What is NHS RightCare?

The RightCare delivery methodology is based around three simple principles;

Diagnose the issues and identify the opportunities with data, evidence and intelligence
Develop solutions, guidance and innovation
Deliver improvements for patients, populations and systems

Diagnose the issues and identify the opportunities with data, evidence and intelligence Develop solutions, guidance and innovation Deliver improvements for patients, populations and systems

NHS RightCare methodology

RightCare’s offer is aimed at systems and starts with a review of indicative data to identify opportunities to reduce unwarranted variation and improve population healthcare.

Diagnose

RightCare data is now included on the Model Health System – a data-driven improvement tool that supports health and care systems to improve patient outcomes and population health. As well as RightCare and GIRFT quality indicators, the Model Health System includes a wide range of health or health related information. These include population health; community, acute, and mental health services; ambulance service activity; prescribing; and electronic staff records. Data is available by trust or STP. RightCare indicators for ophthalmology are available at STP level and can be accessed by selecting Ophthalmology within the Acute Hospital Services section. All NHS staff can access the Model Health System. You can register or login at https://model.nhs.uk/.

RightCare data packs (produced across a range of programme areas e.g. CVD, Respiratory, MSK) allow local health systems to consider information from across patient pathways to identify the greatest potential improvements in spend and outcomes.

As most health conditions are linked to demographic factors such as deprivation and age, RightCare compares systems to their closest demographically similar geographies. This is to provide realistic comparisons, taking into account the need for healthcare of different populations. Deprived populations will have much higher rates of admissions and worse health outcomes for conditions such as Respiratory, CVD, Cancer, Diabetes, etc.  By comparing 10 demographically similar CCGs, ensures that comparisons are fair and meaningful.

RightCare has developed the ‘Similar 10 CCG Explorer tool’ which allows users to investigate all the different demographic variables that comprise the similar ten calculations and see how similar their CCG is to the similar 10 CCGs on each these factors.  The tool also allows users to create their own bespoke similar ten grouping by changing the weightings of any of the different variables.

The three main data sources which make up a significant number of RightCare indicators combine Secondary Uses Service (SUS+) inpatient data, Quality and Outcomes Framework (QOF) and ePACT prescribing data supplied by the NHS Business Services Authority.

RightCare also provides STPs opportunity data by presenting the sum of all the equivalent opportunities of the CCGs in that area in one pack. They do not include negative opportunities or those which are statistically insignificant.

RightCare Pathways and scenarios are designed from a patient point of view starting with prevalence right through to end of life. They are developed in close collaboration with NHS England’s National Clinical Directors, patient groups, Public Health England, Royal Colleges, and other key stakeholders.

The data and evidence provides a set of resources to support systems to concentrate their improvement efforts where there is greatest opportunity to address variation and improve population health.

Develop and deliver

RightCare supplies systems with tools and products to identify improvements using evidence-based best practice, developed with our national partners, at the moment that local clinicians are considering what good looks like in that area of their system.