prime Contractor Model employed by the Pennine MSK Partnership, led by Dr. Alan Nye. It addresses key challenges in care systems such as perverse incentives, performance management inefficiencies, and a lack of clinical leadership. The model is based on community care with a focus on rheumatology, orthopaedics, and chronic pain, utilizing a defined population budget and population quality KPIs. This approach not only aims to reduce costs while maintaining quality but also emphasizes patient-centered care and improved clinical outcomes.

mervyn
Download Presentation

Enhancing Care Integration: The Pennine MSK Prime Contractor Model

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Online Learning Series Right Care for Populations Integrating Pathway Hub: A Prime Contractor Model Dr. Alan Nye Director Pennine MSK Partnership Ltd January 2014

  2. What’s the Problem? • System of Care • Micro-commissioning complex care pathways • Perverse incentives – PbR • KPIs process driven not population level improvement or patient experience • No effective performance management of care • Lack of true clinical leadership • Separation from clinical accountability from financial responsibility

  3. Integrating Hub Model

  4. Oldham

  5. Pennine MSK • Primary Care based organisation commissioned by NHS Oldham to provide non admitted care in rheumatology, orthopaedics and chronic pain • Consultant led – provide 97% rheumatology and take patients to point of listing in Orthopaedics • From May 2011 control £23m programme budget for MSK using prime vendor model • Psychological medicine for chronic pain • 9,500 new referrals a year • Deliver traditional hospital based services from community – biologics and infusions • GP and Registrar training

  6. Programme Budget Commissioning • Different from standard care • Commission for defined population with a defined budget • Commissioners have population quality based KPIs • Have prime contractor which shares responsibility for care co-ordination and performance management

  7. NHS Oldham Programme Budget’s • MSK - £23m - Pennine MSK 1st May 2011 • Primary Care • Local enhanced services • Community Care • Pennine MSK • Physiotherapy, podiatry • Secondary Care • All activity included

  8. Delivering Integration • Commissioner will focus on clinical outcomes rather than process metric • Patients at the centre of our redesign • Work with third sector • Use self management and self referral were clinically appropriate

  9. Pennine MSK ImpactReducing per capita cost whilst maintaining quality

  10. Pennine MSK ImpactReducing per capita cost whilst maintaining quality

  11. Building on success… • In 2013 Oldham has developed Programme Budget Commissioning for a Mental Health programme • Over the coming year the CCG will develop this approach over a whole range of programmes.

  12. Online Learning Series Right Care for Populations • Follow Right Care online • Subscribe to get a weekly digest of our blog alerts in your inbox, • Receive occasional eBulletins • Follow us on Twitter @qipprightcare Find the full series at: www.rightcare.nhs.uk/resourcecentre Join our network: www.rightcare.nhs.uk/network

More Related