Outcomes Based Commissioning Developing a segmentation approach in

Outcomes Based Commissioning Developing a segmentation approach in Southwark FPH Annual Conference 2017 Registrar Showcase Dr Suzanne Tang Public Health Medicine ST 1 20 June 2017

This presentation will focus on Public Health’s contribution towards a new commissioning approach LEARNING OBJECTIVES This session will explore: § The national context for transforming health and social care § Southwark’s approach to transformation through capitated budgets § Public Health’s contribution to the process § The impact of our work on the development of outcomes based commissioning § My learning from this experience that can be translated into future practice Slide 2

The Five Year Forward View recognised that new care models require new commissioning approaches INTRODUCTION The 2014 NHS Five Year Forward View (FYFV) highlighted three gaps: 1. Funding and efficiency 2. Health and wellbeing 3. Care and quality New care models are promoted as a way to close these gaps The current payment system does not incentivise integration: § Tariff-based payment models drive activity § Block contracts contain activity but with no quality incentive § Separate contracts for each aspect of care may further disincentivise integration References 1. NHS (2014) Five Year Forward View Slide 3

In Southwark, a capitation approach using outcomes based commissioning has been proposed SOUTHWARK CONTEXT The Southwark Five Year Forward View 1. 2. 3. Populations over providers Total system value ‘How’ care is delivered as well as ‘what’ care Outcomes based commissioning (OBC) § § Incentivises provider alliance formation Incentivises integration Emphasises prevention Mitigates against rationing and poor quality Population segmentation References 1. NHS Southwark CCG and Southwark Council. Southwark Five Year Forward View: A local vision for health and social care: 2016/17 to 2020/2021. Slide 4

Public Health has acted as both catalyst and critic in this process REGISTRAR CONTRIBUTION 2. PROPOSE METHODOLOGIES 1. DEFINE AMBITION Case note review of the mental health population who are unable to live independently 3. SUPPORT OPERATIONALISATION Creation of an operational roadmap highlighting key decisions and milestones that will enable the vision to be realised Challenge and shape the Commissioning Development Groups OUTCOMES BASED COMMISSIONING Slide 5

Public Health’s contribution has created momentum in OBC and consolidated partnership working IMPACT AND LEARNING Our impact: My learning: § Southwark will be making a paradigmatic shift in the commissioning process § A new interpretation of the Public Health value-add § The value of Public Health expertise in commissioning and service transformation in the local authority setting has been consolidated § Taking a leadership role in the service transformation agenda and process § Effective communication with key partners to foster credibility and collaboration § Collaborative working with NHS Southwark CCG and Southwark Council has thrived Slide 6

THANK YOU FOR LISTENING! Dr Suzanne Tang suzanne. tang@southwark. gov. uk