Hosted by Claire Cordeaux and Beverley Matthews on 11 March 2015. Part of the long term conditions improvement webinar series.

1. WELCOME
Wednesday 11 March 2015 Webinar
How to use the LTC Year of Care
Commissioning simulation tool
A Practical Demonstration

2. How to use the LTC Year of Care
Commissioning simulation tool –
A practical demonstration
Wednesday 11 March 2015
12.30pm – 1.30pm
Claire Cordeaux
Executive Director Health & Social Care, SIMUL8 Corporation
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality

3. Beverley Matthews
LTC Programme Lead
NHS Improving Quality
Beverley.matthews@nhsiq.nhs.uk

4. www.england.nhs.uk
LTC Year of Care Commissioning
Programme:
4
• 5 Early Implementer sites
• 35 Fast Followers
• Whole Population Datasets
• Implementation Guide
• Simulation Modelling
• Specialist Support Team

5. www.england.nhs.uk
LTC Framework Improvement
Programme:
5
Organisational &
Clinical
Processes
Informed and
engaged patients
and carers
Health & Care
Professionals
committed to
partnership
working
Commissioning
• Information and
technology
• Case finding & risk
stratification
• Care Planning
• Safety and
Experience
• Guidelines,
evidence and
national audits
• Care Delivery
• Self Management
• Information and
Technology
• Group and Peer
Support
• Care Planning
• Policies for carers
• Voluntary sector
patient & carer
support
• HSC Integration
• Multi Disciplinary
Teams
• Culture
• Workforce
• Technology
• Care Co-
ordination
• Care Planning
• Needs
Assessment and
Planning
• Joint
Commissioning
• Metrics and
Evaluation
• Service User and
Public Involvement
• Contracting and
Procurement
• Care Planning
• Tools and Levers
The table below sets out some of the key components needed to deliver the central
aim for LTC Framework - Person Centred Coordinated Care

6. Long Term Conditions Dashboard
http://ccgtools.england.nhs.uk/ltcdashboard/flash/atlas.html
Long Term Conditions House of Care Toolkit
www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/house-of-care.aspx
Simulation Model
http://www.simul8.com/viewer/download.htm
#LTCyearofcare #LTCimprovement @NHSIQ
Tools and Resources:

7. www.england.nhs.uk
LTC Learning Community:
7
• Lunch & Learn Webinar Series
• Bite Size Master Classes
• Case Studies and Exemplars
• Twitter Chats
• Google Hangouts

8. To register email LTC@nhsiq.nhs.uk
LTC Lunch & Learn Series
….coming soon…
Date Webinar Hosted by Bev Matthews &
16 March 2015 Maximising the value of
technology enabled care
services
Annie Thompson (NHS England);
Ashley Moore (NHS England) and
Tim Ellis (NHS Sheffield CCG)

9. How to use the LTC Year of Care Commissioning
simulation tool - A practical demonstration
• Clearer understanding of what the simulation tool is.
• Practical understanding of how to use the tool and what
it can do.
• Understanding the benefits of using the tool.
of Care foundation.
Today’s Learning Outcomes

10. Year of Care Long Term
Conditions Simulation
Claire Cordeaux: Executive Director, Healthcare

11. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
Agenda
• What is simulation and why use it?
• The Long Term Conditions simulation
• Next steps
• Your questions and comments

12. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
What is simulation?
Models a flow of individual patients
Small scale
operations
Service
operations
Whole
system
Passing of time
Arrivals
Duration of
treatment
Time
between
treatments
Waiting
times and
bottle necks
Experimentation
What if?....
No risk to
patients
through
pilots
Results
Costs
Resource
utilisation
Waiting
times
High level flow and operational questions, individual
patient variability, graphical visualisation

13. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
Why simulate Year of Care?
• “Bottle” the processes of the
Early Implementers
• Easily enable Fast Followers and
others to understand and test
impacts

14. • Use local
data to test
assumptions
• Ability to
update and
review
Simulation

15. • Level of
acuity
• Increasing
numbers of
long term
conditions
Current Simulation
• Likelihood of patients accessing services by
changing state of patients (state transition)

16. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
• Patients in each “state” have
– A likelihood of accessing certain types of service
(Acute, Community, Mental Health, Social Care),
including accessing services more than once
• Costs associated with those services
How it works

17. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
Data builds an underlying discrete
event simulation model

18. • Number of
patients in
each “state”
by year
• Average cost
per patient
Results

19. • Cost by each area of service/organisation
Results

20. • Costs by state per year
• Average cost per patient
• Comparison with tariff
Results

21. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
Results Comparison
Trial results

22. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
• Known to integrated care team or not?
• Test against proposed tariff?
• Change variation in cost for services?
• Decrease transitions through states?
Scenarios

23. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
• Planning for demand
• Testing an improvement scenario
• Negotiation between healthcare providers
How can this help?

24. SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
• Building in capacity scenarios
• What would you like you know?
– How many staff will I need to support people with
LTC?
– What type of staff will I need for services?
– How many beds will I need for the LTC cohort?
Next Steps

25. Click to edit Master title styleClick to edit Master title style
SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com
QUESTIONS?

26. To register email LTC@nhsiq.nhs.uk
LTC Lunch & Learn Series
….coming soon…
Date Webinar Hosted by Bev Matthews &
16 March 2015 Maximising the value of
technology enabled care
services
Annie Thompson (NHS England);
Ashley Moore (NHS England) and
Tim Ellis (NHS Sheffield CCG)