Optimal pathways and the
RightCare approach
Sue Baughan, Commissioning for Value
Programme Lead
4th October 2016
NHS RightCare
The RightCare approach is about identifying variation between similar
healthcare communities and showing opportunities for improvement. By
encouraging health economies to focus efforts in these areas, RightCare
can lead to improvements in outcomes, quality, and releasing capacity and
resources for future investment
The programme includes the Commissioning for Value packs and tools, the
NHS Atlas series, casebooks and the work of the Delivery Partners
NHS RightCare is referenced in the Mandate to NHS England, the NHS
Planning Guidance, the CCG Improvement and Assessment Framework
and the Quality Premium for 2016/17
NHS England has committed significant funding to rolling out the RightCare
approach to all CCGs over the next two years. Wave 1 has 65 CCGs and
these are now receiving support from 10 RightCare Delivery Partners.
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The RightCare approach
Our products
Commissioning for Value materials include insight packs for each CCG;
online tools; optimal value pathways; scenarios; casebooks; and the Atlas
of Variation series.
In each case we use the same methodology and compare a CCG with its
10 most similar CCGs using demographic factors, showing where it’s an
outlier and highlighting opportunities for improvement.
What we’ve published in the last year
September 2015: Atlas of Variation V9
January 2016: Refreshed ‘Where to look’ packs
April/May 2016: Focus packs on Cancer; CVD; Maternity and early years;
Mental health and dementia; MSK and trauma; Neurology; and Respiratory
September 2016: Janet’s story
2013 – 2016: Various casebooks
What’s coming up later this year
Publication
Date
Refreshed Where to Look packs
September
2016
In depth packs (Long Term Conditions; Mental Health)
Autumn 2016
Practice level data from the focus packs
Winter 2016
10x Long Term Conditions: RightCare Scenarios
To end 16/17
Further 10-15 casebooks on various topics
To end 16/17
Optimal value pathways (CVD prevention; MSK)
Autumn 2016
CCG and provider packs on surgical procedures (in partnership with the RCS)
Autumn 2016
Atlas of Variation: Diagnostics
September
2016
Atlas of Variation: Liver, End of Life Care
Winter 2016
Where to look packs
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Optimal Value Pathways
What issues are we looking to address?
• Time lag between adoption of best practice
• Service redesign necessarily slow and does not
always capture the benefits intended
• Best practice models being developed in different
geographical and clinical areas
• Lack of delivery mechanism for best practice to
CCGs
• Wide variation in performance between areas –
not accounted for by demography
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Optimal Value Pathways
• A compelling case for change that demonstrates the
potential for improvement in clinical outcomes / value
• A best practice pathway – which has been developed with
and signed off by all major stakeholders
• High value interventions – which parts of the pathway are
susceptible to rapid improvement – biggest bang for buck
• Metrics that enable a CCG to understand its current
performance, compared with peers and best practice – and
help to quantify improvement to develop the business case
for change
• Compendium of best practice case studies demonstrating
what to change, how to change and a scale of improvement
• A delivery mechanism to ensure that pathways are
publicised and considered by CCGs
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CVD Pathway
How to Use
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Use with CfV focus packs
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Links to overarching national strategies
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Links to high value interventions
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Links to NICE Pathway Hypertension overview
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Systematic audit across practices - Blackpool
Build local primary care leadership to challenge unwarranted
variation and drive quality improvement in detection and
management
Summary slide
• First in a series of pathways designed to speed adoption of best
practice and reduce variation
• This pathway has been developed as a proof of concept
• Published end September 2016
• An Optimal Pathways lead is being recruited will take this work
forward from January 2017
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Further information
For more information about NHS RightCare you can:
Email
•
[email protected]
Visit
•
www.england.nhs.uk/rightcare
Tweet
•
@NHSRightCare