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Gloucester Care Providers Association Annual Conference 2010

Gloucester Care Providers Association Annual Conference 2010. Dignity in Care and Outcome Based Commissioning Helen Bown Joint Commissioner Older People & Physical Disabilities NHS Gloucestershire Jan Halliday Strategic Commissioning Manager Gloucestershire County Council. Aims :.

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Gloucester Care Providers Association Annual Conference 2010

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  1. Gloucester Care Providers AssociationAnnual Conference 2010 Dignity in Care and Outcome Based Commissioning Helen Bown Joint Commissioner Older People & Physical Disabilities NHS Gloucestershire Jan Halliday Strategic Commissioning Manager Gloucestershire County Council

  2. Aims : • Some understanding of an “outcome” • Outcomes and outcome based commissioning • Linkage between Essential Standards (CQC) outcomes and Dignity in Care

  3. Outcomes? An outcome can be defined as: ‘….. the impact or end results of services or a persons life …..’ • Strategic and General • Improve the health of older people • Individual orSpecific • I want to stay as well as possible, in order that I can live independently in my own home.

  4. Outcomes, defined by independence, well-being and choice (DH, 2005) • Improved health and emotional well-being • Improved quality of life • Making a positive contribution • Choice and control • Freedom from discrimination • Economic well-being • Personal dignity

  5. Current Commissioning and procurement • Expresses commissioning activity through contracting for outputs • (number of hours of domiciliary care delivered) • Difficult to measure the benefits - do I feel better for this service? • Does not captures the “added value”

  6. Why Change? • Looking for a return on investment • Refocus on the goals of C&ACD • Greater opportunities for flexibility and responsiveness • Control passes to Service Users • Improves Service User satisfaction • Quantity, efficiency, effectiveness

  7. Progress so far/Issues • Not yet mainstream! but gaining momentum • Requires changes to contracting framework • How do we measure success? • Trust! • Resource intensive • Traditional service boundaries need to be redrawn: care/leisure/housing • A fair price:  Service User  Provider

  8. Measuring Outcomes Looking for indicators/measurements that evidence a change

  9. Outcomes, Dignity in Care and CQC Re-registration • CQC Outcomes are themes for looking at the elements of a service • Not expressed in the language of outcomes • Are about the quality of a service

  10. CQC Outcomes, Dignity in Care and Outcomes for Older People • See handout!

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