In the NHS, there is a shift towards providing care closer to home and a need to meet savings target whilst maintaining quality of service. It is recognised that care is currently fragmented and incentives are not aligned, with increasing activity. There is not enough resource system wide to support increased activity and therefore the system needs to work together to align incentives, operating models and costs to ensure they are all financially sustainable in the future.
Referral Facilitation Services
Support the appropriate use of community, primary and secondary care services.
It is recognised that there is a variability of referral practice with activity increasing. Clinical Commissioning Groups (CCGs) need to ensure the appropriate use of community, primary and secondary care services through patient tracking and data management, to ensure they are all financially sustainable in the future.
As CCGs look for innovative ways to transform care delivery to improve health outcomes, patient experience and system sustainability, many are turning to models of commissioning that contract for specific outcomes across a care pathway or population. These ‘Prime Contractor’ models provide innovative support with a degree of flexibility and a chance to innovate in exchange for defined budgets and quality targets, including patient and carer satisfaction. Prime contractor models provide commissioners and clinicians with an unprecedented opportunity to design services and pathways around patients and their needs closer to the communities where they live.