Developing a city blueprint Alastair Cartwright Director of Informatics Leeds Clinical Commissioning Groups Julie Oxley Head of Information Management & Technology Adult Social Care, Leeds
To maximise the value and delivery of public services in a city there s a lot of joining up to do..
Some strategic joining between health and social care.. - Health and Well Being Board - Joint Health and Well Being strategy - Joint Strategic Needs Assessment - Better Care Fund etc.
In practical terms, joining up.. -Teams -Departments -Functions -Organisation Complexity -Services -Sectors -Organisations -Cities
In technology terms, joining up.. People Process Technology
To account for all of this, need to make the shared case for change and begin to speak a common language
Patient/Citizen The Leeds
Blueprints have been useful
BUT FIRST Joined up governance (circa 2012)
Leeds Informatics within the governance for Health and Social Care transformation City-wide Leadership Office City-wide Clinical leader Informatics Director Commercial and Academic links LTHT Executive ASC Senior Officer Health and Wellbeing Board via Health and Social Care Transformation Board Leeds Informatics Board Children s Senior Officer Chair Dr J Broch CCG North, Chair LYPFT Executive LCH Executive CCG Senior Officers Local Authority CTO Primary Care Senior GP/s Programme Manager Variable resources inc. Project Management, expert advisors/specialists, admin, Finance City-wide Programme Management Group Senior Reps from Local departments Local Informatics departments and resources LCC IT Partners: - CCGs x 3 - Leeds Teaching Hospitals - Leeds Community Healthcare - Adult Social Care - Leeds City Council - Leeds and York Partnership FT - Primary Care
Leeds Informatics within the governance for Health and Social Care transformation Some additional resource BUT mostly an aligned focus City-wide Leadership Office City-wide Clinical leader Informatics Director Commercial and Academic links LTHT Executive ASC Senior Officer Health and Wellbeing Board via Health and Social Care Transformation Board Leeds Informatics Board Children s Senior Officer Chair Dr J Broch CCG North, Chair LYPFT Executive LCH Executive CCG Senior Officers Local Authority CTO Primary Care Senior GP/s Programme Manager Variable resources inc. Project Management, expert advisors/specialists, admin, Finance City-wide Programme Management Group Senior Reps from Local departments Local Informatics departments and resources LCC IT Partners: - CCGs x 3 - Leeds Teaching Hospitals - Leeds Community Healthcare - Adult Social Care - Leeds City Council - Leeds and York Partnership FT - Primary Care
Blueprint 1 (circa 2012)
Monitoring/ commissioning system Plan on a Page - Building blocks to achieve the Leeds informatics Vision Improved Contract Mgt Improved Needs assessment needs assessment Improved health intelligence Event linkage Costing analysis Risk Stratification Contract and additional data flows Data Warehouse Provider organisations Between organisations Pathway Management/Visibility/Clinical Decision Support e-messaging Integration Engine LTHT Full range of integrated clinical systems Data Protection/Caldicott/Sharing Order Communications Risk Stratification IT Infrastructure linkages inc. LCC city-wide facilities e.g. superfast cities LYPFT Full range of integrated clinical systems Knowledge Management Leeds Care Record Programme/Project Management Business Analysis and process re-design Interoperability standards Paper-light processing inc. Digitised/e-records Wireless technology Mobile working LCH Full range of integrated clinical systems NHS Number Primary Care Hosted nationally compliant systems Telecare and Telehealth IG Toolkit Social Care Full range of strategic systems Summary Care Record (SCR) Independent and 3 rd sector systems YAS Patient/client access to records Research
This common framework enabled..
Monitoring/ commissioning system Plan on a Page - Building blocks to achieve the Leeds informatics Vision Improved Contract Mgt Improved Needs assessment needs assessment Improved health intelligence Event linkage Costing analysis Risk Stratification Contract and additional data flows Data Warehouse Provider organisations Between organisations Pathway Management/Visibility/Clinical Decision Support e-messaging Integration Engine LTHT Full range of integrated clinical systems Data Protection/Caldicott/Sharing Order Communications Risk Stratification IT Infrastructure linkages inc. LCC city-wide facilities e.g. superfast cities LYPFT Full range of integrated clinical systems Knowledge Management Leeds Care Record Programme/Project Management Business Analysis and process re-design Interoperability standards Paper-light processing inc. Digitised/e-records Wireless technology Mobile working LCH Full range of integrated clinical systems NHS Number Primary Care Hosted nationally compliant systems Telecare and Telehealth IG Toolkit Social Care Full range of strategic systems Summary Care Record (SCR) Independent and 3 rd sector systems YAS Patient/client access to records Research
Allowed Informatics to be a key part of joined up transformation (circa 2014)
TRANSFORMATION PROGRAMMES ENABLING GROUPS West Yorkshire Workstreams HWB Finance Task Group (DOFs) Julian Hartley Informatics Board Jason Broch Workforce Phil Corrigan/Bryan Machin Quality Improvement with Leeds University Gordon Sinclair Elective Care Simon Stockill/ Susan Robins Children s Cancer Urgent Care Stroke Adult Integrated Care and Prevention Andy Harris Ian Cameron Urgent Care Nigel Gray/Jason Broch Leeds Health and Social Care Transformation Portfolio Board PMO Effective admission & discharge Phil Corrigan/ Sandie Keene Goods & support services Chris Butler Strategy Group ICE Growing up in Leeds Nigel Richardson/ Matt Ward Estates Group Chris Butler Communication s and Engagement Group Rob Kenyon/Phil Corrigan/ In-patients Outpatients including diagnostics Cancer Identification and risk stratification Primary prevention Pathway development Operational group Population management System development Emergency admission avoidance Improving hospital discharge Community beds service Estates Supplies Best Start Family support Emotional and mental health Primary Care Gordon Sinclair Integrated system change Complex needs Pioneer Rob Kenyon BCF Matt Ward/Dennis Holmes Selfmanagement Best transition into adulthood Prevent entry into Care
Blueprint 2 (circa 2012)
Simplification and refinement: 3 TIERS of delivery: Time Clinical Integration Tier 1 primary use of data Clinical Support Tools Tier 2 Business Intelligence Tier 3 secondary use of data
Strategic requirements for transformational change... 6 features of a transformational Informatics platform: Centred around patients or individuals Common data definitions Covers all types of care Relevant parts of the clinical record can be accessed by all parties involved in care Templates and expert systems to support appropriate and consistent quality of care Information collected and extracted to support holistic analysis and intelligence
Blueprint 3 (circa 2013)
In practical terms, joining up.. -Teams -Departments -Functions -Organisation Complexity -Services -Sectors -Organisations -Cities
Overlay: Clinical Integration Clinical Support Tools Business Intelligence
Blueprints 2 and 3 have enabled: - Case to establish a city Intelligence Hub - Case to progress citizen-driven health agenda - Strengthened the city PSN case - Recognition that more is required than simply integration - Formed part of our Tech Fund 2 bid [LCC led] - Forms our dialogue with other Pioneer cities - Dialogue around Better Care Fund - Basis for a more formal exploration on enduser compute opportunities
Recommend the use of shared (and evolving) models/blueprints to form the basis for: - Common language (internal and external) - Common goals - Engagement across sectors - Development of business cases - Programme of delivery - Governance framework
- QUESTIONS -