1. 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

2. 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?

3. Marketing Product Price Place Promotion
Marketing

4. Marketing Knowing your audience

5. Marketing Ready to Go?

6. Activity
Performance
Quality
Capacity
Demand
Value
Data

7. 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

8. 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

9. “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

10. GP
Hospital
AHP
Patient
Integrated Care 10

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