8 some providers have developed a menu based approach

  • No School
  • AA 1
  • 24

This preview shows page 15 - 17 out of 24 pages.

8 Some providers have developed a menu-based approach whereby there is a core package of care offered to all service users, and other interventions are linked to a person’s diagnosis and their individual preferences. 9 In designing care packages it is good practice for commissioners and providers to involve experts-by-experience, carer groups and GPs. The Industry and Mental Health Services Collaborative (IMHSeC) website 10 provides a useful resource for developing care packages. Publications from the Joint Commissioning Panel for Mental Health can help to inform commissioners about the principles for effective commissioning of mental health services. 11 The quality of costing is very important. NHS Improvement ’s costing transformation programme will mandate the use of new costing standards, including mental health providers, to deliver a step change in the quality and use of patient-level costing information. 12 In the meantime, use of the Healthcare Financial Management Association ’s (HFMA) mental health clinical costing standards 13 is recommended, as they reflect current best practice. 2.5 Agree a gain/loss sharing approach Gain and loss sharing mechanisms help support provider sustainability while services undergo redesign. They can also help local health economies align the 7 8 9 If provision of care will be changed, there are likely to be consultation/engagement obligations with service users under Section 14Z2 and Section 242 of the NHS Act 2006. In addition, in some cases commissioners may need to consider whether the requirement for an equality impact assessment is met, particularly where there are likely to be service delivery changes that will affect different patient groups in different ways. 10 11 12 13
Image of page 15
16 incentives of individual organisations and systems, and allocate risk associated with service changes. Gain and loss sharing is the sharing of savings (gains) or overspends (losses) generated through lower or higher than expected utilisation of services covered by the episodic payment approach. Providers and commissioners should agree gain and loss sharing arrangements as part of this payment approach. Gain and loss sharing mechanisms can be agreed between one or multiple providers and commissioners. 14 When developing a gain and loss sharing mechanism, a number of design elements should be considered.
Image of page 16
Image of page 17

You've reached the end of your free preview.

Want to read all 24 pages?

  • Fall '19
  • mental health, Health care provider, National Health Service

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes
A+ icon
Ask Expert Tutors