Enfield CCG Integrated MSK Service

The challenge

We helped Enfield CCG create an outcomes based commissioning model for their Integrated MSK Service. Enfield CCG conducted an initial review of their Musculoskeletal Services (MSK) which identified that the existing care model had multiple entry points, duplication of services and imprecise referral thresholds. The CCG needed to improve the consistency of triage and reporting. Building on multiple stakeholder events they decided to use an outcome-based commissioning (OBC) approach to resolve these issues. Enfield sought expert support to further develop their financial and commissioning model used for their project initiation document, and also to assist with defining the business case for change, intended outcomes and clinical specification for the final business case document, while setting the foundation for the procurement process.