“Patients have been described as the greatest untapped resource in healthcare. Recognising their capacity and that of local communities as co-producers of health, could do much to transform quality. What is needed is a shift away from a reactive, disease-focused, fragmented model of care, towards one that is more proactive, holistic and preventative, in which people are encouraged to play a central role in managing their own care”
Angela Coulter, Kings Fund and Fabian Society
To deliver the new models of care care delivery requires cross-sector collaboration to design services around patient needs through co-productive, empowering care processes. The outcomes will include improved quality and satisfaction for patients and can prevent and avoid admissions and reduce pressure on acute bed capacity. This requires integrated and innovative techniques such as utilisation management, effective long-term condition programmes as well as more ‘joined-up’ primary and community services.
Integrated Care in Place
Integrated care offers a great opportunity both to redesign primary care staffing and community services to realize the opportunities of care closer to home tailored to the specific requirements of each locality, including patient empowerment and virtual working.
Levels of Care
Integrated care requires the commissioning and provision of services according to the levels of care from acute to home care and show a significant cost benefit. Our consultants have established each of these approaches as practical, work-able solutions which are delivering benefits in the NHS today.
Concurrent Utilisation Review using proprietary patient-flow and appropriate care guidelines
In a typical acute provider, many acute admissions and current inpatients could be avoided, prevented or mitigated. Concurrent utilisation review identifies the scope for change at local level and sets out practical proposals for realising this opportunity.
Clinical Care Coordination
An evidence based, co-productive approach to working with people with complex needs tailoring care plans to each individual. Clinical care coordination delivers triple-aims outcomes including mitigating hospital utilisation arising from more reactive healthcare.
Modelling scenarios for the outcome of whole-system redesign
Working with Vanguards and other integrated care developments, we have developed models which quantify the opportunities from re-orientating the care delivery networks. The impact of different options on activity, staffing and costs, within and between providers is quantified to aid option appraisal for local investment strategies and business cases.
What our clients say;
“Using their extensive knowledge of international healthcare models and their vast experience of UK healthcare, Conrane were able to frame a strategic outline case that described best how we can respond to the challenges of the 5 Year Forward View. The model that resulted from their work has now become the blueprint for the next step on our journey towards delivering primary care at scale.”
Managing Director – large GP Federation in Yorkshire