What is ‘Moving Together’?

It’s a new way of planning and buying musculoskeletal (MSK) care. We are looking to build services around what patients need and value to make sure that the best care is offered. At the heart of Moving Together is recognising what matters most to patients, whether that is their outcomes, experiences or how their care is provided. The service will innovate in several ways including:

• Make sure MSK services are set up to provide the outcomes that patients want and can help to measure.
• Joined up services where patients are seen by professionals that are best able to provide their care.
• A change to the way that these services are paid for by the NHS, moving away from paying for the amount of patients seen towards paying for when outcomes have been delivered.

This is a big change and will need patients and clinicians to work together to achieve.

 

What services does this affect?

This will be applied to all ‘non-emergency’ Musculoskeletal (MSK) adult services bought by Sheffield Clinical Commissioning Group (CCG) (e.g. non-emergency orthopaedics, rheumatology, MSK physiotherapy, chronic pain, podiatry & sport & physical activity medicine). These services provide around £40 million worth of care per year.

Why are we doing this?

Sheffield CCG feels this will help to give the best quality care as the demand for these services rises. Value (defined as patient outcome divided by cost) in health care is becoming more important as changes in technology, lifespan and the expectations of society place more pressures on the NHS.

Who will do it?

After a robust decision making process, Sheffield CCG has agreed to work in partnership with Sheffield Teaching Hospital Foundation Trust (STH) as the ‘prime provider’. The contract will run for 5 years from April 2015.

Who will decide what the outcomes are?

Between April and September 2014 there will be a lot of work talking to key stakeholders and the wider public to decide the most important outcomes. These outcomes will not be set in stone and may be changed as we go along to make sure they are working well for patients. The outcomes will also be open to scrutiny by patients and the public to make sure they are being met and that they are still what matter most to the people of Sheffield.

What will be the features of such an approach?

• Quality – Early diagnosis with services working together as needed.
• Patient centred- Clinicians and patients making decisions together. Clear information that helps patients.
• Holistic - Built around what matters most to patients and their community.
• Prevention- Make the most of physical activity to improve health & help to make these conditions easier to live with.
• Active - Support patients to take charge of their own health.
• Innovation – Make best use of new technology, treatments and ways of doing things.