Nina White Commissioning and Redesign Lead Shropshire PCT/CCG 19.03.13 How do you see physiotherapy now and where do we need to be? A commissioner’s perspective Nina White Commissioning and Redesign Lead Shropshire PCT/CCG 19.03.13

How do you see physiotherapy now and where do we need to be? Marketing Data Outcomes Integrated care Key actions How do you see physiotherapy now and where do we need to be?

Marketing Product Price Place Promotion http://www.csp.org.uk/professional-union/practice/your-business/overview-marketing Marketing

Marketing Knowing your audience

Marketing Ready to Go?

Activity Performance Quality Capacity Demand Value Data

Clinical effectiveness Clinical outcomes e.g EQ5DL and specialty specific measures Process measures Balancing metrics NHS outcomes Framework: Outcome domains Quality domains 1. Preventing premature death Clinical effectiveness 2.Enhance quality of life for people with long-term conditions   3.Helping recovery form ill-helath and injury 4. Ensuring a positive experience of care Patient experience 5.Treatment in a caring environment and protection from avoidable harm Safety Outcomes

Outcomes Quality Standards Quality Requirement Threshold Method of Measurement Consequence of breach Improved mobility and independence for patients More than 50% (from a minimum sample of 35%) of patients reporting improved mobility as a result of podiatric treatment 50% Podiatry Health Questionnaire – Response to Walking/Getting About question   Completed by the patient/carer prior to treatment and two weeks after treatment Review Corrective Action Plan Disqualification if fail to implement Corrective Action Plan and/or consistently fail to meet/exceed the target Reduced foot pain More than 50% (from a minimum sample of 35%) of patients reporting reduced pain using the 11 point Visual Analogue (VAS) Scale Podiatry Health Questionnaire – Response to Foot Pain question Improved foot health More than 70% of patients show an improvement in their foot health after treatment 70% Podiatry Objective Clinical Score (POCS) Objective score given by the podiatrist to reflect their judgement of the patient’s foot health Outcomes Quality Standards CEQUIN associated with the aboeve quality standard:Patient Reported Outcome Measure Increasing the sample size for improved mobility from 35% of patients to 50% 25%    Effectiveness

“The organisation and management of health services so that people get the care they need, when they need it, in ways that are user friendly, achieve the desired results and provide value for money.” World Health Organisation Community Hospital GP Patient Integrated Care

GP Hospital AHP Patient Integrated Care 10

Key actions Every contact counts Planning and preparation Horizon scanning Engagement Leadership Key actions