Three factors were vital to the success of Alzira: long-term contracts of at least 15 years duration; capitated budgets and aligned incentives for primary care practitioners. In the UK things are a little more complex. We’re moving to captitated budgets but the Five Year Forward View does not commit to long-term contracts, so it’s not as easy for organisations that might be investing in integration now and making savings, to be the long-term beneficiaries. Workforce flexibilities are not as well developed here. Some Vanguard sites […]

Capitation and integrating healthcare

The CQC “state of care” report was published yesterday. What we’ve found: unacceptable variation in quality The CQC’s tougher approach to inspecting care services using more rigorous, expert-led inspections are starting to give a deeper understanding of the quality of health and social care than ever before. The CQC says that it “found many examples of good and outstanding care. But we’ve also found wide variation in quality. There are big differences in the quality of care that people experience from different providers, in different […]

State of Care 2013-14 – CQC – “Unacceptable variations in quality”