Herefordshire Clinical Commissioning Group

Herefordshire CCG is responsible for buying healthcare services for a population of 180,000 in a largely rural part of England close to the Welsh border.

The right time for change

Herefordshire CCG wanted to change how it buys some urgent care services reflecting important elements identified during public conversations – moving to an outcomes based approach.

The solution

Following Cobic’s delivery of a successful business case for change approved by the CCG in 2013, Cobic continued to support the CCG to put in place an outcomes based commissioning approach to improve the delivery of urgent care services in Herefordshire.

Supporting the CCG through the COBIC commissioning approach we have so far:

  • Completed initial analysis defining the urgent care services and current care populations and the existing range of healthcare services.
  • Gained through extensive engagement an understanding of what is important to local people to support them to keep well
  • Begun developing the outcomes and indicators that providers will be incentivised to achieve

Key results so far

After an extensive engagement programme built on public and community insights, gained through interactive workshops, online survey, and visits to community organisations, the CCG now has a clear understanding of what outcomes matter to those who experience an urgent or unexpected health need and are working with their providers to redesign the service along COBIC lines.

  • "Outcomes-based commissioning is now fundamental to our approach and will maximise health gain for the citizens of England and value for money for taxpayers."
    Everybody Counts: Planning for Patients 2014/15 to 2018/19, NHS England