Outcomes based commissioning: A framework for local decision making
This local decision-making framework aims to empower systems as they look to design new contracting approaches aimed at improving outcomes.
Midlands Population Health Management Academy
The Midlands Population Health Management Academy was part of a programme of support, commissioned by NHS
How will we know if Integrated Care Systems reduce demand for urgent care?
The implications of a blended payment system are far reaching: Decisions about planned activity levels will determine the total funding envelope for urgent care within a system and will influence the behaviour of healthcare providers and the services they deliver to patients.
Measuring what matters in systems – A call for person-centred intelligence
The Strategy Unit and Ipsos MORI launch guide to implementing Person-Centred Intelligence.
Lessons, Evaluation and Learning from the Dudley MCP
Learning from Dudley MCP
Learning and Development of Problem Solving Techniques
What is innovation?
Clinical Workforce Scenarios for the Black Country
The future is highly uncertain.
Waiting Times and Attendance Durations at English A&E Departments
In March 2019, NHS England is expected to report the outcome of its review of constitutional waiting times targets. This report reviews the factors that have led to the decline in performance against one of these targets - the 4-hour target for Accident and Emergency Departments. The analysis uncovers new insights and has the potential to reshape received wisdom about the performance of A&E departments, carrying important implications for healthcare policy and system leadership.
New care models - what's the evidence
High level findings from a series of evidence reviews on new care models.
Why community alternatives to hospital admission don’t (typically) reduce total admission levels
Repeatedly, published evaluations show that community/primary care services interventions with a stated intention to reduce total (or forecast total) emergency admissions to hospital don’t achieve the expected result**
Tools & templates: Problem structuring
Problem trees and driver diagrams can help you to understand the causes and effects of your problem.
Pre-mortem
The pre-mortem technique was developed by Klein (2007) using ‘prospective hindsight’ to identify risks at the outset of a project.
Evaluation of an Integrated Mental Health Liaison Service (Rapid Assessment Interface and Discharge Service) in Northern Ireland
A high proportion of patients treated for physical health conditions also have co-morbid mental health problems; and there is growing acceptance of
Tools & templates: Other points of view
Use Edward deBono’s ‘Six Thinking Hats’ or consider a wider point of view, to approach a problem or potential solution from different perspectives.
Tools & templates: Breaking the rules
Generate new ideas to solve a problem – by identifying the underlying assumptions, unwritten rules and thinking that maintain the status quo.
Part of the solution or part of the problem? Management Consultants and the NHS
I was quoted in a recent Guardian newspaper article which described a London Clinical Commissioning Group’s wasteful use of external
Making the case for integrating physical and mental health services in England - National overview
This is a national overview report of our Making the case for integrating physical and mental health services reporting which took place in July 20
Tools & Templates: Five Whys
Keep asking ‘why’ to peel back the layers of your problem, until you identify a potential root cause.
Risk and Reward Sharing for NHS Integrated Care Systems
Risk and reward sharing is a simple and attractive concept, offering a commissioner the opportunity to co-opt and incentivise a provid
Do you like to integrate horizontally or vertically? NHS positions examined
Our latest research paper explores the impact of the different options for integration implemented as a result of the Transforming Community Services policy in 2010. This accompanying commentary reflects on potential implications for the current policy drive towards Integrated Care Systems.