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The place-based approach offers new opportunities to help meet the challenges facing the NHS.
Healthcare professionals are essential to the commissioning and delivery of integrated services for individuals, communities and populations based on the NHS RightCare approach:
- the value that the patient derives from their own care and treatment
- the value the whole population derives from the investment in their healthcare
Local government has been leading the place-based agenda using influence to promote the general wellbeing of communities and citizens.
1. Creating a better care system
Steps to better health, wellbeing and care can be driven by a place-based approach through integrated commissioning systems with devolved pooled budgets, participatory budgeting and agreed shared outcomes.
Individual institutions are encouraged to supplement planning with planning by place for local populations.
2. Integration of services
The sustainability and transformation partnership (STP) initiative was first proposed in 2015, to support the implementation of the Five Year Forward View. These partnerships were created between the NHS and local councils to develop proposals to improve health and care across England.
STPs are now evolving to become accountable care systems (ACSs) with the expectation that they may become accountable care organisations (ACOs) in the future. The idea behind these systems and organisations is to ally collaborative providers to meet the needs of their defined population. Providers use the budget allocated under their Commissioner and must deliver a range of services and required outcomes, with the overall aim of improving the broader health and wellbeing of the local population. For more information on STPs, ACSs and ACOs:
- the King’s Fund ACOs explained
- NHS’s next steps on the Five Year Forward View
Success depends on having an open, engaging, and iterative process. It will bring together the work of:
- local community partners including the independent and voluntary sectors
- local government through health and wellbeing boards