Author Archive

26
Sep

Making Accountable Care Happen

Accountable care is seen as a key structural reform to drive transformational change in the NHS. In this occasional paper we provide a working definition  of the key components of an Accountable Care Organisation (ACO). This draws on the prescriptions of current NHS England guidance and frameworks plus the findings from concurrent evaluation of the Pioneer ACOs in the US.  The ...

17
Feb

In this Briefing Paper we examine the current bed and financial pressures affecting NHS acute hospitals over the winter 2016/17.     An initial international comparison could lead to the conclusion that the NHS is simply not generously provided with bed capacity.   However, a deeper analysis suggests that this is not the core issue.   Instead what we find is a perfect storm. Download our Briefing ...

02
Feb

Population Health Management

Core to the STPs  is a focus on more pro-active care for people with chronic disease.  In one large STP footprint, an analysis of the population using the Johns Hopkins ACGs risk adjustment tool has highlighted the opportunities for proactive programmes with co-production  as a core objective. Download our document here  

01
Feb

From one year to the next – welcome to our blog

2016 - an exciting year for Conrane IHS. We supported the business cases for two NHS Vanguard sites, while our work on clinical care coordination for people with complex needs figured at two major international conferences.     Clinical care coordination is a co-production model which builds patient knowledge and self-care skills within individual, patient-centred care programmes.   David Cochrane ...

01
Feb

‘STPs offer the best opportunity to transform the delivery of care provided they move from planning to implementation.’   The Kings Fund - 2017 Priorities for the NHS and Social Care The STPs published to-date set out a dynamic, transformational programme for improving both quality and efficiency across health and social care. Having reviewed these documents, we have developed a set of ...

27
May

Implementing Accountable Care

Our current clients include NHS Vanguard projects and other commissioner/provider partnerships developing accountable care delivery frameworks. We undertake the mapping of local patterns of expenditure, service utilization and staffing in primary and community care quantifying the opportunities to redesign services which can devolve from hospitals. Download our resource

27
May

Accountable Care at Locality Level

Working with Vanguards in the NHS we understand the need to provide services viably at a locality level whilst ensuring easy access to extended primary care. This is equally true for rural areas, as for cities with distinct neighbourhoods and communities. At the same time there are issues of critical mass, staffing viability and not least ...

27
May

90% of patient contacts in integrated delivery systems take place in primary care, at locality and practice levels. So internationally, innovative approaches in advanced or comprehensive primary care are proving essential to whole population management and delivering triple-aims outcomes. Download our resource

27
May

Care Coordination

Improving services for people with complex needs in later life is one of the major challenges in today’s healthcare. Comprising 5% of a typical population, they account for 40% of health care costs, due to high rates of unscheduled hospital and primary care utilization. Under-met medical, social and psychological needs which vary by each person are the cause.

24
May

Our knowledge and experience demonstrates that the pursuit of improved quality in health reform will deliver productivity gain and better value for money.