1. Making sense of outcomes-based
commissioning
Working with populations to change behaviours

2. What we mean by outcomes-based
• Prioritising value
• Working with others
• Accountable, demonstrable
• People, patients and populations over conditions
• “Systems thinking” not organisations
• Contracting for outcomes not activity
• Rethinking the role of commissioning and the
commissioner

3. Many outcomes and measures
Clinical outcome
measures
Social outcome
measures
Patient reported
outcome measures
Patient defined
outcome measures
System perspective

4. How we can help (1) – awareness
• Explain the benefits, opportunities and barriers to
outcomes based commissioning
• Stimulate knowledge of populations, systems and
outcomes
• Help you to engage with patients, clinicians and
providers to create “systems thinking”
• Explain contracting for outcomes
• Understand accountable care systems

5. How we can help (2) – practical steps
Starting with a facilitated discussion…
• Help you to review existing programmes of change and
realise opportunities to do things differently
• Agree action plans
• Support programme planning

6. Developing the
right population
segmentation
Creating the
shared vision
Understanding
the barriers
System working
to co-create
solutions
Changing how
and what we
commission
Changing how
and what we
provide
Adaptive
accountable
care systems
Programme development

7. Primary care – the hub of systems of care
Frail
Chronic
conditions with
normal
function
Maternal
and infant
Children
Healthy and
preventive

8. Creating an environment for provider-led
continual improvement
Commissioner

9. Why change?
• Growing challenges (economy, demand, democratic
accountability)
• Persistent challenges (long term conditions, health
inequalities
• Existing approaches don’t deliver best value for
taxpayers or outcomes for patients
• Requirement to change behaviours not just contracts
• Focus on how much should we spend not how much
should we save

10. Questions we help you to answer
• What do we need to change?
• Where do we start?
• What is the role of clinical leads?
• How to we work with patients?
• What skills do we need?
• What do we do next?

11. “Very interesting and
stimulating event. Has
made me think
differently about our
approach.”
NHS England delegate
“Excellent – topics
covered extensively,
far exceeded
expectations”
Wigan CCG

12. “It has given us much food
for thought and will
definitely help focus our
thinking going forward.”
Warrington CCG

13. “Really useful
event…Feel more
confident developing
outcome indicators
as a result.”
Royal Free London
NHS Foundation
Trust
“Really made us
think”
Greater Manchester
CSU

14. More information
Contact Peter Bullivant, development manager
Peter.bullivant@pcc.nhs.uk
07717 300 633