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Thank you to Kate Pym of MiHomecare, Max Wurr of City & County Healthcare and a large number of participants that made the webinar on June 12 2014 such a success. A few highlights are set out below.
In the introduction, Ingolv Urnes of psHEALTH makes the point that health and care delivered in the home is subject to three forces that will have significant impact on providers: (i) new technology, particularly mobile devices, becoming more accessible, (ii) commissioners increasingly looking to procure outcomes, not just hours, and (iii) continued cost pressure across the board.
Max Wurr of City & County points out in his contribution that although outcomes-commissioning has been around for a good 10 years, there has been little practical change as funding has been (and continues to be) a major challenge. The funding challenge is also highlighted in a shift in outcomes definition which Max has seen move from softer, service user-oriented outcomes to outcomes that focus on hard cost savings.
Kate Pym of MiHomecare focuses on the emerging joint health and social care commissioning in her contribution. In her view, joint commissioning has principally been led by social care and it has been pretty incremental – like “dipping the toe in the water”. 
In the future, when the health-side is expected to become a bigger driver of joint commissioning, Kate predicts that this will not be dipping the toe in the water but “more like an entire village”. A typical CCG may cover 150,000 to 200,000 people. In Kate’s view, key to future success is a prime contractor model and the cooperation with a number of large and small providers.
Click here to see a recording of the webinar.