How to bring budgets together to develop coordinated care provision
Published: August 2019
This guide sets out tips, tools and practical examples of how resources can be aligned in a more effective way, enabling health and care areas to provide better person-centred and coordinated care. It covers:
- building trust and anchoring pooled budgets in a shared definition of outcomes
- agreeing joint budgets and risk share between commissioners
- payment models: developing the model with providers
- contracting models: awarding the contract and monitoring impact.
Video introduction
John Britt, Head of Adults Partnership Commissioning & Better Care Fund, Medway, suggests that in an integrated health and care system, we should look at doing things differently to improve efficiency.
The guide is aimed at finance leads and strategic and operational leads across health and care organisations.
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Introduction
Introduction and key messages on bringing budgets together and using them to develop coordinated care
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Building trust
Building trust as a key foundation of bringing budgets together and using them to develop coordinated care
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Pooling budgets
Pooling budgets and agreeing risk share to develop coordinated care
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Payment models
Selecting the payment models when bringing budgets together and using them to develop coordinated care
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Contracting options
Contracting options when bringing budgets together and using them to develop coordinated care provision
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Contributors Open
We would like to thank the following individuals for their contribution to this publication:
Edition 2 (August 2019)
- Dr Steve Boxford, Cordis Bright
- Dr Sam Benghiat, Associate Director, PPL
- Nick Hicks, Chief Executive, Cobic
- Lisa Larsen, Associate Director, PPL
- Carmen Colomina, Practice Development Manager, SCIE
- Shirish Gandhi, Publishing Manager, SCIE
- Iris Steen, Head of Communications, SCIE
Edition 1 (May 2015)
- Paul Carey-Kent, Policy Manager (Health, Social Care & Welfare Reform), CIPFA
- Paul Corrigan CBE, Former Director of Strategy and Commissioning, NHS London Strategic Health Authority
- Dr Jo Farrar, Former Director General, Local Government and Public Services, Ministry of Housing, Communities and Local Government
- Warren Heppolette, Executive Lead, Greater Manchester Health and Social Care Partnership
- Richard Humphries, Assistant Director, Policy, The King’s Fund
- Richard Jones CBE, Trustee, Shared Lives Plus and Action on Hearing Loss, and Former Director, NHS England
- Damon Palmer, Director of Health & Care Transformation, Oxford CCG, and Lead for Health & Social Care Integration, Department of Health
- David Pearson, Corporate Director, Nottinghamshire County Council, and Former President, Association of Directors of Adult Social Services
- Catherine Pollard, Director of Pricing Development & Integrated Care, and Provider Sustainability Solutions, Monitor
- Jake Rollin, Assistant Director, North East Lincolnshire CCG
- Ros Roughton, Former National Director, NHS England
- Lily Tang, Pricing Strategy Lead, NHS Improvement
- Andrew Webster, Director of Public Services and Health, KPMG UK, and Former Director of Integrated Care, Local Government Association
- Rob Whiteman, Chief Executive, CIPFA