Outcomes and Commissioning

31 Jan 2013 by Karl Hallam

Outcomes are becoming more important to commissioners and in many ways this could be a good thing: if the commissioners set their outcomes, does this mean that the experts in delivering services can be given the independence to design their services to achieve those outcomes in the way they think best?

The signs are that some CCGs are considering moving to massive contracts (one £900m contract for Older Care anyone?), setting their overarching outcome targets - and leaving the lead provider to figure out who they need to subcontract with to ensure those outcomes are met.

For the not for profit sector however, the greater emphasis on outcomes is creating some headaches. Cadence has seen at least two examples recently where charities have been attempting to make a confusing landscape simpler by mapping Public Health outcome frameworks against those used in Adult Social Care, the NHS and CCGs. 

Added to the dilemma of choosing which outcome to go for, organisations working UK wide are also struggling to understand how they can use a national evidence set to help them demonstrate value for locally specified outcomes. How can they best use evidence of their services working in Woking to prove their services are the best fit for Fife? 

 In recent research interviews with commissioners from public health, adult social care, acute and primary care the overwhelming message that comes across is the importance of evidence. As services are re-designed and budgets cut, the services that commissioners will fight hardes to protect are those where they  know they can show results.  

If you'd like to talk to us about researching commissioners requirements, or how your organisation can make best use of outcomes, please get in touch.

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