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The development of a collaborative framework for commissioning health and social care
Journal of Integrated Care
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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...
|Published in:||Journal of Integrated Care|
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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.
Commissioning of care services; Health and social care; Integrated care; Multidisciplinary teamwork; NHS; Organisational development.
College of Human and Health Sciences