An Outcome Based Contract for Diabetes Care in Liverpool

Recommendation for Liverpool Clinical Commissioning Group (CCG)

Health Solutions | Economic & Financial Consulting

May 27, 2014

To improve patient outcomes and address the challenge of rising demand for healthcare services, Liverpool Clinical Commissioning Group (CCG) is keen to develop a more value-based commissioning strategy. As part of this, FTI Consulting was asked by the CCG to design an outcomes-based contract for diabetes care in Liverpool. This was intended as a ‘proof of concept’ exercise to explore how outcomes-based contracting might work in Liverpool. This report details our proposed design for the outcomes-based contract and documents the process we followed to arrive at those proposals.

This is the first time outcomes-based contracting has been used to commission NHS services in Liverpool, and the issues involved were largely new to all contracting parties. Developing recommendations for the contract therefore required collaborative work with Liverpool CCG and providers to explore possible solutions.

We facilitated three major workshops and engaged informally with stakeholders throughout the process to discuss issues and receive feedback on our emerging recommendations. This engagement allowed us to ensure our recommendations were robust, and that the parties to the contract developed a common understanding of its principles.


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