LTC Year of Care Commissioning Early Implementer Sites Workshop 2nd February 2015

1. Welcome
LTC Year of Care Commissioning
Early Implementer Sites Workshop
2nd February 2015

2. Plan for the day
Welcome Bev Matthews
An Audience with… Dr Martin McShane
NHS England
Early Implementer Sites Update All EI sites
NHS England Pricing Team update/discussion Martin Campbell,
NHS England
LTC Year of Care Commissioning Programme Site
Evaluation
Ben Warner,
NHS England
Where are we now and where are we going in 2015/16 Jamie Day & Julie Renfrew
NHS Improving Quality
House of Care Snapshot Survey Jill Lockhart,
NHS Improving Quality
Communications – what can we do more of? Yesret Bi,
NHS Improving Quality

3. Things we need to do:
What By Whom
Review draft sections for EIS Chapter in Implementation Guide BHR
Leeds
Finalise SLA Southend
Finalise Dr Martin McShane & Jacquie White visits All
Make a decision regarding Somerset and Lambeth &
Southwark rejoining EI sites programme
All
Suggest topics for LTC Year of Care Learning Network (FF) All
Share ideas for case studies All

4. An Audience with …
Dr Martin McShane

5. Early Implementer Sites Updates
2014/15 Progress Summary
&
Planning for 2015/16

6. Report by: Emma Branch – Southend CCG Date:30th January 2015
Progress this month: January 2015 Plans for 2015/16
• Provisional approval for a extension to the section 251,
subject to 16 conditions.
• Being to scope out the whole population data set re
resubmission
• Engagement with the new clinical chair for the CCG and
the new director of commissioning
• Further engagement with all clinical leads and the
governing body for the plans for 15/16
• Review how YOC can be built in to our commissioning
intentions and models.
• How we can align the Year Of Care model with the
ongoing Integrated Pioneer and Better Care Fund work.
Risks & Issues Seek (Help needed) and Share (Learning offered)
 Being unable to fulfil the requirements set out by CAG
in the 16 conditions
 Restrictions around PID data
• Being able to produce the whole population data set
when the PID restrictions are still in place
•
Southend LTC Year of Care Early Implementer Site Update

7. Report by: Robert Meaker Date: 1st february 2015
Progress this month: January Plans for 2015/16
Health 1000 Limited, registered
its first patients !
Health 1000 is Barking and
Dagenham, Redbridge and
Havering CCGs fully integrated
Accountable Care Organisation.
A new model of care being
tested on 1000 patients.
Refine existing data used to
calculate the indicative tariff for
Health 1000 Ltd
Design and implement cost
effective tools for contractual
management, financial
transactions and reporting.
Establish cohorts for additional
tariffs eg Complex children
Risks & Issues Seek (Help needed) and Share (Learning offered)
Transferring funds to the new
organisation, without destabilising
the Health and Social Care economy
The desire to change to quickly
The level of risk the Clinical Commissioning
Groups are willing to absorb.
The ability to cost the new service .
Business Intelligence / Analytics Support
Contracting support and or Legal support
Modelling services
Help drafting and publishing articles
outlining the work done todate
BHR LTC Year of Care Early Implementer Site Update

8. Report by: Tricia Cable (Leeds) Date: 02/02/15
Progress 2014/2015: Plans for 2015/16
• Initial data analysis (RRR and 550 cohort) to inform our patient
cohort and further information requirements
• Data analysis of risk stratification data (population based analysis)
• Cohort option appraisal
• Agreement of patient cohort and service scope for shadow year
• Fostering closer working with the Pioneer community
• Engagement with key partners to understand their own
organisational priorities has meant significant steps to agreeing
the provider model
• Linking in with other initiatives across Leeds such as the Leeds
Institute for Quality Healthcare (LIQH) work on pathways
• Working closely with other delivery programmes and work streams
within the Transformation Programme such as the ‘self-
management’ and ‘pathway development’ projects to allow for a
more coordinated approach
• Project Management processes in place
• Outcomes based accountability (OBA) is the chosen methodology
to help us to define our outcomes, indicators and performance
measures
• Social value workshop will be taking place to understand
both patient involvement in commissioning decisions and
evaluation based on both data and outcome measures
• Mixed approach- each of the three CCG’s in Leeds has their own
priorities and we will work with them to support local
implementation
• Stakeholder engagement- this will be ongoing and we are keen to
engage and closely work with Adult Social Care and Providers
• Outcomes based accountability (OBA) is the chosen methodology
to help us to define our outcomes, indicators and performance
measures
• Systems infrastructure – understanding of data and information
flows to inform the infrastructure required
• Communication and engagement
• Develop and implement new models of care
• Shadow testing ‘3’ pilots
• Establish model of Care Innovation Partnership
• Define capitated budget
• Define patient outcomes
• Evaluation/PSDA
Risks & Issues Seek (Help needed) and Share (Learning offered)
• Complexity of the Leeds Health and Social Care system
LEEDS LTC Year of Care Commissioning Early Implementer Site Update

9. Report by: West Hampshire (Chris Gwyther) Date: 29 January 2015
Progress this month: November Plans for 2015/16
• Principal Analyst working with Jamie to agree a revised
snapshot data sets which meets YoC needs which can be
submitted to HHR Advisory Group (HHRAG);
• New data set covers three selections of data: QOF (local
arrangements) ICD10 and Read Codes (both nationally
defined) at aggregated level but including activities,
currencies, deaths and out of area moves;
• Approval request form based on revised data set to be sent
to the HHRAG Approval Panel in Jan 2015;
• Variety of supporting information and assurances shared with
HHRAG including Service Level Agreement, Approval
request;
• Date for production of the revised snapshots agreed as 06
February 2015 (pending HHRAG approval);
• Meeting to take place at Hampshire Hospitals NHS
Foundation Trust on 16 February 2015 with Caldicott Lead
and IG Lead to discuss/agree IG Information Flow and multi-
agency data sharing;
• Provision of analytical support through NA Wilson Associates
agreed and invoice arrangements being processed by the
CCG;
• Social Care data to feed to the HHR by July 2015;
• Permissions to share work ongoing and electronic care
planning workstreams now supported by Southampton,
Hampshire, Isle of Wight and Portsmouth mandate.
Risks & Issues Seek (Help needed) and Share (Learning offered)
• Hampshire County Council and Southern Health have agreed
to IG Data Flow, so if acute hospital can agree process,
paves the way to recommence multi-agency data linkages;
However:
• Pinning hopes on our ability to agree data flow locally
between CCG, Community, Social Care and Acute…and
getting organisational sign-off. There is no Plan B!
• Project Manager is leaving West Hampshire CCG on 4
March 2015 and potential loss of continuity.
• Happy to share our suggested IG process, approach learning
and experience despite progress being slow;
WEST HAMPSHIRE LTC Year of Care Commissioning Early Implementer Site Update

10. Report by: Kent Year of Care Date: 02 Feb 2015
Progress this month: Plans for 2015/16
• Methodology and permissions for linking at pt level
agreed
• Multi morbidity reporting for 46/47 LTCs
• Cube operating – slide to follow
• Dashboard operating – slide to follow
• Whole system testing and advising about system
specific reports
• 6 orgs data – 7 to follow soon
• Numerous technical issues raised and resolved
• Kent named in DH publications and presented at 15
conferences this year.
• Shortlisted for Health and Social Care awards
• Process for flowing data to be signed off
• Agree schedule for flowing data at pt level (new method
developed)
• Flow data at patient level including retrospective data
• Test data quality
• Develop reports for each system to support their
integration programmes (Kent pioneer slide)
• Update data quality improvement plan
• Flow in more provider data (SEC- Amb)
Risks & Issues Seek (Help needed) and Share (Learning offered)
 Commissioning data set in 15/16 – changes in data
flow arrangements – interim plan agreed.
 IG rules – still some uncertainty
 Loss of key personnel due to uncertainty with
structural re- organisations taking place
 Election May 2015 – hampers engagement at GP
practice/LMC/CCG level.
• IG issues – national support still required
• Continue to share learning with national and support
webinars, case studies and other national organisations
(e.g Monitor).
KENT LTC Year of Care Commissioning Early Implementer Site Update

11. Average activity & cost YoC v’s Non Yoc
EK area YOC Currency Total Cost Count of Activity Total Patients at end June Average cost by band Average Cost of Activity No. Activities per patient
CCG 1 Not YoC £13,321,004.00 87617 124490 £107.00 £152.04 0.70
B £588,374.95 3664 786 £748.57 £160.58 4.66
C £1,013,330.95 6344 1200 £844.44 £159.73 5.29
D £229,588.10 1488 164 £1,399.93 £154.29 9.07
E £13,402.37 100 10 £1,340.24 £134.02 10.00
Total YoC £1,844,696.36 11596 2160 £854.03 £159.08 5.37
Overall Total £15,165,700.36 99213 126650 £119.74 £152.86 0.78
CCG 2 Not YoC £23,912,944.00 149654 212376 £112.60 £159.79 0.70
B £1,040,305.14 6414 1338 £777.51 £162.19 4.79
C £1,727,255.23 10662 1888 £914.86 £162.00 5.65
D £199,090.75 1281 180 £1,106.06 £155.42 7.12
E £5,754.00 82 8 £719.25 £70.17 10.25
Total YoC £2,972,405.12 18439 3414 £870.65 £161.20 5.40
Overall Total £26,885,349.12 168093 215790 £124.59 £159.94 0.78
NK Area Not YoC £28,785,533.00 148217 249720 £115.27 £194.21 0.59
B £1,007,346.28 4803 1346 £748.40 £209.73 3.57
C £1,666,526.95 8400 1961 £849.84 £198.40 4.28
D £221,187.24 1187 223 £991.87 £186.34 5.32
E £15,951.00 141 11 £1,450.09 £113.13 12.82
Total YoC £2,911,011.47 14531 3541 £822.09 £200.33 4.10
Overall Total £31,696,544.47 162748 253261 £125.15 £194.76 0.64
EK area Not YoC £28,176,866.00 186193 25764 £1,093.65 £151.33 7.23
CCG 3 B £170,905.85 1000 236 £724.18 £170.91 4.24
C £257,505.64 1638 338 £761.85 £157.21 4.85
D £31,008.40 268 36 £861.34 £115.70 7.44
E £42.00 1 1 £42.00 £42.00 1.00
Total YoC £459,461.90 2907 611 £751.98 £158.05 4.76
Overall Total £28,636,327.90 189100 26375 £1,085.74 £151.43 7.17
WK area Not YoC £51,036,632.00 263956 127650 £399.82 £193.35 2.07
B £677,342.48 3133 761 £890.07 £216.20 4.12
C £976,898.68 5105 1158 £843.61 £191.36 4.41
D £170,264.15 1148 174 £978.53 £148.31 6.60
E £5,634.51 41 7 £804.93 £137.43 5.86
Total YoC £1,830,139.82 9427 2100 £871.50 £194.14 4.49
Overall Total £52,866,771.82 273383 129750 £407.45 £193.38 2.11

12. Distribution of activity by provider type
YoC v’s non YoC

13. Distribution of Multi-morbidity in YOC cohort

15. www.england.nhs.uk
National Tariff –
future direction
& priorities
Martin Campbell
Head of Pricing
NHS England
2nd February 2015

16. www.england.nhs.uk
Issues to cover
• Update on the 2015/16 tariff consultation
• Reforming the payment system for NHS services
• Improving the costing of NHS services
• Your view on priorities:
• Improvements to building blocks
• changes to the payment system

17. www.england.nhs.uk
Reforming the NHS payment system
• Joint NHS England/Monitor document describes how
the payment system could look from 2020
• New payment models to support the new care models
set out in the Forward View
• Improvements in the building blocks supporting the
payment system (cost, quality & activity
measurement)
• Timetable for changes

18. www.england.nhs.uk
Payment approaches to support the
new care models…
• To supported integrated care models such as MCPs
and PACs a form of capitated payment covering
multiple services
• To support the development of urgent & emergency
care networks, a three-part payment model covering
capacity, activity & quality
• For specialised services a range of payment models,
e.g. episodic or year of care, depending on the
characteristics of the service, linked to quality of care
• Review of how payment system reimburses smaller
hospitals

19. www.england.nhs.uk
Improvements to the building blocks
underpinning the payment system…
• A comprehensive set of classifications, particularly
focusing on community, mental health and specialised
services
• Introduce a single mandated patient-level cost
collection across all care settings
• Support commissioners and providers to link cost,
activity and outcomes across care settings
• Develop a set of quality measures linked to payment
• Develop the sector’s ability in capturing and using
high quality cost, activity and outcomes data

20. www.england.nhs.uk
Improving the costing of NHS
services
• Monitor are proposing to mandate the collection of
patient-level costs across all care settings
• For each service there will be a four-year phased
implementation, with a mandated national collection
by:
• Acute and ambulance – 2018/19
• Mental health – 2019/20
• Community – 2020/21
• Reference costs would then be discontinued

21. www.england.nhs.uk
What should be our priorities?
• Development of building blocks, e.g. for community
services?
• Development of a national model (or more than one)
of year of care/capitated payment approaches?
• Improve the quality of the building blocks such as cost
& activity data?
• Enable linkage of cost and activity data across
setting?
• What are your views?

22. www.england.nhs.uk
Evaluation
approaches
Ben Warner
Senior Economist
NHS England
2nd February 2015

23. Evaluation:
• What are you doing locally
• What should we do nationally

24. Lunch
Don’t forget the things we need to do:
What By Whom
Review draft sections for EIS Chapter in Implementation Guide BHR
Leeds
Finalise Dr Martin McShane & Jacquie White visits All
Make a decision regarding Somerset and Lambeth &
Southwark rejoining EI sites programme
All

25. Looking forward
Where are we now and where are we going?
Jamie Day & Julie Renfrew
NHS Improving Quality

26. Where are we now:
• Reminder of 2014/15 requirements
• Some early analysis using the BHR whole population dataset
• Supporting EI sites to operationalise the LTC Year of Care
Commissioning

27. Support Early
Implementer
teams to plan
and implement a
new model of
care, and the
commissioning
processes that
under-pin this
model of care
Support teams to
develop a clear local
vision for
personalisation
Inform teams of national developments that may impact on their local vision
Publish and present evidence that teams can use to inform their local vision
Support teams to plan and implement a new model of care, including supporting them to
develop comprehensive implementation plans for 2014/15 and 2015/16
Aim
Objectives
Share learning and knowledge between teams and from national organisations about
contracting models, procurement and other commissioning tasks to support integrated
models of care
Support teams to
plan and implement
the changes in
services and
workforce to meet
the local vision
LTC Year of Care Commissioning Model - Year 3
National Programme Aims & Objectives Slide 1
Support teams to develop and implement a contract performance evaluation strategy
Support teams to develop their local market
Support teams to develop and implement a service delivery evaluation strategy
Support teams to develop workforce planning strategies to support the new model of care,
including education and training plans
Encourage teams to use simulation modelling to plan service change
Support teams to
plan and implement
the changes in
commissioning to
support delivery of
the local vision
Support teams to develop leadership, shared language and shared ambitions within local
teams
Deliverables
Support teams to plan and implement the contracting, finance & intelligence and IT system
and process changes needed to support the new model of care
Encourage sharing of learning between teams

28. Communicate
learning and
experience
Utilise multi-media
techniques to share
learning and
experience
Increase use of Twitter (#LTCYearofCare)
Publish and present evidence (papers and conferences)
Encourage teams to share learning within the programme
Aim Objectives
Share analysis of shadow/pilot testing implementation and evaluation
Share learning and
experience within
the programme
Develop LTC Year of Care framework and work with NHS England and Monitor on future
pricing strategy
Promoting access and opportunity to participate in Virtual Learning Network
Create dynamic approach with fast followers
Provide regular WebEx's, workshops and conference calls with teams. Capture and share
issues, successes and learning.
Share learning and
experience to the
wider NHS
Contribute to i-CASE and encourage teams to contribute to i-CASE
Deliverables
Collect learning in case studies and ‘how to’ guides
Link with other programmes (Integration Pioneers, Rehabilitation, End of Life, continuing
care, etc.)
Contribute to development of a competency framework for integrated care
LTC Year of Care Commissioning Model - Year 3
National Programme Aims & Objectives Slide 2

29. Plan and
implement a
new model of
care, and the
commissioning
processes that
under-pin this
model of care
Develop a clear
local vision for
personalisation
Aim
Objectives
Produce a local care economy shared implementation plan for commissioning changes to support the
new model of care.
This should (as a minimum):
• Describe the scope of the commissioning approach (e.g. selection of patients, service inclusions, etc.)
• Describe methods for calculating and managing the pooled budget , risk-sharing agreements and
local tariffs
• Include plans for changes in financial processes, information flows (including information
governance), IT systems to support the new model of care
• Describe the contract model (including development of service specification, joint working
agreements, etc.)
• Include an evaluation and monitoring strategy for the commissioning changes
Plan and
implement the
changes in
services and
workforce to
meet the local
vision
Create a leadership group and programme of meetings that engages the stakeholder group and
supports collaborative working across the local care economy
Plan and
implement the
changes in
commissioning to
support delivery
of the local vision.
Produce a local care economy shared strategy for integrating care.
This should (as a minimum):
• Identify and align outcomes from national and local outcomes frameworks
• Consider evidence to inform the strategy
• Identify barriers to integration (e.g. lack of shared language, information governance, workforce
TUPE requirements, cooperation and competition policy)
• Works in parallel with other plans and strategies (e.g. CCG 5-year plan, Better Care Fund plan, JSNA)
Requirements
Produce and implement a local care economy shared implementation plan for workforce changes to
support the new model of care.
This should (as a minimum):
• Include a training and educating plan
• Include a competency framework
• Describe a strategy to create collaborative working across providers to deliver patient-centred care
Produce and implement a local care economy shared implementation plan for the new model of care.
This should (as a minimum):
• Describe the paradigm shift in culture require to achieve the model of care
• Consider the use of simulation modelling to provide evidence to support the new model of care
• Describe a strategy for market development and market management
• Include an evaluation and monitoring strategy for the service and workforce changes
LTC Year of Care Commissioning Model - Year 3
EI teams - Aims & Objectives Slide 1

30. Communicate
learning and
experience and
request
appropriate
support
Utilise multi-media
techniques to share
learning and experience
Communicate within
the programme and to
the wider NHS
Register and contribute to ICASE
Aim
Objectives
Requirements
Share local documents (e.g. plans, strategies, commissioning specifications,
pricing methods, etc.) , local analyses and datasets (e.g. whole population
data, analyses related to integrated care), and output from evaluation
(evaluation as described in implementation plans) with the national team.
Contribute to documents and other communications coordinated by the
national team (for audiences both within and external to the programme).
Amongst other things, these communications will be used to shape national
policy and develop case studies and ‘how to’ guides.
Demonstrate use of other media for sharing learning and experience. For
example:
• By using of Twitter, LinkedIn or other social media
• By linking local communications portals to the national portals
• By producing documents, contributing to national events, and
contributing to the Virtual Learning Network
Participate in programme communication events (e.g. workshops, WebEx's,
websites, monthly phone calls) and events coordinated by the wider NHS
(e.g. conferences, websites, publications)
Request, via the national team or directly, expertise from national
organisations to support local planning and implementation.
LTC Year of Care Commissioning Model - Year 3
EI teams - Aims & Objectives Slide 2

31. Where are we now:
• Reminder of 2014/15 requirements
• Some early analysis using the BHR whole population
dataset
• Supporting EI sites to operationalise the LTC Year of
Care Commissioning

32. 1. Questions to support planning:
• How will patients be selected for referral (what are the criteria)?
Has this been communicated to referring practitioners?
• What risk stratification for case-finding method will you use?
• Do you have the information to support risk stratification for
case-finding?
• Has Information Governance been sorted?
• Do you have the technical skills to support risk stratification?
• Will risk stratification outputs be shared with clinicians to support
referral decisions? How will this be done (technically)?
• Which health and social care professionals will be able to refer
patients for assessment? How will they do this (what is the
process; e.g. separate referral form)?
1. Select patients for referral to
integrated care pathway
2. Assessment of patient need
3. MDT – development and sharing
of the patient care plan
4. Assignment to Year of Care
patient cohort
5. Commencement of new services
for patient
6. Performance and quality
measurement
7. Contracts – monitoring and
payment to Providers for services
8. Changes to Year of Care patient
cohort
2. Questions to support planning:
• Will you have a single assessment process? Will this be
across both health & social care?
• How will the assessment process work?
• Do staff need to be trained to ensure standard and robust
assessment?
• What information do the assessment team need? Will the
assessment team have access to risk stratification output?
How will they get this information (process)?
• What additional questions will the patient be asked (i.e. Are
they happy with a change in services? Will they give patient
consent for information sharing?)?
• How will results from the assessment be communicated? To
whom?
3. Questions to support planning:
• Who needs to be part of the MDT (acute geriatrician, social
care, therapists)?
• What information will the MDT need to develop a clear and
integrated patient care plan?
• Is IT infrastructure in place to share the care plan?
• Have all IG issues been sorted out to allow sharing of the
care plan?
• Do personnel at Provider organisations need training to
access and respond to the care plan? Will these people be
able to update the care plan record?
• Will patients have access to their care plan? Will they be
able to update the record?
4. Questions to support planning:
• Will all patients with a care plan automatically be part of the
capitated budget, or will a Finance Director have veto
powers? If so, what are the criteria for inclusion? If not, who
manages the risk?
• How often will patients be accepted into the YoC cohort (as
and when, monthly, quarterly)?
• What is the process for adjusting for new arrivals (capitated
budget, performance/quality metrics, contract activity plan,
GP DES/LES, what else)?
• Who will hold the budget? Who will the contract be
between? Who will hold the risk and is this balanced by
potential benefit?
5. Questions to support planning:
• Are the services needed by patients available locally, or does
the service provision market need development?
• Who will deliver services? Will there be competition
between Providers? Will you use voluntary organisations?
• Will you incentive Providers outside of contracts (e.g. GPs
and other primary care)?
• How will patients find out about services? Can patient
choose services, or will health & social care professionals
direct them to services?
• Do Provider strategic, service and workforce plans
demonstrate commitment to integrated care?
• How will you assess competency of Providers?
• How will you assess quality of services and patient
experience/outcomes?
6. Questions to support planning:
• What are you assessing? What are the outcome goals? What
are the questions? Do your measures and metrics reflect
your answers to these questions?
• Do you have a mix of financial, service outcome and patient
experience measures and metrics?
• Are measures and metrics well defined (technically) and are
they practical to measure?
• Will you have a control group?
• Have you set a baseline measurement?
• How will measures and metrics be reported? Do you need IT
systems?
7. Questions to support planning:
• What is the payment mechanism?
• Do you have the information flows to support payment?
• What is the link between payment using national and local
tariffs and payment of the capitated budget? How will you
prevent double-payment?
• Are the services within the capitated budget clearly defined?
• Is payment dependent on outcome metrics? If so, is the link
clear in contracts, and how (practically) will payments be
adjustment?
• Have CCG and Social Care budgets been set up to
accommodate the capitated budget? Is the size of the
budget realistic? Is there a link with the Better Care Fund?
• Do contracts clearly set out the above and include a detailed
service specification?
8. Questions to support planning:
• Once patients are part of the YoC cohort, will they remain in
the cohort until they die or leave the area? If not, what are
the criteria for removing a patient from the cohort?
• How often will the YoC cohort be adjusted (as an when,
monthly, quarterly)?
• What is the process for adjusting for removals (capitated
budget, performance/quality metrics, contract activity plan,
GP DES/LES, removal of care plan, what else)?
NHSIQ Long-term conditions Year of Care commissioning programme. Example patient pathway for integrated care: Questions to support planning

33. 1. Select patients
for referral to
integrated care
pathway
2. Assessment of
patient need
3. MDT –
development and
sharing of the
patient care plan
4. Assignment to
Year of Care
patient cohort
5. Commencement
of new services for
patient
6. Performance
and quality
measurement
7. Contracts –
monitoring and
payment to Providers
for services
8. Changes to Year
of Care patient
cohort
NHSIQ Long-term conditions Year of Care commissioning programme.
Example patient pathway for integrated care: Questions to support planning

34. LTC (House of Care) Framework –
Snapshot survey
Supporting EI sites to facilitate
transformational change locally for
people with LTC and their carers…

35. How did we get here?
Building on EIS individual House of care work at 1.12 workshop:

36. One shared LTC YOC Commissioning House….

37. 4
=
Person
centred
coordinated
care
To….. Building YOUR house
Your house

38. How?
• Share and pool from these learning sets
• Engage with wider CCGs in the LTC
Improvement framework programme
• Spread and engage across your economy
+
• Snapshot Survey
• Assessment Framework

39. The Process
Conversation
M McShane or
National team
Expression of
Interest
Conversation IQ
BM
Local conversations
CCG
Conversation SCN
Conversation LTC
Leads *
BM conversation
with NHS E (JW/DB)
Conversation IQ
LTC/DSM/BM
LTC
Dashboard
(Local area
level)
Identify
Potential CCG’s
(15) *
Agree Regional +
DSM link
Agree DSM:
Regional contact
process
Email CCG +DSM
LTC
Dashboard
Review *
(local level)
CCG + DSM
conversation
Snapshot
Survey *
Agree to explore
programme with
IQ
Sites Agreed *
Develop Action
Plan locally *
Framework
Metrics *
Change
Model
Tools
fishbone
*Develop
regional
vision
Work with each
CCG x10 Action
plan
Use toolkit
Yammer
Community
Put on S Drive
Programme
Logic
Benefits
Wheel
Stakeholder
Matrix
Local
fishbone
Sustainabilit
y
Develop
Tracker *
1st
event
Regional
Long Term Conditions Framework Programme Process Map

40. Engagement + Assessment

41. Snapshot survey
• To provide pan economy information about the local
commissioning landscape in relation to LTC
• A “window” on your locality.
• Best completed with input from people working across health
and social care wherever possible.
• It should take no more than 30 minutes

42. https://www.snapsurveys.com/wh/s.asp?k=14
2262916071

43. Your Mission today ...
Challenge:
• Complete the snapshot survey – can it be done in 30
mins?
• Give us some feedback
• We’ll give you 30 mins now…..

44. https://www.snapsurveys.com/wh/s.asp?k=14
2262916071

45. Feedback
or

46. LTC Year of Care Commissioning Programme
Communications
- What can we do more of?
Yesret Bi
Communications Manager
NHS Improving Quality

47. Summary of the day …

48. To register email LTC@nhsiq.nhs.uk
LTC Learning Community
Lunch & Learn Series:
Date Webinar Hosted by Bev Matthews &
4 February 2015
1 – 2pm
Accountable Care Organisations
in the USA & England testing,
evaluating and learning what
works
Dr Rachael Addicot
Senior Research Fellow, Kings Fund
4 March 2015 Primary Care Workforce for the
21st Century
Sharon Lee
Queens Nurse, Primary Care
Workforce Facilitator South Kent
Coast CCG
TBA Using Simulation Fionuala Bonner
LTC Year of Care Programme Mgr
Kent EI Site

49. Have we done the things we needed to
do:
What By Whom
Review draft sections for EIS Chapter in Implementation Guide BHR
Leeds
Finalise Dr Martin McShane & Jacquie White visits All
Make a decision regarding Somerset and Lambeth &
Southwark re-joining EI sites programme
All

50. Thank you for your hard work today
Next PLF: 16th March @ 2pm