Production Methodology

CAREMORE® is a collaborative commissioning method, originally created following an award winning NHS Wales Invest to Save Collaborative Project for Commissioning Mental Health & Learning Disability Hospital services. EASC then sponsored the use of CAREMORE® at its inaugural meeting in April 2014 to enact the then Health Minister’s expectations to establish a commissioning model (of which one was not in existence within NHS Wales) between Health Boards via EASC and WAST following the Ambulance Strategic Services (McClelland) Review, 2013.

Swansea University were commissioned to undertake an independent evaluation of the utility of CAREMORE® and the findings of this evaluation have been subject to rigorous peer-review. This process ensures that CAREMORE® is viewed as an approach which is backed by good scientific research and the evaluation will be shortly be published in the Journal of Integrated Care. Beyond a bespoke introduction, the sections of a Framework Agreement represent components of CAREMORE® as follows:

Care standard: an evidenced set of care standards for emergency department services to ensure that the right expectations are defined for quality and safety.

Activity: an accurate description of the activities within emergency departments to ensure that the right capacity is available to meet the right demand.

Resource Envelope: a comprehensive description of the assets which may be utilised and affected with the ambition of making the best use of all existing resources.

Model of care: a common high level model of care for emergency departments to ensure that people can access the right staff, at the right place, at the right time Operational arrangements The establishment of robust local mechanisms to ensure effective delivery with the right interaction between patients, professionals and organisations Review of performance An agreed system of performance measurement to ensure the right monitoring and management to deliver continuous improvement.

Operational Arrangements: The establishment of robust local mechanisms to ensure effective delivery with the right interaction between the public, professionals and organisations.

Review of Performance: An agreed system of performance measurements to ensure the right monitoring and management to deliver continuous improvement.

Evaluation: an agreed set methods and criteria for judging the achievement of the right patient outcomes, from the right patient experience, at the right cost.

CAREMORE® has been evaluated as an approach for collaborative commissioning designed to improve quality and experience and reduce cost within integrated health and social care as published in the Journal of Integrated Care