I continue to have much more
news of developments in England than other countries despite
efforts to strengthen links. I visited Cardiff recently and
hope to be able to produce a report on relevant work in Wales, and
a visit to Glasgow is planned in the near future. Please
contribute!
Payment by
Results:
The present status of the
national project is that there are several pilot sites collecting
care cluster data, while other Trusts have expressed an interest
across the country. The level of awareness of PBR and the
quality agenda within Trust executive teams has grown lately.
It has been agreed that the currency for costing and tariffs will
be care clusters rather then care pathways (ie funding will follow
the numbers of episodes within each problem or need-defined group,
rather than the care provided). Issues relating to the
definition of the start and end points of episodes need to be
resolved, as does the interaction between health and social care.
There is work in progress (to finish by Sept 09) to produce a
costing dataset to test financial parameters such as the variance
in costs within each cluster, and differences in costs between the
clusters. A list of ten action points for provider
organisations to prepare for PBR has been produced by the project
team, which is being expanded into a more detailed document for
publication in the near future.
| SHA Area |
Involved |
Interested |
| North West |
Pennine Care and PCTs |
Cheshire and Wirral FT (and commissioners)
Greater Manchester West MH Trust
Mersey Care NHS Trust
|
| East Midlands |
Lincolnshire Partnership |
Derbyshire Partnership
Leicester Partnership
|
| East of England |
Norfolk and Waveney Mental Health FT
Trust
|
Suffolk MH Partnership Trust |
| South West |
Devon Partnership NHS Trust
Plymouth PCT
|
2gether Foundation Trust
(Gloucester) |
| South Central |
Oxfordshire and Buckinghamshire FT
Berkshire Partnership FT
|
Hampshire Partnership NHS Trust |
| South East Coast |
|
Kent and Medway NHS and Social Care Partnership Trust
Sussex Partnership FT
|
10 Steps
Guide to preparing for MH PbR:
- Understand your services in terms of
clusters
- Make use of available resources on-line and with events
- Make preparation a joint project involving commissioners,
providers and local authority providers
- Discuss with your Strategic Health Authority (SHA) your local
approach
- Allow for training time for staff
- Understand the Information Issues
- Align outcomes development work with the clusters
- Think about the impact on contracting arrangements, including
the standard contract
- Identify a senior lead individual within your organisation and
identify clinical, finance and informatics leads
- Establish local timelines
Link to the PBR website (click here for latest news)
Clinical Data
Standards Network:
A small preliminary meeting
was held on 26th February, organised by the UK
Terminology Centre, in one of the Connecting for Health offices in
Leeds to consider whether a network of clinicians should be set up
to act as a forum to assist the standardisation of clinical terms,
datasets, document formats, etc. I was there as a
representative of the Academy of Medical Royal Colleges.
Further meetings are planned.
Commissioning for Quality and
Innovation (CQUIN):
‘We want quality to be part
of the commissioner-provider discussion everywhere. The CQUIN
payment framework is one of a range of commitments in High Quality
Care for All designed to support the cultural shift to put quality
at the heart of the NHS. It makes a proportion of provider income
conditional on locally agreed quality and innovation goals: this is
0.5% of contract value in 2009/10, and it is expected to grow over
time.’
Mental Health
Data Requirements Review, and Care Quality Indicators:
The review, and separately
the CQIs, the consultations for both of which were held last year,
are about to be published by the Information Centre for Health and
Social Care.
Connecting for
Health/ NPfIT ‘Rising to the Informatics
Challenge’:
An important and constructive
meeting of about 60 representatives from different stakeholder
organisations was held in London on 27th March.
The main focus of agreement was on the need to establish an
organised national forum to support MH informatics. Dr Joe
McDonald, the Clinical Lead for CFH, chaired the meeting and with
other members of the (reasonably representative) Pan-programme MH
Co-ordinating Group will write a paper summarising the outcome of
the meeting and proposing a way forward.
‘Mental
Health Inequalities: Measuring What Counts’:
This seminar was initiated by
the DH and organised by the Sainsbury Centre for Mental Health and
the College. It was held on 16th March in London.
The aim was to look at what measures would best drive reductions in
reported mental health inequalities through:
- Public Service Agreements
- National Indicator Sets (Local Area
Agreements)
- NHS Vital Signs
- World Class Commissioning Datasets.
Work groups examined seven
cross-cutting themes on ‘a good start to life’, ‘working lives’,
‘the places we live’, ‘financial security’, ‘social connectedness
and social capital’, ‘body and mind’, and ‘later life’.
Among the documents provided
for delegates were the following which may be of particular
interest:
Commissioning for
Outcomes v2 (a discussion paper for MH and Social Care)
Mental Health Indicators (a
list of current quality measures)
The results of the meeting
will be used in the preparation by the SCMH of an advisory document
which is to published shortly.