Clinical Innovation & Transformation in Lancashire and South Cumbria
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Presentation from the Clinical Innovation & Transformation in Lancashire and South Cumbria event with Professor Sir Bruce Keogh, 24 November
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Clinical Innovation & Transformation in Lancashire and South Cumbria
- 1. 24th November 2017 Innovation and Transformation in Lancashire and South Cumbria Tweet at @HealthierLSC or use #HealthierLSC
- 2. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 2 Welcome Chris Maguire Editor, Business Cloud @editor_maguire
- 3. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 3 Introduction Dr Amanda Doyle OBE GP and Lead for Lancashire and South Cumbria STP
- 4. Delivering change across Lancashire and South Cumbria4 Five Local Delivery Partnership areas One Sustainability and Transformation Partnership called Healthier Lancashire & South Cumbria Three major gaps: • Health and Wellbeing • Care and Quality • Finance and Efficiency
- 5. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 5 Professor Sir Bruce Keogh Medical Director for NHS England @drbrucekeogh
- 6. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 6 Primary Care for Tomorrow Dr Mark Spencer GP and Clinical Lead for Primary Care in Lancashire and South Cumbria @markspen999
- 7. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC Primary Care for tomorrow7
- 8. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 8 things that will define the future of Primary Care 8
- 9. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 1) Integrated Provision at scale9 30,000 to 50,000 residents Integrated Delivery units Basic building blocks for larger scale provision Addressing the health needs of that community
- 10. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 2) GP Appointment times = 20 minutes10
- 11. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 3) Every patient that needs to be seen on the day will be.11 Neighbourhood Urgent Care Hubs 8am til 8pm: 7 days per week. GP Practices to focus on Routine care Complexity Continuity
- 12. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 4) Wider integration12
- 13. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 5) Access to the Health Care Record13
- 14. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 6) All services delivered in your neighbourhood where it is safe to do so. 14
- 15. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 7) Expanded workforce with everyone working at the top of their licence 15
- 16. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 8) Healthier, empowered communities16
- 17. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC What would it feel like to be a clinician?17 Valued and supported
- 18. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC What will it feel like to be a patient/resident/citizen?18 Being a doer rather than being done to
- 19. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 19 Primary Care for Tomorrow Panel Linda Bracewell Chair of the Local Pharmacy Network Dr Malcolm Ridgeway GP and Lead for Primary Care for the STP Dr Mark Denver GP Clinical Lead for Better Care Together Magnus Hird Regional Clinical Advisor at NHS 111 & Superintendent Pharmacist
- 20. Innovation Market place Innovation and Transformation in Lancashire and South Cumbria Tweet at @HealthierLSC or use #HealthierLSC
- 21. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 21 Secondary Care for the future Alistair Craig Consultant in Interventional and Diagnostic Radiology Dr Nick Wood Consultant Gynaecological Oncologist and Chief Clinical Information Officer at Lancashire Teaching Hospitals NHS Foundation Trust
- 22. THE CHALLENGES AND OPPORTUNITIES OF INFORMATION SHARING DR ALISTAIR CRAIG CONSULTANT RADIOLOGIST
- 23. CASE STUDY 1 CANCER DIAGNOSIS • Joe 54 – presents with jaundice • Surely nothing could go wrong with this seamless pathway……? • One patient • Relatively simple pathway • Just 2 imaging modalities • Testament to the diligence of NHS staff that it does rarely go wrong
- 24. RISKS OF THE SYSTEM • What happens to Joe if a trigger is not actioned? • Many trips for Joe • Data exists in many locations – and may not be the same at each one • Inherently will lead to delays
- 25. CASE STUDY 2 - ELECTIVE CARE Anne 48 - Knee injury - Claustrophobic • Equipment available is different at each provider • Signposting to the different imaging options is poor • Integration between primary and secondary care is at various stages around the region
- 26. Anne 48 - Knee injury - Claustrophobic • Different equipment available is different at each provider • Signposting to the different imaging options is poor • Integration between primary and secondary care is at various stages around the region CASE STUDY 2 - ELECTIVE CARE
- 27. COSTS OF SYSTEM • Costs of performing scan are still incurred – no scan completed • Increased waiting times and wasted appointments • Inequality in access to healthcare dependent on location • Lost working days for Anne
- 28. BARRIERS TO CHANGE • Information exchange does not always match clinical urgency • Data management is proactive – not reactive • “Virtual regional teams” already exist • But the infrastructure is not optimised to support them
- 29. (MY) PRINCIPLES OF WORKING • The best care possible, as close to home as feasible • Shared (secure) access to data will benefit patients and NHS staff • Reduce unnecessary variation in care standards • Increased connectivity (both digital and human) will facilitate transformation • Increases organisational agility and responsiveness • Ensures innovations can be implemented robustly and distributed evenly
- 30. “ACTUAL WORK” • Commitment from all organisations to streamline data sharing • • Shared application for imaging service accreditation • Review of regional MDT activity • Shared equipment and personnel inventory
- 31. (SOME) FUTURE GOALS • Seamless and consistent regional diagnostic service for patients • Integrated /coordinated department workflows • Create regional communities of practice • Alignment of diagnostic standards
- 32. £ Record Sharing - Patient Activation - Channel Shift - Population Health Workforce Change- Health Literacy- Digital Inclusion - Economic Growth sharing is caring32
- 33. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC sharing is caring33
- 34. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC sharing is caring34
- 35. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC LPRES35
- 36. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC EPaCCS36 “I can make the last stage of my life as good as possible because everyone works together confidently, honestly and consistently to help me and the people who are important to me, including my carer(s)”
- 37. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC Place of Death – L&SC STP April 201637 Other Hospice Home Care Home Hospital
- 38. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC WelLPRES38
- 39. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC patient/citizen activation39
- 40. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 40 Technology enabled care panel Dr Nick Wood Consultant Gynaecological Oncologist Alistair Craig Consultant in Interventional and Diagnostic Radiology Anthony Rowbottom Associate Clinical Director for Pathology, Consultant Clinical Immunologist Eleanor Garnett-Bentley Associate Director for Transformation (IHACS Lead) George Dingle GP
- 41. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 41 What is next? Dr Amanda Doyle GP and Lead for STP Dr Sakthi Karunanithi Director for Public Health in Lancashire Liz Mear Chief Officer for Innovation Agency Dr Andy Curran Medical Director for Lancashire and South Cumbria STP Dr Amanda Thornton STP Clinical Lead for Digital Health
- 42. Get involved in the conversation on social media: @HealthierLSC #HealthierLSC 42 Thank you Tweet at @HealthierLSC use #HealthierLSC Visit www.healthierlsc.co.uk
Editor's Notes
- Neil Greaves – description of the landscape: Setting the scene and background behind the STP. In 2015, NHS England worked with other national organisations to produce The Five Year Forward View, this is a national plan to improve health and care services. This plan says that services need to get better at preventing ill health, improve, overall quality, safety and become more efficient. In January 2016, NHS England asked 44 regions, including Lancashire and South Cumbria, to bring together NHS organisations, local authorities, voluntary and community groups to produce a draft Sustainability and Transformation Plan. Lancashire and South Cumbria was ahead-of-the-game as many organisations were already discussing plans through the Healthier Lancashire programme. November 2016 saw a draft of the local STP published, it's purpose was to encourage further thinking about potential solutions to health and social care challenges and draw together local plans and the next steps were to have more local conversations about delivering these ideas further before coming up with firm proposals. The STP has since been superseded by organisational operational plans which should be available on each of the providers websites. These broadly follow the principals behind the draft Sustainability and Transformation Plan. In March 2017, NHS England announced that moving forward Sustainability and Transformation Partnerships will have the role to deliver the NHS Five Year Forward View and key national priorities. We are currently working to establish the governance around this partnership. Therefore we now have: One Sustainability and Transformation Partnership called Healthier Lancashire & South Cumbria Five Local Delivery Partnership areas (LD Partnerships) Three major gaps: Health and Wellbeing Care and Quality Finance and Efficiency Eight priority workstreams Introduce Andy Curran to talk about why this is needed – about health outcomes being poor and how this needs to be a clinically led programme and not driven by finances but improving lives of local people.
- Neil Greaves – description of the landscape: Setting the scene and background behind the STP. In 2015, NHS England worked with other national organisations to produce The Five Year Forward View, this is a national plan to improve health and care services. This plan says that services need to get better at preventing ill health, improve, overall quality, safety and become more efficient. In January 2016, NHS England asked 44 regions, including Lancashire and South Cumbria, to bring together NHS organisations, local authorities, voluntary and community groups to produce a draft Sustainability and Transformation Plan. Lancashire and South Cumbria was ahead-of-the-game as many organisations were already discussing plans through the Healthier Lancashire programme. November 2016 saw a draft of the local STP published, it's purpose was to encourage further thinking about potential solutions to health and social care challenges and draw together local plans and the next steps were to have more local conversations about delivering these ideas further before coming up with firm proposals. The STP has since been superseded by organisational operational plans which should be available on each of the providers websites. These broadly follow the principals behind the draft Sustainability and Transformation Plan. In March 2017, NHS England announced that moving forward Sustainability and Transformation Partnerships will have the role to deliver the NHS Five Year Forward View and key national priorities. We are currently working to establish the governance around this partnership. Therefore we now have: One Sustainability and Transformation Partnership called Healthier Lancashire & South Cumbria Five Local Delivery Partnership areas (LD Partnerships) Three major gaps: Health and Wellbeing Care and Quality Finance and Efficiency Eight priority workstreams Introduce Andy Curran to talk about why this is needed – about health outcomes being poor and how this needs to be a clinically led programme and not driven by finances but improving lives of local people.