STPs and accountable care

Supporting providers: STPs and accountable care | NHS Providers

NHS Providers are working to develop a programme of support that helps provider organisations adapt to the challenges and opportunities presented by the move to accountable care.

The programme, Supporting Providers: STPs and accountable care, will be developed in close collaboration with NHS trusts over the next six weeks. The programme aims to ensure there is the right support and a strong advocate making the case for NHS trusts as they move to accountable care structures that deliver more integrated care for the public.

Elements to support trusts will include:

  • Developing new and effective relationships with local authorities, primary care and commissioners
  • Responding to specific challenges such as moving care closer to home, prioritising mental health, workforce strategy and getting the most out of the NHS estate
  • Exploring new ways to support change, identifying “enablers” including new approaches to contracting, different financial flows, adopting risk stratification and whole population health management approaches, and developing STP level governance arrangements.

More detail at NHS Providers

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Improving quality of care through partnerships and collaboration

Partnerships for improvement: ingredients for success | The Health Foundation

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The idea of partnerships and collaboration across organisational boundaries is at the heart of NHS reforms in England. This briefing from the Health Foundation looks at what makes successful partnerships between providers at an organisational level, providing a snapshot of some of the key ingredients needed for successful partnerships.

The report looks at a range of current organisational partnerships focusing on five different partnering arrangements. It also includes interviews with national leaders, and draws learning to help inform and guide policymakers and providers.

The report finds that partnering does have potential benefits, but these are not easy or quick to achieve. To have a meaningful impact on the quality of care, the right form of partnering needs to be used in the right context and it needs to be accompanied by the right set of enabling factors – as described by the report.

Full briefing: Partnerships for improvement: ingredients for success

Related: Health Foundation blog: Is together always better? How good are NHS organisations and the wider system at achieving the potential benefits of partnering?

Developing accountable care systems

Developing accountable care systems: lessons from Canterbury, New Zealand | The Kings Fund

This report examines how the Canterbury health system  in New Zealand has moderated demand for hospital care, particularly among older people, by investing in alternative models of provision and community-based services.  The transformation has taken more than a decade and required significant investment; this report considers the lessons that the NHS can learn.

The future of commissioning

NHS Providers has launched a new publication series “Provider Voices” which promotes the views of leaders from a range of trusts and other parts of the service on some of the key issues facing the NHS.

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The first report Where next for commissioning? includes eight interviews that address concerns including the role of Sustainability and Transformation Partnerships (STPs) and accountable care systems (ACSs), the challenge of integrating health and care commissioning, and the future of the purchaser-provider split.

Related:

 

NHS finances and consultant productivity

The Health Foundation has published A year of plenty? An analysis of NHS finances and consultant productivity.

This report analyses the finances of NHS providers and the consultant productivity of acute NHS hospitals, drawing on their annual accounts from 2009/10 to 2015/16 and links this to wider NHS data. It shows that NHS providers saw relatively little of the income growth for the NHS as a whole, and that productivity for consultants and the wider workforce in acute hospitals has been falling.

CCGs warned over withholding payments from mental health providers

NHS England & NHS Improvement | Published online: 8 November 2016

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Image source: NHS Improvement

This document provides technical guidance on how providers and commissioners can link locally agreed quality and outcome measures to payment. It has been developed to support mental health providers and commissioners to implement the new requirements under the 2017-19 local pricing rules. It is aimed at all those professionals in provider and commissioner organisations who need to work together to successfully link quality and outcome measures to payment – this includes clinicians, finance and contracting professionals and senior management.

Read the full guidance here

Mental health provider views about digital technologies in day-to-day practice

Betton, V. The Mental Elf Blog. Published online: 27 September 2016

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The use of digital technologies such as Internet sites and mobile applications, have received much hype in recent years, both in mental health and the NHS more widely. Opinions on these technologies vary; and those with extreme viewpoints see them as either a panacea to overstretched services or as undermining the primacy of the face-to-face patient/clinician relationship.

A recent open access study endeavoured to dig beneath the hype by seeking to understand the opportunities and challenges posed by the use of digital technologies from the perspective of mental health providers. As someone who runs an NHS digital innovation programme, I see how practitioners are often overlooked in the development process. This is a big problem because those same practitioners are often critical in influencing the take-up and use of digital technologies by patients. So understanding digital technologies from a practitioner perspective is a welcome addition to research in this field.

Read the full blog post here