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Working in partnership with MLCSU to improve continuing healthcare (CHC) commissioning

11 October 2021

Commissioning technology with managed services: Improving continuing healthcare commissioning in a complex and wide health system

Working in partnership to build a better approach for continuing healthcare

Together, MLCSU and adam are your NHS partners for improving health and integrating care, helping you achieve significant improvements:

  • Improved patient outcomes
  • Faster, more efficient processes (time and administration costs reduced)
  • Better quality care and experience for patients, their families and carers
  • More effective patient pathways
  • Signicant financial savings for CCGs
  • Better access to, and control of, provider market

MLCSU – Your NHS partner for improving health and integrating care

  • Of the NHS, for the NHS – we focus on creating value
  • Our margin is invested in new NHS efficiency, innovation and excellence
  • Supporting customers with a total healthcare spend of £13.5billion
  • Our services support 50+ clinical commissioning groups, covering one quarter of England’s population
  • 1,600+ experienced professionals
  • Formal collaboration with England’s other four CSUs gives nationwide reach and scale

adam – enabling improved individual wellbeing

  • Agile, innovative, technology and managed service provider for the public sector
  • Clients include 27 clinical commissioning groups and 25 local authorities
  • Upwards of £1bn of public sector spending now managed using adam platform
  • GB Care Awards winner (Innovation in Care), ‘Cool Vendor’ rating by Gartner, members of NHSE SIP Commissioning programme

A partnership proven to help commissioners and leadership manage the complexities of the sector

  • NHS Long Term Plan
  • Increases in CHC spending
  • Stretched staff and patient waiting times
  • Provider market instability
  • Pressures to drive ever more effective commissioning and case management

​The solution


  • Faster assessment - and placement process - for patients
  • Measurable financial savings
  • Smooth, 100% payment accuracy and consistent terms, for providers
  • Integrated billing and payment processes

Provider markets

  • In-built market management capability: helps drive better quality, more personalised care from providers
  • Sophisticated matching and provider quality tools to evaluate available provider options
  • Accurate commissioning and whole-of-market access
  • Multi-agency access 24/7/365

Patient wellbeing

  • Scheduled reviews and feedback mechanisms for patient health and wellbeing tracking
  • Enforcement of policy and audit trail of all activity, including eligibility decisions
  • Template-driven care-planning tools
  • Online checklist and assessment process Innovation


Nurse comforting patient


Elderly man smiling


  • Data validation and user wizards to ensure accurate data capture
  • Seamlessly integrated technology modules
  • Workflow management tools

Greater insights

  • Real-time reporting and data analysis
  • Technology tools to understand market capacity and specialisms
  • Patient platform allows patient / family access to the CHC process
  • Online collaboration for MDTs
  • Accurate patient profiles to better understand needs and outcomes for individuals and patient groups
  • Information sharing and insight available wherever staff are and, across the wider care system

  • Managed services

  • MLCSU placement team manages the sourcing of care packages and patient/family liaison
  • Supporting remote working
  • Combination of software and placement team allows faster placement times

I feel that the adam system has been a positive change for small nursing homes such as Kingsley. This change has allowed all homes, no matter how large, to actively seek new user packages.

Dionne Nicholson
Financial Administrator, Kingsley Nursing Homes Ltd, Southport

Helping a family in difficulty and achieving best value

Background: A patient in Staffordshire required a CHC placement in a nursing home. Her daughter was undergoing chemotherapy and needed her mother to be somewhere easily accessible by public transport so that she could visit her.

Action: MLCSU’s placement team used the system to source a nursing home placement. We found the best quality, and value for money provider, however it was difficult to get to using public transport. A placement officer was able to use this to negotiate with the family’s preferred care home to get an offer that matched the best value one.

Impact: The best outcome was achieved, both for the family and for the commissioner, Stoke-on-Trent Clinical Commissioning Group. The cost was negotiated down, saving approximately £5460 annum.

“This has made my day. I am so grateful for your help.” - Patient’s daughter

Enabling block booking of discharge-to-assess beds

Background: NHS Vale Royal Clinical Commissioning Group (VRCCG) required support to block book eight discharge-to-assess beds (four for elderly mentally infirm (EMI) and four general nursing).

Action: Two requirements were published (one for each block of four beds). MLCSU drafted a communication to providers for approval by VRCCG and adam set up new service categories for discharge-to-assess within the system. VRCCG held a provider event involving MLCSU and adam. This included a short presentation and a question and answer session.

Impact: The exercise was agreed to be a success by all parties, especially when considering the quick turn-around of the required actions (within 17 working days of initial conference call between VRCCG, MLCSU and adam).

The general nursing beds received eight offers from local providers and the EMI beds three. The EMI results, however, were more expensive than expected, so this requirement was rolled back out to the market for a further week to allow for more provider offers. This produced a new offer at a lower cost than expected from a provider just one mile from Leighton Hospital and this was subsequently selected.

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