Integrated Intelligence and system modelling in Kent

Size: px
Start display at page:

Download "Integrated Intelligence and system modelling in Kent"

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/ /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 information

Use of social care data for impact analysis and risk stratification

Use 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 information

Utilisation Management

Utilisation 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 information

Ambulatory emergency care Reimbursement under the national tariff

Ambulatory 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 information

Tier 4 Review Findings

Tier 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 information

Mental Health Crisis Pathway Analysis

Mental 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 information

West 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 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 information

New Savoy Conference Psychological Therapies in the NHS

New 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 information

Modelling Health and Social Care in Nottinghamshire

Modelling 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 information

A 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 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 information

Emergency admissions to hospital: managing the demand

Emergency 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 information

Plans for urgent care in west Kent:

Plans 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 information

5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework?

5. 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 information

NHS 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 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 information

CASE 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. 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 information

Introducing the care.data programme

Introducing 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 information

NATIONAL HEALTH SERVICE, ENGLAND

NATIONAL 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 information

Reducing emergency admissions

Reducing 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 information

GE1 Clinical Utilisation Review

GE1 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 information

Monthly and Quarterly Activity Returns Statistics Consultation

Monthly 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 information

JOB DESCRIPTION. Consultant in Palliative Medicine GENERAL

JOB 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 information

Report to the Board of Directors 2016/17

Report 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 information

Two Years On The Five Year Forward View for Mental Health

Two 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 information

RTT Recovery Planning and Trajectory Development: A Cambridge Tale

RTT 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 information

NHS 111 Clinical Governance Information Pack

NHS 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 information

Delivering the transformation of children and young people s mental health services

Delivering 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 information

Dartford and Gravesham NHS Trust. Susan Acott Chief Executive

Dartford 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 information

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators April Regular report to Trust Board

SOUTHAMPTON 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 information

BUSINESS 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 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 information

Report to Governing Body 19 September 2018

Report 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 information

Patients Experience of Emergency Admission and Discharge Seven Days a Week

Patients 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 information

Collaboration & 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 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 information

The PCT Guide to Applying the 10 High Impact Changes

The 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 information

GP Practice Data Export and Sharing Agreement

GP 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 information

Accident & Emergency Clinical Quality Indicators

Accident & 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 information

Clinical Case Manager for Older Persons. Elaine Dunne

Clinical 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 information

LEARNING FROM THE VANGUARDS:

LEARNING 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 information

Adult Mental Health Crisis and Acute Care: NHS England s national programme

Adult 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 information

In year 1 (15/16) these outcomes will be measured as outlined below and baselines established from robust data for each indicator.

In 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 information

London CCG Neurology Profile

London 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 information

Quarterly Reporting Template - Guidance

Quarterly 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 information

Marginal Rate Emergency Threshold. Executive Summary

Marginal 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 information

Meeting - Public Board Meeting Date: 24 November 2016

Meeting - 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 information

Transforming 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 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 information

NHS ENGLAND BOARD PAPER

NHS 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 information

Maine Nursing Forecaster

Maine 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 information

Planning for. Patients. Our Strategic Plan. Published July 2014

Planning 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 information

Numerator. Denominator Rationale for inclusion

Numerator. 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 information

Preparing to implement mental health access and waiting time standards

Preparing 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 information

Discharge to Assess Standards for Greater Manchester

Discharge 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 information

NHS 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 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 information

Guideline scope Intermediate care - including reablement

Guideline 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 information

Developing 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 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 information

Efficiency in mental health services

Efficiency 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 information

NHS Rushcliffe CCG Governing Body Meeting. CCG Improvement and Assurance Framework. 15 March 2018

NHS 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 information

Draft Commissioning Intentions

Draft 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 information

Local Care Plan. Date: July Patient focused, providing quality, improving outcomes

Local 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 information

Delivering the Five Year Forward View. through Business Intelligence

Delivering 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 information

NHS 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 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 information

UEC 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 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 information

Growth in older people

Growth 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 information

NHS Performance Statistics

NHS 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 information

WAITING TIMES 1. PURPOSE

WAITING 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 information

NHS Provider Trust CEOs CCG Accountable Officers CCG Clinical Leads Local Authority Chief Executives and Directors of Adult Social Care

NHS 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 information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 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 information

Kingston Clinical Commissioning Group. NHS 111 Service Specification

Kingston 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 information

Factors 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 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 information

NHS performance statistics

NHS 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 information

NHS Greater Glasgow and Clyde Alison Noonan

NHS 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 information

Redesign of Front Door

Redesign 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 information

Board Meeting. Oxfordshire Clinical Commissioning Group. Date of Meeting: 27 July 2017 Paper No: 17/55

Board 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 information

1. Introduction FOR SIGN OFF BY CCG CHAIRS - PENDING

1. 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 information

Suffolk Health and Care Review

Suffolk 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 information

Integrated commissioning

Integrated 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 information

NHS Wales Delivery Framework 2011/12 1

NHS 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 information

Adult Mental Health Crisis and Acute Care: NHS England s national programme

Adult 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 information

Liaison 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 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 information

Unscheduled care Urgent and Emergency Care

Unscheduled 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 information

Survey of people who use community mental health services Leicestershire Partnership NHS Trust

Survey 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 information

Improvement and assessment framework for children and young people s health services

Improvement 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 information

A DIGITAL ROADMAP FOR KENT & MEDWAY

A 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 information

Operational Focus: Performance

Operational 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 information

Our Journey to Discharge to Assess (D2A)

Our 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 information

Allied Health Review Background Paper 19 June 2014

Allied 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 information

we gather information about the social care sector

we 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 information

NHS CONFEDERATION RESPONSE TO THE EMERGENCY ADMISSIONS MARGINAL RATE REVIEW (JUNE 2013)

NHS 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 information

Welcome to the latest edition of the Accountable Care Network bulletin designed to keep you up to date with integrated care in County Durham.

Welcome 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 information

Local system reviews. Interim report

Local 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 information

Kingston Hospital NHS Foundation Trust Length of stay case study. October 2014

Kingston 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 information

Activity 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 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 information

Patient survey report National children's inpatient and day case survey 2014 The Mid Yorkshire Hospitals NHS Trust

Patient 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 information

Briefing: The impact of redesigning urgent and emergency care in Northumberland

Briefing: 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 information

Five 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. 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 information

CCG authorisation Case Study Template. NHS Croydon Clinical Commissioning Group. Patient Navigation (PatNav) 3 of 3

CCG 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 information

Sandwell Secondary Mental Health Service Re-design consultation

Sandwell 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 information

Trust 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 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 information

Optimizing Care for Complex Patients with COPD

Optimizing 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 information

Haringey 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 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 information

Process and definitions for the daily situation report web form

Process 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 information

Scottish Hospital Standardised Mortality Ratio (HSMR)

Scottish 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