SUMMARY: COBIC and consortium partners are delighted that Oxfordshire CCG (OCCG), one of the largest Clinical Commissioning Groups in the country, has decided to continue with their plans to develop outcomes based commissioning. With support from an independent Department of Health Gateway Review, the Governing Body passed proposals for the CCG to work with existing providers to develop outcome based contracts for older people’s and mental health services. The CCG will also have the option to revert to open market procurement should dialogue at the point of contract agreement not be successful for roll-out of 2014-15 contracts.
Now, working within the framework of the existing NHS Standard contract, the COBIC commissioning model is helping the CCG develop contracts based on the outcomes that matter most to those receiving care. The move will help the CCG align incentives across the care economy to create an environment where the existing providers must collaborate to deliver better care, and better value for the public – contributing to reducing Oxfordshire’s financial challenge, £6.1m deficit forecast for the end of this year.
Oxfordshire aren’t alone in adopting the COBIC model of contracting, which combines capitation and outcomes based incentives. Elsewhere the movement is gaining widespread support, with CCGs backing prime and alliance models of contracting to change and challenge the commissioner/provider relationship. Along with Oxfordshire, other CCGs leading the way on outcomes based commissioning include Cambridgeshire (Older People), Bedfordshire (Musculoskeletal), Bexley (Musculoskeletal, Cardiac), Herefordshire (Urgent Care), Northumberland (Continuing Healthcare), Croydon (Older People), and Staffordshire CCGs and Macmillan (Cancer & End of Life). The combined value of these contracts exceeds £1.5 billion, covering populations of well over 2 million people.
Dr Nicholas Hicks, COBIC Chief Executive comments,
“Oxfordshire CCG’s decision to continue with COBIC contracts is significant. It was not a decision they took lightly and follows careful and independent scrutiny of the approach in the DH led gateway review. The decision reaffirms the view that the COBIC approach is an important approach through which commissioners can secure better value for taxpayers and better outcomes for service users and their communities. It is an approach that creates the conditions in which ambitious, forward thinking providers who want to be at the forefront of service innovation can reshape their services to meet the needs of 21st century populations.”
Notes to Editors
About COBIC Ltd.
COBIC’s prime focus is to support commissioners to develop and put into practice innovative approaches that reward better outcomes for patients and more efficient use of taxpayers’ money.
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