Right Care in action. Professor Matthew Cripps Programme Director, NHS Right Care. Twitter # CforValue. The primary objective for Right Care is to maximise value the value that the patient derives from their own care and treatment
Professor Matthew CrippsProgramme Director, NHS Right Care
NHS | Presentation to [XXXX Company] | [Type Date]
The Right Care model has three basic steps: Where to Look; What to Change, and; How to Change.
Determine Where to Look by indicating the areas of care your population can gain most benefit from your reform energies.
What to Change helps you to define what the optimal value care looks like for your population.
How to Change helps you to implement the changes to deliver that care.
Clinical Leadership (of the reform agenda)
Indicative Data(on where variation exists – focus here to improve)
Clinical Engagement (in individual reforms, supported by project managers and teams)
Evidential Data (on what, why and how to change)
Effective processes (BPE)
The NHS Atlases of Variation
Reducing unwarranted variation to increase value and improve quality
Awareness is the first step towards value –
If the existence of clinical and financial variation is unknown, the debate about whether it is unwarranted cannot take place
Step 1 – define:
Step 2 – define:
Step 3 –
Step 4 –
HEALTHCARE REFORM PROCESS
Clinical Executive Group
Full Business Case
Ideas Decision Group
CCGs can and are using the “Right Care approach” to shift spend
Achieving financial stability in West Cheshire
Year 1 – “Came from behind” - Implemented system mid year
Year 2 – “Delivered as went along” - Began at year start, achieved by end
Year 3 – “Planned ahead” - Began before year start, over- achieved
Year 4 – “Ahead of the curve” - 20% of QIPP delivered by start
Year 5 – Increased focus on Quality!
It’s not just about money - developing the Right Care model in West Cheshire led to real quality improvements in just one annual cycle: