1.2 from gaun yersel to older and better joint improvement team

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1.2 from gaun yersel to older and better joint improvement team

  1. 1. From Gaun Yersel to Older and Better Anne HendryNational Clinical Lead for Quality JIT Associate
  2. 2. 7 steps for changing the world• A compelling vision• A story• Actions / Stepping stones• Securing the improvement• Engaging the workforce• Making the change work locally (everywhere)• Resilience, authorisation and a guiding coalition
  3. 3. Cocreating our VisionThroughout Scotland, people with long term conditionsand those who support them, feel valued, confidentand enjoy full and positive lives
  4. 4. Culture of Quality and AmbitionCollaboration, capacity & capability
  5. 5. 7 High Impact High Level Outcome Statements Changes Bundles of Improvement Actions Self Management Partnership We empower people living with long term conditions, their carers and the voluntary sector to be full partners in planning, improving quality and enhancing the experience of care. Mutuality We support people with long term conditions and their unpaid carers to be involved in person-centred care planning. Self Management We commission self management support for people with long term conditions and their carers and provide relevant, accessible information Workforce We train staff to have the right knowledge, skills and approach to long Development term conditions care. Integrated Care We provide better, local and faster access to healthcare, social care and housing services for long term conditions We strengthen the contribution of Managed Clinical/Care Networks Quality Improvement (MCNs) in improving support for people with long term conditions We have information systems that support registration, recall and reviewClinical Information Systems of people with multiple conditions, and support data sharing across all partners.
  6. 6. Implementation & Improvement Support• LTC Programme Board – governance and key strategic partners eg NES; LTCAS; NHS 24• Delivery group – Operational exec and clinical leaders witrh a focus on performance• LTC Collaborative - local programme teams with a focus on improvement• Engagement – LTC are everyone’s business
  7. 7. Improvement Activists• Visible leaders across professions• Influential at all levels and across system• Leverage in professional structures• Influence on corporate focus• Influential in workforce planning• Lead roles in practice development• Users and carers
  8. 8. 2 Million Lives : people not patients Digital Story Library
  9. 9. Top Tips and Practical Guidance
  10. 10. Spread and AdoptionBuddying, Networking and Practice Exchange
  11. 11. Food for Thought ……. Using Local Improvement Data Extended Sutor Ward Invergordon Community Team Meetings60.0 + Spot Purchase50.0 Home Care40.030.020.010.0 0.0 Aug-06 Feb-07 Aug-07 Feb-08 Aug-08 Feb-09 Aug-09 Feb-10 Aug-10 Feb-11 LOS Discharges
  12. 12. Driving National Performance Bed Days per 100,000 population for T6 Long Term Conditions Monthly Trend Scotland 12 month moving Average Scotland 12 month moving Average Scotland Monthly T6 Bed Days Scotland Trajectory Target Scotland Trajectory Target Linear (Scotland Trajectory Target) 1,000 900 LTCC launch High Impact 800 Changes and supportMonthly Bed Days per 100K pop 700 600 500 400 300 200 100 0 A 6 A 7 A 8 A 9 A 0 O 6 F 6 7 O 7 F 7 8 O 8 F 8 F 9 9 O 9 0 O 0 F 0 1 Ju 6 D 6 Ju 7 D 7 Ju 8 D 8 Ju 9 D 9 Ju 0 D 0 -0 -0 -0 -0 -0 -0 -0 -0 -1 -1 -0 0 -0 0 -0 0 -0 0 -1 1 -0 -0 -0 -1 -1 -0 -0 -0 -0 -1 n- n- n- n- n- ec ec ec ec ec ug ug ug ug ug ct ct ct ct ct pr pr pr pr pr eb eb eb eb eb A A A A A M onth of Discharge 15% reduction in bed day rate
  13. 13. The Next Challenge Reshaping Care
  14. 14. Reshaping Care for Older People ‘Older people in Scotland are valued as an asset, their voices are heard, and older people are supported to enjoy full and positive lives in their own home or in a homely setting.’
  15. 15. Implementation & Improvement• Shared Vision – An Older and Better Scotland• 3 workstreams – co-production and community capacity building; housing and care settings; care pathways• Change Fund as catalyst to lever change in spend• Local Change Plans agreed by NHS, council, third sector and independent sector partners and agreed Joint Commissioning plans by 2012 / 13• Improvement network and support from JIT• Core set of measures of success
  16. 16. Reshaping Care Pathway
  17. 17. Integrated Community Team
  18. 18. 75+ emergency bed days NHS Lothian Area Rates of All Emergency Admission Bed Days Scotland Rates of All Emergency Admission Bed Days Area Trajectory Target Scotland Trajectory Target Area Trajectory Baseline / Milestone Scotland Trajectory Baseline / Milestone Area Linear Trajectory Scotland Linear Trajectory Management information only. Not for onward distribution.Annual Bed Days per 1,000 Population 6500 6000 5500 5000 4500 4000 3500 3000 9 9 9 9 9 0 0 0 0 0 0 1 1 1 1 1 1 2 2 r-0 ay-0 ul-0 ep-0 ov-0 an-1 ar-1 ay-1 ul-1 ep-1 ov-1 an-1 ar-1 ay-1 ul-1 ep-1 ov-1 an-1 ar-1 Ma M J S N J M M J S N J M M J S N J M
  19. 19. Expected trend in emergency bed use (65+)at 2006/07 rates ( P Knight)occupied beds patients aged 65+ 9000 Expected at 8500 2006 / 07 rates Demand Management 8000 ~ 500 beds 7500 Actual bed use 7000 6500 6000 /01 /02 /03 /04 /05 /06 /07 /08 /09 /10 Year to 30 00 01 02 03 04 05 06 07 08 09 Sept 10 20 20 20 20 20 20 20 20 20 20 (prov) year

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