The Council and CCG have jointly evaluated the schemes funded from the Improved Better Care Fund (iBCF) to determine those schemes that have made the most significant contribution to the reduction in delayed transfers of care and increased admission avoidance. These schemes have had considerable service user benefit in maintaining independence and encouraging reablement. The CCG will work with Dudley MBC to ensure recurrent funding for these services as a platform for future joint working Gain and Loss Shares As part of agreeing contracts, the CCG has started discussions on areas where there is the potential for gain and loss shares across a service pathway and a population level. Early work has been developed jointly with NHS England and NHS Improvement as part of the establishment process for the MCP, and the CCG is looking at the wider applicability with other Providers.. Service Pathway Changes Building on pathway redesigns in 2018/19, the CCG will commission the following service changes from April 2019 Inpatient Rehabilitation in order to maximize the potential for patient rehabilitation, – the CCG will commission rehab services in the community wherever possible. During 2018/19 the CCG has implemented a prior approval mechanism to offer patients community rehabilitation services as a first choice option. This will be incorporated into contracts from April 2019 and the CCG will not pay for inpatient rehabilitation where the patient has not been offered a community alternative Pain management In reviewing the MSK pathway the CCG has reviewed the – increase in joint injections and the place of treatment. Many joint injections which should be delivered in primary care (where needed at all) are currently being delivered in secondary care. Following clinical review, the CCG will only commission joint injections from the following clinicians. Any patient who is assessed in secondary care (including triage/first contact practitioner services) must be referred back to primary care where the GP is the identified clinician. Any patient not referred back to primary care who receives their injection in secondary care will only be paid for at the primary care rate Site By Who Includes Exceptions / Considerations Primary Care Only Shoulder GP a) sub-acromial N/A
The Council and CCG have jointly evaluated the schemes funded from the Improved Better Care Fund (iBCF) to determine those schemes that have made the most significant contribution to the reduction in delayed transfers of care and increased admission avoidance. These schemes have had considerable service user benefit in maintaining independence and encouraging reablement. The CCG will work with Dudley MBC to ensure recurrent funding for these services as a platform for future joint working Gain and Loss Shares As part of agreeing contracts, the CCG has started discussions on areas where there is the potential for gain and loss shares across a service pathway and a population level. Early work has been developed jointly with NHS England and NHS Improvement as part of the establishment process for the MCP, and the CCG is looking at the wider applicability with other Providers.. Service Pathway Changes Building on pathway redesigns in 2018/19, the CCG will commission the following service changes from April 2019 Inpatient Rehabilitation – in order to maximize the potential for patient rehabilitation, the CCG will commission rehab services in the community wherever possible. During 2018/19 the CCG has implemented a prior approval mechanism to offer patients community rehabilitation services as a first choice option. This will be incorporated into contracts from April 2019 and the CCG will not pay for inpatient rehabilitation where the patient has not been offered a community alternative Pain management – In reviewing the MSK pathway the CCG has reviewed the increase in joint injections and the place of treatment. Many joint injections which should be delivered in primary care (where needed at all) are currently being delivered in secondary care. Following clinical review, the CCG will only commission joint injections from the following clinicians. Any patient who is assessed in secondary care (including triage/first contact practitioner services) must be referred back to primary care where the GP is the identified clinician. Any patient not referred back to primary care who receives their injection in secondary care will only be paid for at the primary care rate Site By Who Includes Exceptions / Considerations Primary Care Only Shoulder GP a) sub-acromial N/A
Dudley-CCG-Commissioning-Intentions-September-2018-v3-FINAL.docx