Teams and incentives: An evaluation of new models of care in Dudley

Dudley Clinical Commissioning Group (CCG) is leading a local partnership of organisations which has been selected as a Multispeciality Community Provider Vanguard within the NHS England New Models of Care Programme.

The Dudley Vanguard aims to develop a network of integrated, GP-led providers across health and social care, each working at a level of 60,000 people, reaching a total population of around 318,000 across Dudley. This system will see the frontline of care working as “teams without walls” for the benefit of patients, taking shared mutual responsibility for delivering shared outcomes. To incentivise and support general practices to adopt this new approach Dudley CCG has developed a new payments framework that will provide a local alternative to the national Quality and Outcomes Framework (QOF).  This framework seeks to simplify and rationalise the incentives, increase the focus on care planning for people with long term conditions (LTCs) and include outcome measures that are the shared responsibility of primary and secondary care.

HSMC is working with the Strategy Unit and ICF International to undertake an evaluation of the new model of care in Dudley. This mixed methods, theory based evaluation will provide formative feedback as the programme develops and also draw out learning for other systems seeking to strengthen integration within primary care.


May 2016 - April 2017


Dr Robin Miller is leading from HSMC.


The evaluation has produced the following documents:


Dudley Clinical Commissioning Group.