How can we get to outcomes based commissioning?

We published Key to Care: The Report of the Burstow Commission on the Future of the Home Care Workforce in December 2014. Just before Christmas we summarised how well things had gone in terms of achieving our recommendations. (Spoiler alert: not so good.)

One of our key recommendations was around outcomes based commissioning. We wanted to explore a little more about why outcomes based commissioning remains an aspiration rather than a reality. Our suspicions are that time and task, is driven by the fact that only time of visit in home care is relatively easy to monitor. This is supported by a survey we carried out in late 2015. Real time outcomes monitoring, building up a day-by-day picture of how people’s needs are changing and whether their outcomes are being achieved hasn’t been possible.

We are now working with a service designer and tech and information consultancy to design and deliver a tool which helps build up the picture on outcomes and needs in real time. With this information, commissioners will be able to focus on outcomes and needs, rather than task and time.

On 8 March, we’re hosting a round table event to explore the barriers to implementing outcomes based commissioning and how some councils are overcoming them. We will also be introducing CoCare, the tech we’ve been working on. The event is invitation only, but contact me at to find out more or to enquire about a place.

CoCare in use

    1. Pearl Baker says:

      Better outcomes can only be achieved by having a ‘uniformed’ health and social care system. All agencies using the same ‘tools’ is the only way forward. This idea that LA can choose Care based on ‘population and ‘demography’ is a non starter. The CQC have only one ‘Constitution’. The ‘MONITOR’ has a Constitution as well, although he is supposed to work in partnership with the CQC it’s rather ‘messy’ as he hold the ‘purse strings’, At the end of this Parliament all LA will hold onto all revenues generated from Rates. This is when the problems will start as the smaller authorities, based in rural areas will require more cash to support their clients, at the same time their Income from rates will fall.
      In my area large Companies are moving out to other towns and cities, reducing the LA Income, how can the proposed system ever work.

      1. Ingrid Koehler says:

        I don’t agree. I don’t think we need a uniform system and I think we’d lose a lot the wider determinants of good quality social care if local government wasn’t involved. I’m really unconvinced about the NHS’s ability to deal well with prevention and rehabilitation, since they are often (perhaps rightly) focused on acute needs.

        I’m also unconvinced about everyone needing to use the same tools. Monolithic IT projects can be disastrous.

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