Supporting Local Commissioners in England to Commission New Models of Care

Influencing and assisting local healthcare decision-making in England by developing an evidence-based, practical prioritisation framework. The framework uses routinely collected data (i.e. patient records) and public values to support local commissioners to monitor, evaluate, and commission ‘new models of care’.

Our work so far has:

• Described the commissioning process, highlighted areas that need improvement, and proposed ways to achieve a fairer, more efficient budget allocation across the health and social care services provided by ICSs.
• Identified the elements of value of healthcare (i.e. years of life, quality of life, patient experience, equity, the number of beneficiaries, and costs) and assessed the relative importance that the general public assigns to them.
• Developed a transparent and evidence-based decision support framework that helps ICSs to allocate the healthcare budget across different health and social care services in a way that improves population health, patient experience with services, and equity, while keeping costs to an affordable level.