Set in 2014, this case study examines the development and ongoing transition to value- and outcomes-based commissioning for diabetes care across North Central London (NCL). With the aim of improving health outcomes among their local populations, Clinical Commissioning Groups (CCGs) in NCL set out to transform the delivery and funding of services. This involves incentivize providers to deliver on specific health outcomes that are important to patients via an integrated platform encompassing multiple entry points - primary, secondary, social care and community services.
The case provides a context for exploring trends in value-based medicine, different contracting mechanisms for reimbursing care services, overcoming the piecemeal provision of care to improve care pathways across providers, and the challenge of improving patient outcomes in complex health care and political environments (such as the shift in the UK NHS from Primary Care Trusts to Clinical Commissioning Groups).
- Health care delivery
- Value-based care
- Outcomes-based care
- Health care service design
- Integrated care
- Service contracting
- Patient focus
- Q11516
