Casebooks

One of the ways we are sharing best practice is through local examples of commissioning innovations which show the philosophy behind NHS RightCare or showcases the tools available through the programme.

You can take a look at these examples in our casebooks:

High Intensity User Programme

The High Intensity User (HIU) service (first launched in Blackpool) offers a robust way of reducing frequent user activity primarily to A&E and non-elective admissions but can also contribute to reducing other avoidable unscheduled care contacts. This resource pack provides support for systems on setting up a High Intensity User service. October 2018.

Bradford Healthy Hearts

Based on Bradford Districts Clinical Commissioning Group (CCG) pioneering Healthy Hearts programme, this resource pack offers a practical guide for health economies committed to reducing the incidence of heart attacks and strokes by improving the detection and management of high blood pressure, high cholesterol and atrial fibrillation (AF) within primary care. The pack outlines the actions taken, and the resources developed by Bradford Districts CCG, that resulted in the optimised treatment of 21,000 people and over 200 fewer people suffering heart attacks or strokes.

The success of the Bradford Healthy Hearts programme in improving outcomes and reducing the number of heart attacks and strokes, individual and population health coupled with the simplicity of the approaches taken by the CCG have instigated the development of this resource pack.

Thank you to Bradford Districts CCG for sharing their experience and resources.

Local health economies, supported by their NHS RightCare Delivery Partner, can use this resource as a framework for their local improvement discussions, particularly during the ‘What to Change’ phase of their RightCare work.

Cumbria’s new persistent physical symptom management service – improving value for patients, the population and the NHS. January 2017

Ashford CCG Commissioning for Value: The Development of MSK Triage Services – Looking at how Ashford CCG employed NHS RightCare methodology to develop a strategy to respond to increasing referrals to orthopaedics. March ‘16

Bradford CCG Reducing the rate of stroke and heart attack in Bradford – How NHS RightCare methodology was used in the commissioning and delivery of programmes aimed at improving heart health by Bradford District CCG March 16

Bradford CCG – Video: Using the NHS Right Care approach to engage across the system to improve CVD outcomes for the population of Bradford. Mar ’15

Slough CCG – Improving services to care homes to reduce non-elective admissions – How Slough CCG used NHS RightCare methodologies to look at issues with non-elective admissions from care homes. March ‘16

Slough CCG – Video: RightCare in action in Slough – Dr Jim O’Donnell, Clinical Chair for Slough Clinical Commissioning Group, describes how the CCG has used the Right Care approach to improve their diabetes care, management of patients with complex co-morbidities, and together with the Better Care Fund, reduce unplanned admissions from care homes by 50%. Jan ’16

Slough CCG – Using assistive technology to help to increase efficiency, and promote self-management and prevention amongst high risk groups – How Slough CCG used NHS RightCare methodologies to address issues in increased levels of anxiety amongst patients living at home with multiple long term conditions. Mar ‘16

Slough CCG – Developing a Complex Care Case Management Service within Primary Care – Looking at how Slough CCG have used the NHS RightCare approach to address issues in complex case management. Feb ‘16

Commissioning for Value in Calderdale – A follow-up report to the original case study describing a Pulmonary Rehabilitation Service that was commissioned as a result of following the “RightCare approach”. November ‘14

Hardwick CCG – From Commissioning for Value Insights to delivery in seven months – Looking at how Hardwick CCG used the NHS RightCare approach to address issues with respiratory care. Oct ‘14

Slough CCG – Improving the value of diabetes care in Slough | Slough CCG – Diabetes one year on – How Slough CCG adopted NHS RightCare methodologies to address issues around diabetes. Oct ‘14

Vale of York CCG – A vision to deliver the best health and wellbeing for our population – Exploring how Vale of York CCG used NHS RightCare methodologies to look at issues in health outcomes for its population. Oct ‘14

Diabetes care pathway – The story of Paul’s experience of a diabetes care pathway, and how it could be so much better Aug ‘14

Doncaster CCG – Successes and challenges in creating energy for change – Doncaster CCG, supported by Yorkshire and Humber Public Health Observatory (PHO) and NHS RightCare, has refined its planning processes by applying insight from the Commissioning for Value Pack. Nov ‘13

West Cheshire CCG – Identifying “Value Opportunities” in West Cheshire – West Cheshire Primary Care Trust and CCG have used NHS RightCare principles to identify “where to look” for service improvements that can generate savings for re-investment and improvements. Nov ‘13

South Sefton, Southport and Formby CCG – Developing a more systematic approach to commissioning – A look at the results of embedding NHS RightCare commissioning methodologies within the new CCGs for South Sefton and Southport and Formby. Oct ‘13

Warrington CCG – Delivering improved healthcare in Warrington: the NHS Right Care approach – How Warrington Health Economy used NHS RightCare principles when they faced a funding shortfall, along with increases in demand and inflationary pressures. Sept ‘13

Wigan CCG – ‘Adopt, Improve or Defend’ – An AID for QIPP – Commissioners in Wigan embedded a systematic approach to achieve challenging QIPP targets by identifying and addressing variations in local healthcare. This document describes the outcomes from this work. Sept ‘13

Bradford City CCG – Improving the detection and prevention of Type 2 diabetes – Bradford Beating Diabetes (BBD) – Bradford City CCG have used the NHS RightCare approach to inform the commissioning and delivery of programmes, using their evidence-based methods with a clear emphasis on outcomes. Aug ‘13

Bexley CCG – Integrated GP led diabetes care in Bexley – How Bexley CCG used NHS RightCare to look at issues in diabetes care. Nov ‘12

Somerset – Somerset Community-Based Self-Care Support Service for Adults with Persistent Pain – Somerset Pain Management Service was created using NHS RightCare methodologies. This document describes this work. Nov ‘12