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The development of a collaborative framework for commissioning health and social care

Kayleigh Nelson, Aimee I. McKinnon, Angela Farr Orcid Logo, Jaynie Rance Orcid Logo, Ceri Phillips

Journal of Integrated Care

Swansea University Authors: Kayleigh Nelson, Angela Farr Orcid Logo, Jaynie Rance Orcid Logo, Ceri Phillips

Abstract

Background: Integrating health and social care is a national priority. This paper presents an evaluation of an approach for collaborative commissioning designed to improve quality and experience and reduce cost within integrated health and social care. The approach, termed CAREMORE®, provides an acr...

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Published in: Journal of Integrated Care
ISSN: 1476-9018
Published: 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa39898
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spelling 2019-03-19T14:31:51.4878294 v2 39898 2018-05-03 The development of a collaborative framework for commissioning health and social care f7e007fab4db7c9cd21cd4a9ddf4eeb6 Kayleigh Nelson Kayleigh Nelson true false ab00dbaa888f32b41b07ef223d0e2987 0000-0002-2087-9310 Angela Farr Angela Farr true false 14360f4993b452995fbc22db857cabf7 0000-0002-9504-0675 Jaynie Rance Jaynie Rance true false 932c7a406ab4b6e4a881d422ca03c289 Ceri Phillips Ceri Phillips true false 2018-05-03 Background: Integrating health and social care is a national priority. This paper presents an evaluation of an approach for collaborative commissioning designed to improve quality and experience and reduce cost within integrated health and social care. The approach, termed CAREMORE®, provides an acronym for the seven components considered essential for effective planning and commissioning of services. Methods: We used a multi-method approach using qualitative interviews, documentary analysis and non-participant observation. The data gathered are explored using thematic analysis, combining deductive and inductive analysis methods. Findings: Our study provides evidence that CAREMORE® has the means to effectively facilitate a collaborative approach to developing services through its requirement for key stakeholders with relevant knowledge to come together in the co-production of a legally binding Framework Agreement for the commissioning health and social care services. Beyond offering an assessment of the relative success or otherwise of CAREMORE, we also draw out general lessons relevant to the wider implementation of this commissioning method within NHS Wales. Conclusions: This research presents an innovative method for collaborative commissioning and reveals activities that appear to contribute to more effective commissioning processes. The findings suggest that CAREMORE® provides a suitable framework for the collaborative commissioning of integrated health and social care, and that further research is now needed to provide a definitive evaluation of its’ value outside of Wales. Journal Article Journal of Integrated Care 1476-9018 Commissioning of care services; Health and social care; Integrated care; Multidisciplinary teamwork; NHS; Organisational development. 28 6 2018 2018-06-28 10.1108/JICA-01-2018-0001 COLLEGE NANME COLLEGE CODE Swansea University 2019-03-19T14:31:51.4878294 2018-05-03T11:49:47.4901955 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Kayleigh Nelson 1 Aimee I. McKinnon 2 Angela Farr 0000-0002-2087-9310 3 Jaynie Rance 0000-0002-9504-0675 4 Ceri Phillips 5 0039898-03052018161053.pdf TheDevelopmentofaCollaborativeFrameworkforCommissioningHealthandSocialCare.RIS(1).pdf 2018-05-03T16:10:53.6470000 Output 111709 application/pdf Accepted Manuscript true 2018-06-28T00:00:00.0000000 true eng
title The development of a collaborative framework for commissioning health and social care
spellingShingle The development of a collaborative framework for commissioning health and social care
Kayleigh Nelson
Angela Farr
Jaynie Rance
Ceri Phillips
title_short The development of a collaborative framework for commissioning health and social care
title_full The development of a collaborative framework for commissioning health and social care
title_fullStr The development of a collaborative framework for commissioning health and social care
title_full_unstemmed The development of a collaborative framework for commissioning health and social care
title_sort The development of a collaborative framework for commissioning health and social care
author_id_str_mv f7e007fab4db7c9cd21cd4a9ddf4eeb6
ab00dbaa888f32b41b07ef223d0e2987
14360f4993b452995fbc22db857cabf7
932c7a406ab4b6e4a881d422ca03c289
author_id_fullname_str_mv f7e007fab4db7c9cd21cd4a9ddf4eeb6_***_Kayleigh Nelson
ab00dbaa888f32b41b07ef223d0e2987_***_Angela Farr
14360f4993b452995fbc22db857cabf7_***_Jaynie Rance
932c7a406ab4b6e4a881d422ca03c289_***_Ceri Phillips
author Kayleigh Nelson
Angela Farr
Jaynie Rance
Ceri Phillips
author2 Kayleigh Nelson
Aimee I. McKinnon
Angela Farr
Jaynie Rance
Ceri Phillips
format Journal article
container_title Journal of Integrated Care
publishDate 2018
institution Swansea University
issn 1476-9018
doi_str_mv 10.1108/JICA-01-2018-0001
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Background: Integrating health and social care is a national priority. This paper presents an evaluation of an approach for collaborative commissioning designed to improve quality and experience and reduce cost within integrated health and social care. The approach, termed CAREMORE®, provides an acronym for the seven components considered essential for effective planning and commissioning of services. Methods: We used a multi-method approach using qualitative interviews, documentary analysis and non-participant observation. The data gathered are explored using thematic analysis, combining deductive and inductive analysis methods. Findings: Our study provides evidence that CAREMORE® has the means to effectively facilitate a collaborative approach to developing services through its requirement for key stakeholders with relevant knowledge to come together in the co-production of a legally binding Framework Agreement for the commissioning health and social care services. Beyond offering an assessment of the relative success or otherwise of CAREMORE, we also draw out general lessons relevant to the wider implementation of this commissioning method within NHS Wales. Conclusions: This research presents an innovative method for collaborative commissioning and reveals activities that appear to contribute to more effective commissioning processes. The findings suggest that CAREMORE® provides a suitable framework for the collaborative commissioning of integrated health and social care, and that further research is now needed to provide a definitive evaluation of its’ value outside of Wales.
published_date 2018-06-28T03:50:45Z
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