plus
Home > Case Study > Dudley Multispecialty Community Provider – supporting transformational change

Dudley Multispecialty Community Provider – supporting transformational change

 

Our analysis and work to track progress in transforming Dudley’s care model helped the system to identify and focus on areas for improvement, bolstering the case for change and informing development of the clinical model.

Background
Dudley Clinical Commissioning Group (CCG) obtained Vanguard status to develop and test the Multispecialty Community Provider (MCP) model within the New Care Models programme. The CCG established a partnership with our Strategy Unit, which was to provide the specialist skills required (instigating innovations and bringing investment as well as providing specific services).

Action
Our wide-ranging support acted at the strategic/system level and the operational/service level, covering both ‘technical’ and ‘social’ elements of change. It included:

  • research, evaluation and learning to track progress in transforming Dudley’s care model
  • support to primary care in entering the procurement of the MCP. We organised primary care to define needs, select partners and pass the first stage of this large-scale procurement. We advised on organisational form, governance, leadership development, clinical modelling and pathway optimisation
  • technical support on contract and payment reform: including advice on outcome measures and assumptions on activity growth for the multi-billion MCP contract, payment models and the construction of contractual risk-gain share arrangements within Dudley’s system
  • complex analytics linking pseudonymised health and social care data, showing scope for efficiency through integration and pathway optimisation
  • scenario planning to engage stakeholders from across the Dudley system. We also supported public communications and engagement, improving the care model using their insights.
  • supporting the Partnership Board
  • service improvement and change management in primary care to build an ‘at scale’ offer.

Impact

Our analysis and work to track progress in transforming Dudley’s care model helped the system to identify and focus on areas for improvement, bolstering the case for change and informing development of the clinical model. This work was highly regarded nationally (cited by Sir Bruce Keogh and others). It also added evaluative discipline to the process of innovation: providing evidence for decisions to scale up the most valuable innovations – especially in the use of new roles and skills within the workforce.

Our ‘Enabling Practices to Improve and Change’ programme improved processes, built collaboration between practices and wider services and community assets, released GP time and showed a return on investment of 3:1.

Scenario planning highlighted the importance of changing the relationship with the population helping to increase the focus on this vital element of change.

Feedback was uniformly positive. Projects received top marks in satisfaction surveys; people we worked with valued our support.

Lessons from our work in Dudley have wide applicability and have also informed our transformational change services, ensuring that our support is based on experiences and evidence from a leading Vanguard. We have created a microsite, https://www.strategyunitwm.nhs.uk/dudley-mcp, to disseminate the insights gained.

“I would have genuinely been lost without the clarity and insight that working with the Strategy Unit has given to us. You are remarkable in terms of your ability to connect with the topic and strategically create solutions and options to move us forwards.”
Laura Broster, Director of Communications and Public Insight, Dudley Clinical Commissioning Group

Get in touch

Kingston House

438-450 High Street
West Bromwich
West Midlands
B70 9LD

0300 404 2999
  • Heron House
  • Springfields Health & Wellbeing Centre

Midlands and Lancashire CSU
120 Grove Road
Stoke on Trent
ST4 4LX

0300 404 2999

Midlands and Lancashire CSU
1st Floor
Lovett Court
Rugeley
WS15 2QD

0300 404 2999
Jubilee House

Midlands and Lancashire CSU
Lancashire Business Park
Leyland
Lancashire
PR26 6TR

01772 214200
Liverpool Innovation Park

Office 2
2nd Floor
Building 2
Liverpool Innovation Park
360 Edge Lane
L7 9NJ

0151 295 8612/8619
  • 1829 Building, Chester
  • Old Market House
  • Clark House

1829 Building
Countess of Chester Health Park
Liverpool Road

01244 650 351

Hamilton Street
Birkenhead
Merseyside
CH41 5AL

0151 514 2335 EXT 1487

Hulley Road
Macclesfiled
Cheshire
SK10 2LU

01606 544 791
Cardinal Square

3rd Floor North Point,
10 Nottingham Road,
Derby DE1 3QT
East Midlands

01332 868700
St Johns House

St Johns House
30 East Street
Leicester
Leicestershire
LE1 6NB
United Kingdom

0121 611 0100
map