West Hampshire CCG was one of seven Early Implementer (EI) sites of the Year of Care project. The project had two key aims:
To develop and deliver a new national currency to support integration, based on a risk adjusted, capitated funding model covering a twelve-month period of care for patients; and
To develop, test and refine a new model of commissioning and contracting which will encourage providers to deliver integrated care for patients.
The data was used to support local implementation of the Year of Care currency by helping understand the local selection methods, financial risks and information/financial processes that are required (including setting a capitated budget for the Year of Care patient cohort). The analysis also helped the health economy understand the services and workforce needs for a patient group with complex health and social care needs. It was also used to test national assumptions and criteria. These include testing: the selection methods for patients; the types of activity that are suitable for inclusion in a Year of Care currency; how patients move into and out of a Year of Care currency; and whether a Year of Care currency places undue financial risk on Commissioners or Providers.
A linked and costed dataset across healthcare allowed the identification of scale of patients that would be suitable for a new currency and how their costs varied across a financial year. Using the primary care diagnoses it was possible to identify specific tariffs based on a combination or a number of long term conditions.