The right time for change
Having undertaken background work, Northumberland Clinical Commissioning Group initiated a review of musculoskeletal services and the possible routes to enable significant improvement to these services.
Northumberland CCG asked COBIC to review the current services, identify the potential commissioning models and ascertain the time, resources and costs a programme like this might entail. Through COBIC, Northumberland CCG had access to a range of specialists, including commercial and medical expertise, which enabled a robust and clinically sound analysis of the data.
- Analysis on spend and outcomes to assess what would be required to implemented a full COBIC programme of delivery in the future.
- National and local best practice was assessed to benchmark Northumberland, using a variety of sources and methods.
- Relevant national and international evidence was used to identify how a new approach to commissioning MSK services could deliver the improvements that Northumberland CCG were looking to achieve.
- Understanding the appetite for change. Qualitative data was collected through interviews, stakeholder events and evidence of change in other service areas to understand the issues facing MSK services.
As part of this data analysis, it was essential that generic health gains were taken into account particularly when, as acknowledged in the feedback that was received, the population is ageing and there is a larger demographic of older people with more co-morbidities. Commissioning for outcomes encourages commissioners to incentivise providers to develop services that better meet the outcomes that patients want and need, and consider the value of interventions to overall health gain rather than a specific condition is central to this.