Transformation and Service Redesign support for an Accountable Care System Value Proposition (VP)

Tender description

Commissioners and providers from health and social care across Nottingham and Nottinghamshire (excluding Bassetlaw) have come together to develop and deliver a Sustainability and Transformation Plan (STP) in accordance with national guidance. By 21st October 2016, the STP will outline the locally relevant implementation of the Five Year Forward View by addressing the Nottinghamshire health and wellbeing, care and quality (covering public health, primary, acute, community and social care with consideration also to specialised care) and finance and efficiency gap. The STP will confirm the role of two place based delivery units within the footprint; Greater Nottingham and Mid Nottinghamshire. These units are based on patient flows, and have existing delivery plans in differing stages of implementation: • Mid Nottinghamshire has a Primary and Acute Care Systems Vanguard • Greater Nottingham Health and Care Partners have a high level Strategy which was completed in June 2016 and has informed the development of the STP. Greater Nottingham also has a number of underpinning plans including the Principia Multi-Specialty Community Provider Vanguard; the Nottingham City Support to Care Homes Vanguard; and the Greater Nottingham Urgent Care Vanguard. Greater Nottingham also has the Nottingham and Nottinghamshire Better Care Fund Integration Pioneers In delivering the STP, Greater Nottingham has confirmed its ambition to bring together its Vanguard and Integrated Pioneer communities, scaling and replicating innovations in best practice, as appropriate. This includes a focus on rolling out a GP enhanced specification, further developing Care Delivery Groups (multi-disciplinary locality teams) as well as achieving best practice in Support to Care Homes. Greater Nottingham is also looking to go further in implementing its Urgent Care Vanguard and is focusing on reducing variation in priority pathways and interfaces including elective care. Going further, the Greater Nottingham Health and Care Partners have confirmed their intention to create a new Integrated Accountable Care System (ACS) for the 700,000 population served. The first step in developing this ACS focused on the completion of a detailed actuarial analysis to understand where user activity and costs are in the system with the identification of the opportunities to move to person and population centred care (i.e. reshaping the care system, with a specific focus on tailoring services to the user groups with the biggest value opportunity) to fundamentally improve quality and reduce system costs. The primary insight from this analysis has confirmed a very significant opportunity in terms of reducing the amount of potentially preventable care and associated cost undertaken within the acute sector. The opportunity identified is far greater than other e.g. NHS Right Care benchmarks.