The Health and Care Act includes a legal duty for decision-makers across NHS bodies (Foundation Trusts, NHS Trusts, Integrated Care Boards and NHS England) to collectively consider the impact of their decisions on the health and wellbeing of everyone, the quality of healthcare services and the sustainable use of NHS resources.
Stewardship and value-based healthcare provides an opportunity to support health and care systems to meet their Triple Aim duty. This approach empowers systems (and organisations) to deliver the mindset shift, culture and skills required to make healthcare sustainable.
Arden & GEM has extensive experience of supporting places and systems to explore how to develop a value-based approach to delivering health and care services. Our support is unique in bringing together the importance of cultural change, a focus on populations as well as using data to drive improved population outcomes. We have also developed a tool to look at allocative efficiency and value within specific pathways such as MSK, knee pain and stroke.
Our Stewardship and Value-based Healthcare support provides the experience and expertise required achieve the best possible outcomes for individuals and populations while optimising resource utilisation. Our support follows three key stages:
1. Designing workshops
Our workshops are specifically designed to fit with the needs and objectives of the organisation or health system. Each programme is developed to enable NHS professionals to deliver a culture of stewardship via five core tasks:
- Thinking in populations
- Designing in populations
- Working in populations
- Leading for populations
- Optimising personal value.
2. Delivering the sessions
Workshops bring together stewards from systems to understand their envisaged culture and responsibilities. Stewards represent those groups with a responsibility for resource allocation including frontline clinicians from primary, acute and community care, and finance leads.
The sessions are tailored to meet the system’s needs while addressing the core issues. Support is provided to map what is delivered in their system and the cost attached to delivery.
3. Taking stewardship forward
Our experts will assist systems to highlight agreed areas of focus for further workshops where wider stakeholder agreement is needed. We actively seek areas where systems can stabilise, reduce or increase activity dependent upon the value it delivers for patients. Tailored improvement projects will be launched to take forward such as cost improvement initiatives.
By linking key initiatives such as population health management (PHM), clinical stewardship, and a renewed focus on outcomes, our expert support is helping Integrated Care Systems (ICSs) and Partnerships to develop their capability to deliver the Triple Aim.
Why Arden & GEM?
We have worked with ICSs in the NHS Midlands, East of England, and North East and Yorkshire regions to deliver a culture of stewardship and enable equitable care delivery.
Health and care systems have taken forward improvement projects, including cost improvement initiatives, and received continued support in monitoring agreed outcomes through development of new dashboards.
Key outputs have included establishing stewardship groups, development of value frameworks and outcomes measures, and the creation of bespoke dashboards to understand delivery and analyse resource usage across the system.
CASE STUDIES
Arden & GEM is already helping healthcare systems with Stewardship and Value-based Healthcare. Find out more by accessing the resources below.
Developing outcomes and performance dashboards to improve patient care
Arden & GEM worked with MSE services to develop value frameworks and outcomes measures for six key areas of care in which stewardships groups were established.
Midlands Heart Failure Stewardship Programme
Arden & GEM’s Health and Care Transformation team designed and facilitated a workshop programme to enable two ICSs within the Midlands Cardiac Network to adopt and deliver a culture of stewardship.
Delivering a development programme for West Yorkshire ICS clinical and finance leads
To support clinical and finance leaders in applying the Triple Aim duty in their decision-making processes, West Yorkshire ICS commissioned Arden & GEM’s Healthcare Solutions team to deliver a development programme around value and stewardship.
CONTACT US
If you’d like to find out more about our Stewardship and Value-based Healthcare please contact us here: