NSW Health groups are working together and with partners to embed new ways of delivering care. Integrated Care works closely with their partners to integrate services, systems and improve experience and outcomes for patients, their families and carers.
There are 31 primary health networks who have been established to lead improvements to the quality and delivery of primary health care.
Primary health networks will align with local hospital networks to drive efficiencies and better direct health funding to the delivery of frontline health care services. In NSW, ten primary health networks align to twelve local health districts. See the boundary maps
To deliver truly integrated care requires a strong collaborative partnership between primary health networks and local health districts, to collectively improve the health and wellbeing for the local community.Integrated care supports a strong collaboration approach for primary health networks and local health districts to work in partnership on improving the health and wellbeing for the local community. The Ministry of Health provides ongoing support through a collaborative governance model to lead on a range of key activities that support local engagement and integration.
Commonwealth primary health networks aim to:
- increase the efficiency and effectiveness of health services for patients, particularly those at risk of poor health outcomes
- improve coordination of care to ensure patients receive the right care, in the right place, at the right time.
In order to achieve these objectives, primary health networks have committed to aligning to state local health districts in order to improve frontline service delivery. Both local health districts and primary health networks aim to improve frontline service delivery by working to integrate primary, community and secondary sectors for the benefit of patients. As such, it is important for NSW Health to keep primary health networks and the Commonwealth up to date on our on-going integrated care initiatives and their findings.
Leading Better Value Care
Leading Better Value Care (LBVC) is one of the programs that is accelerating value based healthcare in NSW. It involves clinicians, networks and organisations working together on high-impact initiatives to improve outcomes and experiences for people with specific conditions. NSW Health has identified and scaled 13 evidence-based models or standards of care.
Commissioning for Better Value
Commissioning for Better Value (CBV) is one of the state-wide programs accelerating the move to value based healthcare in NSW. Commissioning for Better Value outcomes involves review and evaluate, analyse service needs, implement service and design service.
In NSW Health, commissioning involves:
- analysing service needs and identifying desired outcomes
- designing evidence-based service models
- implementing the selected service model
- reviewing and evaluating outcomes for continuous improvement.
- shifting the focus from outputs to outcomes.
Outputs are designed around the amount of activity being provided, whereas outcomes focus on the person receiving the service. CBV provides a structure that puts the patient at the centre of service design, with a focus on measuring and achieving outcomes. Providing services that deliver improved outcomes for patients, clinicians and other end-users drives value within the health system.
Collaborative Commissioning involves patient centred co-commissioning groups identifying and prioritising local health needs and developing care pathways to improve patient and community outcomes. It aims to address the gaps in patient care and embed local accountability to ensure care is truly integrated for patients.
The Collaborative Commissioning program has five guiding principles:
- an evidence based focus on local need and priorities for patients
- collaboration to improve care and outcomes for patients
- joint accountability across providers and organisations
- flexible purchasing and provider arrangements
- sustainability through re-alignment of existing resources
Lumos is a state-wide GP data linkage initiative linking data across primary, ambulatory and acute care. Data collected from GPs will be linked to patients enrolled in IC initiatives. Lumos is currently partnered with 10 PHNs across 40 practices with around 400,000 patient journeys currently in the Lumos database. There will be two data extractions per year, which will provide end-to-end patient journeys.
Lumos is an ethically approved program that securely links encoded data from general practices to other health data in NSW, including hospital and emergency department, with privacy of patients securely maintained.