Integrated Intelligence and system modelling in Kent
|
|
- Edwina Mitchell
- 5 years ago
- Views:
Transcription
1 Integrated Intelligence and system modelling in Kent Dr Abraham P George Consultant / Asst Dir in Public Health abraham.george@kent.gov.uk
2 Today s presentation Context and objectives Public Health Kent work till date Case discussion community bed modelling project in DGS CCG Challenges faced Other projects
3 Public Health involvement till date Work started in 2012 QIPP LTC programme Whole population profiling using risk stratification Delivery of national YOC programme in Kent - implementation at sub Kent / CCG level Contribution to national guidance and reports eg. designing linked datasets by MONITOR, NHS IQ Contribution to Kent Pioneer and BCF plans Use of linked datasets for other purposes eg. system modelling, service evaluation Currently working with local intelligence in developing whole system intelligence dashboards, mapping and linking other non NHS data
4 Community beds modelling project for Dartford Gravesham & Swanley CCG Better Care Fund - challenge to reduce non-elective admissions by 10% at the local acute NHS Trust in 2014/15 with a further 5% reduction in 2015/16. Need to understand patient demographic who do not require hospital admission but may require additional / enhanced community support Review the community bed availability and the workforce around primary and social care in order to ensure admissions are sustainably reduced Develop and test a model to evaluate the flow of patients through the existing system and forecast future community bed capacity using integrated discharge teams (IDTs) Still work in progress
5 Methodology Datasets used SUS A&E & inpatient dataset, Community Beds dataset 3yr period covered 2011/ /14 DGS CCG patients attending Darent Valley de-identified at source, linked thru pseudonymised NHS numbers IThink Software used for modelling referral pathway into community beds Integrated dataset revealed significant proportion of hospital discharges could not be linked to community beds admission (non matching of dates) Datasets were analysed separately to generate assumptions for the model
6 Baseline analysis DGS only A&E patients 194,801 A&E attendances in the period, an average of 64,934 a year These attendances were from 96,821 patients, a ratio of 2 attendances per patient This computes as a weekly A&E attendance of 1,249, or an average of 178 per day (269 inc Bexley and others) Of these 194,801 attendances, 54,237 resulted in admission to a hospital bed, 18,079 a year 27.8% are admitted to a hospital bed as an emergency 347 a week The remaining 72.2% are discharged elsewhere, either with or without treatment
7 Baseline analysis - inpatients Patients admitted to hospital beds as emergencies via A&E accounted for 276,124 occupied bed days in the period, an annual average of 92,041 days The average length of stay for these admissions was 4.9 days 54,327 admissions were generated by 33,836 patients
8 Baseline analysis community beds 2,258 admissions to DGS community beds in the 3 yr period, an average of 753 admissions a year Of these, 84% ( annually average) via Darent Valley hospital A further 199 admissions (66 per year) via another acute hospital: (10.5% of admissions to community beds during the period) Of the 45,368 bed days in this period, 39,881 (88%) were for admissions via Darent Valley A&E
9 Age/gender distribution for DGS CCG patients admitted to DGS community beds via Darent Valley hospital A&E, 2011/ /14 (pooled)
10 Destination on discharge from community bed
11 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model 919 patients per week attend A&E
12 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model 68% (625 per wk) are seen, assessed and treated then discharged from A&E
13 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model 32% (294) are referred to an inpatient bed
14 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model 284 of these are discharged out of the system
15 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model This scenario equates to a requirement for 423 inpatient beds for emergencies, assuming 95% bed occupancy 284 of these are discharged out of the system
16 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model 13 are referred to a community bed
17 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model An average 1.8 patients per week referred to community bed from other sources
18 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model 15 patients a week discharged
19 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Baseline model This scenario equates to a requirement for 45 community beds for referrals from all sources, assuming 95% bed occupancy
20 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Basic model 68% of A&E attendees sent home or out of system 1.8 patients per week referred from other source 919 patients per week attending A&E 32% of A&E attendees referred to IP bed 13 patients per week transferred to community bed
21 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Enhanced model 68% discharged out of system 919 patients per week attending A&E Enhanced model sees 10% of A&E attendances diverted to IDT 22% referred to acute bed
22 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Enhanced model Around 5% of IDT patients referred to community bed 919 patients per week attending A&E
23 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Enhanced model 919 patients per week attending A&E Remaining IDT patients are discharged out or referred To IP bed
24 Model for patient flows through hospital for DGS patients aged 18+ via Darent Valley hospital A&E department Enhanced model scenario based on 10% referral rate to IDT 919 patients per week attending A&E ~ 15 patients per week admitted to community bed Initial scenario equates to a requirement for 421 inpatient beds for emergencies, assuming 95% bed occupancy This scenario equates to a requirement for 49 community beds, assuming 95% bed occupancy
25 Inpatient and community bed requirements for DGS patients attending Darent Valley hospital Percentage discharged home or elsewhere Percentage referred directly to acute bed Percentage referred to IDT Inpatient bed requirement Community bed requirement 68% 22% 10% % 20% 12% % 18% 14% % 16% 16% % 14% 18% % 12% 20% % 7% 25% % 2% 30% % 0% 32%
26 Key Challenges Data quality Good support in principle from provider organisations Data sharing arrangements based on previous work However quality / completeness of data variable across different organisations Data linkage between hospital discharge to community bed admission significantly limited NHS numbers not routinely recorded in the IDT dataset Commissioner buy-in Still some way off in application toward CCG plans
27 Other projects under consideration Estimate capacity for mental health beds for older people across Kent Working with SECSU and KMPT Integrated dataset using mental health service and beds data, hospital data etc. However problems with data linkage being System model currently being designed and tested Modelling demand for CAMHS service Model currently under development
28 Thank you Acknowledgements Su Xavier Consultant in Public Health DGS CCG Del Herridge Public Health Product & Data Manager, Kent & Medway Public Health Observatory Julian Barlow Senior Public Health Intelligence Analyst, Kent & Medway Public Health Observatory
Operational Plan 2017/ /19 Dartford and Gravesham NHS Trust
Operational Plan 2017/18-2018/19 Dartford and Gravesham NHS Trust Page 1 of 5 Introduction Our Family, caring for yours defines our purpose as an organisation. This captures the approach taken by our teams
More informationUse of social care data for impact analysis and risk stratification
Use of social care data for impact analysis and risk stratification Sunderland CCG 29 August 2014 Executive summary Sunderland CCG currently gets access to secondary care and primary care data through
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationAmbulatory emergency care Reimbursement under the national tariff
HFMA briefing Ambulatory emergency care Reimbursement under the national tariff Introduction Ambulatory emergency care is defined as a service that allows a patient to be seen, diagnosed and treated and
More informationTier 4 Review Findings
Tier 4 Review Findings Margaret Murphy 5 November 2014 Commissioning Tier 4 CAMHS Services Following passage of HSC Act responsibility for commissioning tier 4 CAMHS inpatient services and some highly
More informationMental Health Crisis Pathway Analysis
Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking
More informationWest Kent CCG is working with KMPT to put systems in place to speed up the process of getting a diagnosis when appropriate.
West Kent CCG Mental Health highlight report Dec 2016 Dementia Zena Watson Services for people with dementia and their families/carers are provided by a range of organisations across West Kent. Services
More informationNew Savoy Conference Psychological Therapies in the NHS
New Savoy Conference Psychological Therapies in the NHS Claire Murdoch CEO, Central and North West London NHS FT & National Mental Health Director, NHS England 21 March 2018 Mental Health Five Year Forward
More informationModelling Health and Social Care in Nottinghamshire
and Social Care in As part of Nottingham North and East CCG s on-going programme of reviewing and improving services, it is sometimes necessary to change the way services are organised and delivered. Often,
More informationA new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust
A new integrated model for Care Homes from Walsall CCG/Healthcare NHS Trust Sally Roberts - Director of Governance, Quality & Safety. Walsall CCG Katie Welborn Advanced Nurse Practitioner- Walsall Healthcare
More informationEmergency admissions to hospital: managing the demand
Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:
More informationPlans for urgent care in west Kent:
Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would
More information5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework?
Item Number: 6.3 Governing Body Meeting: 4 February 2016 Report Sponsor Anthony Fitzgerald Director of Strategy and Delivery Report Author Anthony Fitzgerald Director of Strategy and Delivery 1. Title
More informationNHS Portsmouth CCG 2013/14 Contract Agreements Summary. Michelle Spandley Deputy Chief Finance Officer May Improving health services
NHS Portsmouth CCG 2013/14 Contract Agreements Summary Michelle Spandley Deputy Chief Finance Officer May 2013 Contents Contracts Summary Portsmouth Hospitals NHS Trust Solent NHS Trust South Central Ambulance
More informationCASE STUDY: THE ADULT MENTAL HEALTH (AMH) MODEL-REDESIGN OF INTEGRATED SERVICES FOR WORKING AGE ADULTS WITH SEVERE MENTAL ILLNESS.
CASE STUDY: THE ADULT MENTAL HEALTH (AMH) MODEL-REDESIGN OF INTEGRATED SERVICES FOR WORKING AGE ADULTS WITH SEVERE MENTAL ILLNESS. Summary The Adult Mental Health (AMH) model is a new initiative which
More informationIntroducing the care.data programme
Introducing the care.data programme Dr. Geraint Lewis Chief Data Officer July 2013 Building choice of high quality support for commissioners 1 care.data: a core programme of ISCG All parts of the English
More informationNATIONAL HEALTH SERVICE, ENGLAND
D I R E C T I O N S NATIONAL HEALTH SERVICE, ENGLAND The Health and Social Care Information Centre (Establishment of Information Systems for NHS Services: Data Services for Commissioners) Directions 2013
More informationReducing emergency admissions
A picture of the National Audit Office logo Report by the Comptroller and Auditor General Department of Health & Social Care NHS England Reducing emergency admissions HC 833 SESSION 2017 2019 2 MARCH 2018
More informationGE1 Clinical Utilisation Review
GE1 Clinical Utilisation Review Scheme Name QIPP Reference Eligible Providers GE1 Clinical Utilisation Review QIPP 16-17 S40-Commercial 17/18 QIPP reference to be added locally. This CQUIN is supported
More informationMonthly and Quarterly Activity Returns Statistics Consultation
Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Version number: 1 First published: 08/02/2018 Prepared by: Classification:
More informationJOB DESCRIPTION. Consultant in Palliative Medicine GENERAL
JOB DESCRIPTION JOB TITLE DEPARTMENT REPORTS TO ACCOUNTABLE TO Consultant in Palliative Medicine Medical Team Lead Consultant Director of Patient Care GENERAL ellenor is a specialist palliative care provider
More informationReport to the Board of Directors 2016/17
Attachment 8 Report to the Board of Directors 2016/17 Date of meeting 30 September 2016 Subject Report of Prepared by Purpose of report Previously considered by (Committee/Date) Local A&E Delivery Board
More informationTwo Years On The Five Year Forward View for Mental Health
Two Years On The Five Year Forward View for Mental Health Tim Kendall National Clinical Director for Mental Health, NHS England and NHS Improvement 15 May 2018 Mental Health Five Year Forward View: priorities
More informationRTT Recovery Planning and Trajectory Development: A Cambridge Tale
RTT Recovery Planning and Trajectory Development: A Cambridge Tale Linda Clarke Head of Operational Performance Addenbrooke s Hospital I Rosie Hospital Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep
More informationNHS 111 Clinical Governance Information Pack
NHS 111 Clinical Governance Information Pack This pack is designed to help you develop your local NHS 111 clinical governance framework and explain how it fits in to the wider context. It takes you through
More informationDelivering the transformation of children and young people s mental health services
Delivering the transformation of children and young people s mental health services Simon Medcalf Head of Mental Health, NHS England 4 October 2016 1 Context: Implementing the Five Year Forward View for
More informationDartford and Gravesham NHS Trust. Susan Acott Chief Executive
Dartford and Gravesham NHS Trust Susan Acott Chief Executive A First in Kent Retired policeman Richard Oliver aged 59 was the first patient to be fitted with the EMBLEM, Subcutaneous Implantable Cardiac
More informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators April Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Indicators April 2011 Report to: Trust Board 24 May 2011 Report from: Sponsoring Executive: Aim of Report / Principle Topic: Review History to date:
More informationBUSINESS CASE FOR LEVEL 2 SPECIALIST NEURO-REHABILITATION BEDS : SLIDE PACK & FINANCIAL MODEL
BUSINESS CASE FOR LEVEL 2 SPECIALIST NEURO-REHABILITATION BEDS : SLIDE PACK & FINANCIAL MODEL V8 June 2015 1 Index Executive summary Slides 3-5 Business Case on a Page Slide 6 Model methodology Index/
More informationReport to Governing Body 19 September 2018
Report to Governing Body 19 September 2018 Report Title Author(s) Governing Body/Clinical Lead(s) Management Lead(s) CCG Programme Purpose of Report Summary NHS Lambeth Clinical Commissioning Group (CCG)
More informationPatients Experience of Emergency Admission and Discharge Seven Days a Week
Patients Experience of Emergency Admission and Discharge Seven Days a Week Abstract Purpose: Data from the 2014 Adult Inpatients Survey of acute trusts in England was analysed to review the consistency
More informationCollaboration & Prevention Exploring new models of care in tertiary mental health. Colin Martin Chief Executive
Collaboration & Prevention Exploring new models of care in tertiary mental health Colin Martin Chief Executive Scope of Presentation New Care Model Pilot Accountable Care Partnership Director of Finance
More informationThe PCT Guide to Applying the 10 High Impact Changes
The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk
More informationGP Practice Data Export and Sharing Agreement
1 Appendix 2: GP data export and sharing agreement for Risk Stratification GP Practice Data Export and Sharing Agreement Agreement to Export and Share GP Practice Data for Risk Stratification Purposes
More informationAccident & Emergency Clinical Quality Indicators
These indicators were introduced in April 2011 to present a comprehensive and balanced view of the care delivered by A&E departments. They are designed to accurately reflect the experience and safety of
More informationClinical Case Manager for Older Persons. Elaine Dunne
Clinical Case Manager for Elaine Dunne According to the World Health Organisations World Report on ageing (2015) the numbers of older people worldwide are dramatically increasing. In their Global Strategy
More informationLEARNING FROM THE VANGUARDS:
LEARNING FROM THE VANGUARDS: STAFF AT THE HEART OF NEW CARE MODELS This briefing looks at what the vanguards set out to achieve when it comes to involving and engaging staff in the new care models. It
More informationAdult Mental Health Crisis and Acute Care: NHS England s national programme
Adult Mental Health Crisis and Acute Care: NHS England s national programme Bobby Pratap, Senior Programme Manager, Adult Mental Health Care Adult Mental Health Mental Health Clinical Policy and Strategy
More informationIn year 1 (15/16) these outcomes will be measured as outlined below and baselines established from robust data for each indicator.
7. Key Performance Indicators (KPIs) (s These KPIs have been selected to demonstrate that care planning in Hillingdon improves patient experience of care, patient s quality of life and improves health
More informationLondon CCG Neurology Profile
CCG Neurology Profile November 214 Summary NHS Hammersmith And Fulham CCG Difference from Details Comments Admissions Neurology admissions per 1, 2,13 1,94 227 p.1 Emergency admissions per 1, 1,661 1,258
More informationQuarterly Reporting Template - Guidance
Quarterly Reporting Template - Guidance Notes for Completion The data collection template requires the Health & Wellbeing Board to track through the high level metrics and deliverables from the Health
More informationMarginal Rate Emergency Threshold. Executive Summary
Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director
More informationMeeting - Public Board Meeting Date: 24 November 2016
Meeting - Public Board Meeting Date: 24 November 2016 Report Title: s Report Agenda Item: TB/16-17/98 Report Author: Report History: This report has not been considered elsewhere Enclosures: Appendix A
More informationTransforming health and social care in South Nottinghamshire. Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme
Transforming health and social care in South Nottinghamshire Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme National case for change 1 July 2013 - A Call to Action:
More informationNHS ENGLAND BOARD PAPER
NHS ENGLAND BOARD PAPER Paper: PB.28.09.2017/07 Title: Update on Winter resilience preparation 2017/18 Lead Director: Matthew Swindells, National Director: Operations and Information Purpose of Paper:
More informationMaine Nursing Forecaster
Maine Nursing Forecaster RN & APRN REVISED January 30, 2017 Presented by Lisa Anderson, MSN, RN, The Center for Health Affairs/NEONI Patricia J. Cirillo, Ph.D., The Center for Health Affairs/NEONI pat.cirillo@chanet.org,
More informationPlanning for. Patients. Our Strategic Plan. Published July 2014
Planning for Patients Our Strategic Plan 2014 2019 Published July 2014 CHAPTER 1 System Vision The CCG aims to make a positive contribution to the people of East and North Hertfordshire by empowering
More informationNumerator. Denominator Rationale for inclusion
Goal number Goal name Indicator number Indicator name Goal weighting (% of CQUIN scheme Indicator weighting (% of goal Description of indicator Numerator Denominator Rationale for inclusion Data source
More informationPreparing to implement mental health access and waiting time standards
Preparing to implement mental health access and waiting time standards Becki Hemming MH Access & Waits Programme Lead, NHS England Presentation summary 1. Context 2. The standards to be introduced from
More informationDischarge to Assess Standards for Greater Manchester
Discharge to Assess Standards for Greater Manchester 1 Contents 1. Introduction... 3 2. Definition of Discharge to Assess... 3 3. Discharge to Assess Pathways... 4 4. Greater Manchester Standards for Discharge
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW Date of the meeting 19/03/2014 Author Sponsoring Board Member Purpose of Report Recommendation
More informationGuideline scope Intermediate care - including reablement
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate
More informationDeveloping Integrated Care in Hertfordshire. Chris Badger Operations Director, Older People Hertfordshire County Council
Developing Integrated Care in Hertfordshire Chris Badger Operations Director, Older People Hertfordshire County Council Hertfordshire s Approach A system that delivers the right care and support at the
More informationEfficiency in mental health services
the voice of NHS leadership briefing February 211 Issue 214 Efficiency in mental health services Supporting improvements in the acute care pathway Key points As part of the current focus on improving quality,
More informationNHS Rushcliffe CCG Governing Body Meeting. CCG Improvement and Assurance Framework. 15 March 2018
RCCG/GB/18/039 NHS Rushcliffe CCG Governing Body Meeting 15 March 2018 Introduction 1. This paper provides the Governing Body with an update on the progress being made by the Greater Nottingham CCGs in
More informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationLocal Care Plan. Date: July Patient focused, providing quality, improving outcomes
Local Care Plan Date: July 2017 Patient focused, providing quality, improving outcomes Document Version Control Document Title Local Care Plan Version Version 1.5 Author Alison Burchell, Programme Director
More informationDelivering the Five Year Forward View. through Business Intelligence
Delivering the Five Year Forward View through Business Intelligence Introduction The market for analytics has matured significantly in the past five years and, although the health sector in the UK has
More informationNHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance
NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT 24 th July 2014 Dear Daniel, Fiona and Louise Re: CCG Annual Assurance Many thanks for meeting with us on 6 th June 2014 to discuss
More informationUEC system outcomes and measures. Ciaran Sundstrem Senior Programme Lead: Urgent and Emergency Care Review NHS England
UEC system outcomes and measures Ciaran Sundstrem Senior Programme Lead: Urgent and Emergency Care Review NHS England NHS Confederation: UEC Review update Ciaran Sundstrem 25 March 2015 Urgent and Emergency
More informationGrowth in older people
Agenda 1. Why create an Integrated Care Organisation (ICO)? 2. NHS vs Local Authority 3. Salford Together 4. Integrated Care Organisation 5. The Financial Negotiation 2 Why integration? -Number of people
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationWAITING TIMES 1. PURPOSE
Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE
More informationNHS Provider Trust CEOs CCG Accountable Officers CCG Clinical Leads Local Authority Chief Executives and Directors of Adult Social Care
12 October 2017 Pauline Philip National Urgent and Emergency Care Director Wellington House 133-155 Waterloo Road London, SE1 8UG To: Cc: NHS Provider Trust CEOs CCG Accountable Officers CCG Clinical Leads
More information21 March NHS Providers ON THE DAY BRIEFING Page 1
21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269
More informationKingston Clinical Commissioning Group. NHS 111 Service Specification
Kingston Clinical Commissioning Group NHS 111 Service Specification 1 Contents 1. Introduction 2. Local Overview 3. Directory of Services 4. GP Out of Hours 5. Governance 6. NHS 111 Service Specification
More informationFactors associated with variation in hospital use at the End of Life in England
Factors associated with variation in hospital use at the End of Life in England Martin Bardsley,Theo Georghiou, John Billings Nuffield Trust Aims Explore recent work undertaken by the Nuffield Trust 1.
More informationNHS performance statistics
NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationNHS Greater Glasgow and Clyde Alison Noonan
NHS Board Contact Email NHS Greater Glasgow and Clyde Alison Noonan alison.noonan@ggc.scot.nhs.uk Title Category Background/ context Problem Effective Discharge Planning and the Introduction of Delegated
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationBoard Meeting. Oxfordshire Clinical Commissioning Group. Date of Meeting: 27 July 2017 Paper No: 17/55
Oxfordshire Clinical Commissioning Group Oxfordshire Clinical Commissioning Group Board Meeting Date of Meeting: 27 July 2017 Paper No: 17/55 Title of Paper: Improved Better Care Fund and the Pooled Budgets
More information1. Introduction FOR SIGN OFF BY CCG CHAIRS - PENDING
DRAFT consultation document Improving planned orthopaedic care in south east London --- Tell us what you think and help us to shape the future of these services CONTENTS 1. Introduction 2. What is orthopaedic
More informationSuffolk Health and Care Review
Suffolk Health and Care Review Update on Health and Social Care System Redesign and Re-commissioning of GP Out of Hours, 111 and Community Healthcare services An Insight into the Health and Social Care
More informationIntegrated commissioning
Integrated commissioning NHS Norfolk and Norfolk County Council A blueprint for achieving integrated commissioning which involves comprehensive planning and attention to detail. Background Following the
More informationNHS Wales Delivery Framework 2011/12 1
1. Introduction NHS Wales Delivery Framework for 2011/12 NHS Wales has made significant improvements in targeted performance areas over recent years. This must continue and be associated with a greater
More informationAdult Mental Health Crisis and Acute Care: NHS England s national programme
Adult Mental Health Crisis and Acute Care: NHS England s national programme Bobby Pratap, Senior Programme Manager, Adult Mental Health Care Adult Mental Health Mental Health Clinical Policy and Strategy
More informationLiaison Can Improve The Care In Care Homes And General Hospitals. Joanne Hirst
Liaison Can Improve The Care In Care Homes And General Hospitals Joanne Hirst Service Model Older Peoples Liaison Service Care Homes General Hospital The case for Need 1/3 of people with dementia live
More informationUnscheduled care Urgent and Emergency Care
Unscheduled care Urgent and Emergency Care Professor Derek Bell Acute Medicine Director NIHR CLAHRC for NW London Imperial College London Chelsea and Westminster Hospital Value as the overarching, unifying
More informationSurvey of people who use community mental health services Leicestershire Partnership NHS Trust
Survey of people who use community mental health services 2017 Survey of people who use community mental health services 2017 National NHS patient survey programme Survey of people who use community mental
More informationImprovement and assessment framework for children and young people s health services
Improvement and assessment framework for children and young people s health services To support challenged children and young people s health services achieve a good or outstanding CQC rating February
More informationA DIGITAL ROADMAP FOR KENT & MEDWAY
A DIGITAL ROADMAP FOR KENT & MEDWAY An Electronic Health Record is no longer a digital typewriter but an interactive medium for practicing medicine (and delivering care) based on the highest standards
More informationOperational Focus: Performance
Operational Focus: Performance Sandra Iskander Changes for 2015/16 Change of focus of 18-weeks and A&E 4-hour wait targets as recommended by Sir Bruce Keogh, Medical Director, NHS England. 18-weeks to
More informationOur Journey to Discharge to Assess (D2A)
Our Journey to Discharge to Assess (D2A) Jane Ives Director of Operations South Warwickshire NHS Foundation Trust Wendy Lane Senior Partner Transformation & Innovation Arden Commissioning Support Zoe Bogg
More informationAllied Health Review Background Paper 19 June 2014
Allied Health Review Background Paper 19 June 2014 Background Mater Health Services (Mater) is experiencing significant change with the move of publicly funded paediatric services from Mater Children s
More informationwe gather information about the social care sector
Kent, Surrey and Sussex Local Education & Training Board Report, 2013 From the National Minimum Dataset for Social Care (NMDS-SC) January 2013 we gather information about the social care sector nmds-sc
More informationNHS CONFEDERATION RESPONSE TO THE EMERGENCY ADMISSIONS MARGINAL RATE REVIEW (JUNE 2013)
NHS CONFEDERATION RESPONSE TO THE EMERGENCY ADMISSIONS MARGINAL RATE REVIEW (JUNE 2013) 1. ABOUT THE NHS CONFEDERATION 1.1 The NHS Confederation is the only body to bring together the full range of organisations
More informationWelcome to the latest edition of the Accountable Care Network bulletin designed to keep you up to date with integrated care in County Durham.
June 2017 Welcome to the latest edition of the Accountable Care Network bulletin designed to keep you up to date with integrated care in County Durham. In this edition: An update on Teams Around the Patients
More informationLocal system reviews. Interim report
Local system reviews Interim report December 2017 The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. We make sure that health and social care services
More informationKingston Hospital NHS Foundation Trust Length of stay case study. October 2014
Kingston Hospital NHS Foundation Trust Length of stay case study October 2014 The hospital has around 520 beds and provides acute medical services for a population of around 320,000 in Kingston, Richmond,
More informationActivity planning: NHS planning refresh 2018/19 acute and ambulance provider activity plan template
Activity planning: NHS planning refresh 2018/19 acute and ambulance provider activity plan template February 2018 We support providers to give patients safe, high quality, compassionate care within local
More informationPatient survey report National children's inpatient and day case survey 2014 The Mid Yorkshire Hospitals NHS Trust
Patient survey report 2014 National children's inpatient and day case survey 2014 National NHS patient survey programme National children's inpatient and day case survey 2014 The Care Quality Commission
More informationBriefing: The impact of redesigning urgent and emergency care in Northumberland
Briefing December 2017 Briefing: The impact of redesigning urgent and emergency care in Northumberland Health Foundation consideration of findings from the Improvement Analytics Unit Stephen O Neill, Arne
More informationFive year strategy for Leeds A view from the Leeds Unit of Planning June submission.
Five year strategy for Leeds A view from the Leeds Unit of Planning June submission. Background - Leeds Leeds has an ambition to be internationally renowned for its excellent health and social care economy
More informationCCG authorisation Case Study Template. NHS Croydon Clinical Commissioning Group. Patient Navigation (PatNav) 3 of 3
CCG name: Case study title: CCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group Patient Navigation (PatNav) CCG case study number: Does the case study provide core evidence?
More informationSandwell Secondary Mental Health Service Re-design consultation
Service Re-design consultation 2 nd December 2013 28 th February 2014 GP Appointment with Service User Primary Care Step 1: Sandwell GP s will make a referral into BCPFT s Secondary Care Mental Health
More informationTrust s response to the consultation on Improving Urgent Stroke Services in Kent and Medway
Trust s response to the consultation on Improving Urgent Stroke Services in Kent and Medway Maidstone and Tunbridge Wells NHS Trust March 2018 1 Summary Maidstone and Tunbridge Wells NHS Trust (MTW) supports
More informationOptimizing Care for Complex Patients with COPD
Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System
More informationHaringey Better Care Fund Community Event Let s talk about Staying Well 13 th April Evaluation Report
Haringey Better Care Fund Community Event Let s talk about Staying Well 13 th April 2016 Evaluation Report Approximately 50 participants attended the Haringey Better Care Fund (BCF) Community Event which
More informationProcess and definitions for the daily situation report web form
Process and definitions for the daily situation report web form November 2017 The daily situation report (sitrep) indicates where there are pressures on the NHS around the country in areas such as breaches
More informationScottish Hospital Standardised Mortality Ratio (HSMR)
` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments
More information