Our Programme

The Right Care programme is focussed on increasing value – value for patients and value for commissioners. The programme is targeted at clinicians, commissioners and patients and has five workstreams:

  • Population Planning and Programme Budgeting
  • Clinical Networks and Systems of Care
  • Better Value Clinical Practice
  • Shared Decision Making
  • Population Medicine

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The Right Care @lert

Document of the Week (14th May): Sharing commissioning experiences

Right Care Casebook Series volume 2, containing local examples of commissioning work

New NHS action plan to help reduce variation in COPD diagnosis and care

This document supports the Outcomes Strategy for COPD and asthma in England

Amendments to the NHS Atlas of Variation 2011

We have produced an eratum sheet for the NHS Atlas of 2011 which deals with two main errors in the maps: Map 4: Mean length of stay for elective breast…

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Tools & Resources

Accountable Integrated Care Systems

The primary objective for the QIPP Right Care programme is to maximise value:

  • the value that the patient derives from their own care and treatment:
  • the value the whole population derives from the investment in their healthcare

To achieve this, Right Care is promoting is the concept of the population based Accountable Integrated Care System (AICS). Read more…

Casebooks

Sharing Commissioning Experiences – One of the ways that Right Care will enable sharing of good practice is through compiling local examples of commissioning work which demonstrates the philosophy behind Right Care or showcases the tools available through the programme. We will publish these though a series of “Casebooks”.

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Essential Reading

“Essential Reading” is a series of reading lists on specific themes relevant to our Right Care programme themes. We hope they provide you with a rapid introduction to the subject and access to knowledge which will change your thinking. The latest reading list is on Disinvestment in healthcare – see below. Read more…

Health Investment Packs

Right Care has produced a bespoke ‘Heath Investment Pack’ (HIP) for each PCT in England. The HIPs use the outputs from analysis tools already available to PCTs to analyse variation in spend, outcomes and activity growth for one particular programme budget category for that PCT. Read more…

Healthcare Public Health Colloquia

The QIPP Right Care Workstream has a focus on: Population Planning and Programme Budgeting;  reducing unwarranted variation and; Population medicine – the clinician focussed on all the patients, not just those referred. The  Right Care public Health Colloquia are about designing a healthcare public health service able to support commissioners in acheiving these objectives.

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International Atlases

Here we have listed some International Atlases highlighting variation in healthcare.

USA

Dartmouth Atlas of Healthcare

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Phase 1 Elective Surgery Project

The aim of this report has been to make recommendations for consideration by the NHS Operations Board with regard to effective commissioning of elective surgical procedures. The work was commissioned by Professor Sir Bruce Keogh, NHS Medical Director, following widespread expressions of concern from professional bodies that approaches based on lists of procedures deemed to be of ‘limited effectiveness’, ‘low-value’ or requiring a ‘threshold’ result in inequitable patterns of service delivery. The evidence base for such approaches are not thought to be sufficiently robust, and in many cases procedures with well-established evidence of effectiveness, such as cataracts or arthroplasty, have been included. Read more…

Population Value Reviews

Annual Population Value Reviews (APVR) – to help commissioners reflect on their priorities and maximize value for patients, populations and commissioners from health investment by improving the allocation of resources to maximise outcomes – so-called “allocative efficiency”. Read more…

Procedures Explorer Tool

Right Care is developing a Procedures Explorer Tool, populated with national SUS data, which can be used:

  • By commissioners to understand how commissioning actions can influence variation in spend and outcomes at a granular level;
  • By providers to understand how their behaviour can influence outcomes, which may be different from those of other providers across the country Read more…