Pricing architecture: the role of the NHSCB and Monitor in delivering ...
Pricing architecture: the role of the NHSCB and Monitor in delivering ...
Pricing architecture: the role of the NHSCB and Monitor in delivering ...
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Emerg<strong>in</strong>g <strong>the</strong>mes from stakeholder discussions to date<br />
Theme<br />
Outcomes<br />
focused<br />
Sett<strong>in</strong>g<br />
neutral<br />
Key messages/issues<br />
• Commission<strong>in</strong>g for outcomes: what do cl<strong>in</strong>icians & patients believe will make<br />
a difference?<br />
• Outcomes → develop service model → identify barriers → align <strong>in</strong>centives →<br />
allow flexibility<br />
• Outcome must be evidence based<br />
• Achievement <strong>of</strong> outcomes across range <strong>of</strong> sett<strong>in</strong>gs → co-ord<strong>in</strong>ated or<br />
<strong>in</strong>tegrated care <strong>and</strong> support<br />
• Need to promote efficient function<strong>in</strong>g <strong>of</strong> cl<strong>in</strong>ical networks <strong>and</strong> specialist care<br />
• Consider <strong>in</strong>terface between CCG & NHS CB commissioned services (e.g.,<br />
primary care)<br />
Flexibility • One size payment structure/mechanism will not fit all types <strong>of</strong> care<br />
• Promote local flexibilities to enable <strong>in</strong>novation<br />
• National st<strong>and</strong>ard or guidel<strong>in</strong>es can provide framework for flexibilities<br />
7
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