Briefings
NHS clinical utilisation – what’s that?
Can we really ensure patients are always treated in the right place at the right time?
Everybody knows that healthcare generates massive amounts of information. Activity figures; waiting times; financial reporting; clinical outcomes; or patient satisfaction scores all have something to say, but with so many demands on our attention the story can seem confused.
Our analysts are experts at filtering out the noise and telling the story clearly. We help NHS and Independent Sector commissioners and providers to understand the data available to them and use it to drive real improvements to the services they provide.
Issues we help our clients better understand include:
How well are services performing? Where are there opportunities to improve?
We help hospitals, integrated care systems and commissioners identify best practice and where there is room to do better. Our skills and experience across clinical coding, casemix and clinical care means we are able to understand whether benchmarks are meaningful and open up a positive discussion that really makes a difference.
How well are services performing?
Where are there opportunities to improve?
We help hospitals, integrated care systems and commissioners identify best practice and where there is room to do better. Our skills and experience across clinical coding, casemix and clinical care means we are able to understand whether benchmarks are meaningful and open up a positive discussion that really makes a difference.
How is demand for services changing? What resources are needed and where?
We work with local health economies to create detailed, evidence-based forecasts. Our clinical expertise means we can back up off-site desktop modelling with on-the-ground studies, including clinical utilisation reviews - showing how facilities and capacity used more effectively.
How is demand for services changing?
What resources are needed and where?
We work with local health economies to create detailed, evidence-based forecasts. Our clinical expertise means we can back up off-site desktop modelling with on-the-ground studies, including clinical utilisation reviews - showing how facilities and capacity used more effectively.
Are the right charges being made? Has activity really become more complex?
We work with health insurers and NHS commissioners, including NHS England and local CCGs, to validate hospital payments. We have developed proven, sophisticated models to unpick casemix, covering issues including HRG composition, ambulatory care, short-stay admissions and private pathology services. Our experience includes NHS contract challenges, Expert Determination reviews and insurer / independent sector contract negotiations.
Are the right charges being made?
Has activity really become more complex?
We work with health insurers and NHS commissioners, including NHS England and local CCGs, to validate hospital payments. We have developed proven, sophisticated models to unpick casemix, covering issues including HRG composition, ambulatory care, short-stay admissions and private pathology services. Our experience includes NHS contract challenges, Expert Determination reviews and insurer / independent sector contract negotiations.
Can we really ensure patients are always treated in the right place at the right time?
Jason Nerval, Associate Director at Monmouth, discusses how to support the NHS to establish integrated care systems (ICS) over the next six months.
Andrew Lawrence, Managing Director at Monmouth Partners, explores three key challenges for the NHS as it transitions tentatively into a recovery phase from Covid-19.
Covid-19 has forced clinical coding to rapidly ‘go-remote’ but this is not the only change – there’s a shift to block contracts and the impending demise of PbR. The demand for transparency and insight mean high-quality clinical coding is more important now than ever.