The document summarizes a workshop for early implementer sites of the Long Term Conditions Year of Care Commissioning programme. It includes an agenda with presentations on NHS England pricing and evaluation approaches, updates from individual early implementer sites, and tasks to be completed. Site updates discuss progress made in 2014/2015 and plans for 2015/2016, including engaging stakeholders, analyzing data, defining cohorts, and establishing new models of care. The document outlines discussions and next steps around priority areas for the payment system, costing of NHS services, and evaluation approaches.
NHSIQ LTC Year of Care Commissioning Programme shortlisted for HSJ Awards 2014:
HSJ Awards Dragon’s Den presentation on enhancing care by sharing data and information
More at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care.aspx
Andy Williams (Chief Executive - HSCIC) spoke at the recent "Healthcare Efficiency Through Technology Expo (HETT 2015)".
Areas covered include:
· Role and remit of the HSCIC
· Summary of important activity from the last 12 months
· HSCIC’s strategy 2015 - 2020
· The big delivery challenges the health and care system faces
The Health and Social Care Information Centre is hosting a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the first event, held at the Royal Marsden NHS Foundation Trust on 1st October 2015.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
For more information about future events, please contact the team mailto:workforce.dq@hscic.gov.uk <mailto:workforce.dq@hscic.gov.uk>
NHSIQ LTC Year of Care Commissioning Programme shortlisted for HSJ Awards 2014:
HSJ Awards Dragon’s Den presentation on enhancing care by sharing data and information
More at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care.aspx
Andy Williams (Chief Executive - HSCIC) spoke at the recent "Healthcare Efficiency Through Technology Expo (HETT 2015)".
Areas covered include:
· Role and remit of the HSCIC
· Summary of important activity from the last 12 months
· HSCIC’s strategy 2015 - 2020
· The big delivery challenges the health and care system faces
The Health and Social Care Information Centre is hosting a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the first event, held at the Royal Marsden NHS Foundation Trust on 1st October 2015.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
For more information about future events, please contact the team mailto:workforce.dq@hscic.gov.uk <mailto:workforce.dq@hscic.gov.uk>
Julie Henderson (Head of Analytical Services - HSCIC) presented with Shaun Rowark (Technical Analyst, Quality Standards - NICE) at the recent "Commissioning in Healthcare show (CiH 2015) ".
Areas covered include:
· NICE quality standards: These are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. Derived from the best available evidence, they can enable commissioners to be confident that the services they are purchasing are high quality, cost effective and focused on driving up quality.
· Real life examples of how quality standards are being used by commissioners, possible barriers to implementation and advice on how to overcome these
· Data available from the HSCIC and how to use these to support the commissioning process
AAFP Government Relations Director Kevin Burke's 2013 SLC presentation on AAFP's Federal Priorities and the status of AAFP supported legislation at the federal level.
Andy Williams (Chief Executive - HSCIC) discussed how the HSCIC are improving wellbeing through information and technology at the recent "Healthcare Efficiency Through Technology Expo (HETT 2014)".
Areas covered include:
- Taking action and sustain public trust
- Building capability on firm foundations
- Emerging strategic imperatives
HSCIC/ESR Data Quality / Data Standards Road Shows 2015/16
The Health and Social Care Information Centre has hosted a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the fourth event, held at the Taunton Rugby Club, Taunton on 25th February 2016.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
Read how the HSCIC are working with the NHS to reduce burden and bureaucracy. Presentation delivered at the Healthcare Efficiency Through Technology (HETT) Expo 2014 - areas covered included:
- Tackling bureaucracy in the NHS
- Auditing bureaucracy in the NHS
- Testing the hypothesis
- Report findings and recommendations
- Top ten tips
- Changes that make an impact
- Self-assessment toolkit
- What's next?
SCIC/ESR Data Quality / Data Standards Road Shows 2015/16
The Health and Social Care Information Centre has hosted a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the third event, held at Bruntwood City Tower, Manchester on 1st March 2016.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
The Health and Social Care Information Centre is hosting a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the second event, held at The Priory Rooms, Birmingham on 26th November 2015.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
For more information about future events, please contact the team at workforce.dq@hscic.gov.uk
Presentation made by Professor Martin Severs, HSCIC Caldicott Guardian and Lead Clinician, at the Healthcare Conferences UK event 'Information Governance Implementing the Government Response to Caldicott2', to preview the new HSCIC Code of Practice on Confidential Information. This event was held at London's Hallam Conference Centre, on Wednesday 12 November 2014.
Delivering on results - Evidence-based decision making through better metrics...OECD Governance
Presentation by Kiran Hanspal, Canada, at the 11th annual meeting of the OECD Senior Budget Officials Performance and Results network, Paris, 26-27 November 2015.
Canadian Best Practices in Measuring Efficiency,Effectiveness and Performance of the Public Sector
D. Brian Marson
APO International Advisor
Colombo, June 2015
Nicholas Oughtibridge (Principle Author of the Code of Practice for Confidential Information - HSCIC) spoke at the recent "Commissioning in Healthcare show (CiH 2015)".
Areas covered include:
· The role of the code of practice
· What is covered by the Code of Practice on Confidential Information?
· The seven steps in the life of a data collection
· Sharing confidential information with other people to meet legitimate needs
· Plans for revising the Code of Practice on Confidential Information
Policy evaluation in the Netherlands -- Birgit ten Cate - NetherlandsOECD Governance
Presentation by Birgit ten Cate, Netherlands, at the 11th annual meeting of the OECD Senior Budget Officials Performance and Results network, OECD, 26-27 November 2015.
2014 will be a year to remember for self-funded health plans. On top of current responsibilities, add complying with the Affordable Care Act (ACA or “Obamacare”). 2014 is the one-year ACA “extension.” By the end of 2014, group health plans must be compliant with the full range of ACA requirements and be ready to stay compliant until at least 2017 and probably beyond.
This webinar is the first in a series of monthly webinars on ACA compliance that Health Decisions is offering in 2014. We present an approach to ACA compliance that uses and complements current plan management responsibilities. Each month will cover an ACA compliance topic relevant to that time of year.
This webinar provides an overview of 2014 and the topics we will cover each month. It offers an ACA Plan for 2014 that attendees can adopt or adapt.
ACA compliance has its challenges:
• How to pass compliance tests and avoid penalties?
• How to combine employment facts with plan enrollment data for new IRS reporting?
• How to defuse the ticking time bomb of cost sharing changes?
Having an ACA Plan makes these challenges manageable.
ACA compliance also creates opportunities. Having an ACA Plan makes it possible to comply while: minimizing liabilities, maximizing savings, enhancing plan control, and improving employee relations.
Please visit www.healthdecisions.com to register for upcoming webinars and to view past webinars (in Si's Library).
New institutions, updates and evaluations - Phil Bowen, AustraliaOECD Governance
This presentation was made by Phil Bowen, Australia, at the 9th Annual Meeting of the OECD network of Parliamentary Budget Officials and Independent Fiscal Institutions held in Edinburgh, Scotland, on 6-7 April 2017.
Backlog, Deferred Maintenance and its use in PlanningSightlines
Gina Matsoukas presents on putting a process in place that will help you turn granular details of your backlog of needs into a strategic action plan for your campus.
Improving access to seven day services - Taunton 4th March 2015
The first of the regional events for the south took place in Taunton on 4 March. Over 100 delegates from local health and social care organisations came together with patient, public and voluntary sector representatives to hear about the expectations, opportunities and challenges of delivering seven day services and to review and further develop plans for their local communities.
Interactions between the delegates in their local health and social care communities, supported by the NHS Improving Quality team, made this a vibrant event with everyone contributing to the table discussions during the day.
Key themes emerging during the day included:
• The need for system resilience group members to fully understand the skills and “offer” that each of them can bring to the table to improve health and social care seven days a week. This was highlighted in discussions around clinical standard 9, which many groups focussed on as their top priority.
• The need to have an effective system of information sharing between all parts of the health and social care system.
• The huge role that patients and public groups have to play in planning services.
Julie Henderson (Head of Analytical Services - HSCIC) presented with Shaun Rowark (Technical Analyst, Quality Standards - NICE) at the recent "Commissioning in Healthcare show (CiH 2015) ".
Areas covered include:
· NICE quality standards: These are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. Derived from the best available evidence, they can enable commissioners to be confident that the services they are purchasing are high quality, cost effective and focused on driving up quality.
· Real life examples of how quality standards are being used by commissioners, possible barriers to implementation and advice on how to overcome these
· Data available from the HSCIC and how to use these to support the commissioning process
AAFP Government Relations Director Kevin Burke's 2013 SLC presentation on AAFP's Federal Priorities and the status of AAFP supported legislation at the federal level.
Andy Williams (Chief Executive - HSCIC) discussed how the HSCIC are improving wellbeing through information and technology at the recent "Healthcare Efficiency Through Technology Expo (HETT 2014)".
Areas covered include:
- Taking action and sustain public trust
- Building capability on firm foundations
- Emerging strategic imperatives
HSCIC/ESR Data Quality / Data Standards Road Shows 2015/16
The Health and Social Care Information Centre has hosted a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the fourth event, held at the Taunton Rugby Club, Taunton on 25th February 2016.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
Read how the HSCIC are working with the NHS to reduce burden and bureaucracy. Presentation delivered at the Healthcare Efficiency Through Technology (HETT) Expo 2014 - areas covered included:
- Tackling bureaucracy in the NHS
- Auditing bureaucracy in the NHS
- Testing the hypothesis
- Report findings and recommendations
- Top ten tips
- Changes that make an impact
- Self-assessment toolkit
- What's next?
SCIC/ESR Data Quality / Data Standards Road Shows 2015/16
The Health and Social Care Information Centre has hosted a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the third event, held at Bruntwood City Tower, Manchester on 1st March 2016.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
The Health and Social Care Information Centre is hosting a series of road shows jointly with the Electronic Staff Record (ESR) Central Team and Health Education England to highlight developments in NHS workforce information, data standards and data quality.
Here are the slides presented at the second event, held at The Priory Rooms, Birmingham on 26th November 2015.
Data quality is all about collaborative working with a shared purpose and this is the main driver behind our road shows during 2015/16. Any efforts to improve data quality should have mutual benefits and should provide a platform for discourse between all involved. Collectively we can ensure that the data that is used to inform decisions about the workforce at local, regional and national level is as accurate as possible. Good data quality can't guarantee good decisions are made, but poor data quality will definitely increase the likelihood of poor decisions and poor outcomes.
For more information about future events, please contact the team at workforce.dq@hscic.gov.uk
Presentation made by Professor Martin Severs, HSCIC Caldicott Guardian and Lead Clinician, at the Healthcare Conferences UK event 'Information Governance Implementing the Government Response to Caldicott2', to preview the new HSCIC Code of Practice on Confidential Information. This event was held at London's Hallam Conference Centre, on Wednesday 12 November 2014.
Delivering on results - Evidence-based decision making through better metrics...OECD Governance
Presentation by Kiran Hanspal, Canada, at the 11th annual meeting of the OECD Senior Budget Officials Performance and Results network, Paris, 26-27 November 2015.
Canadian Best Practices in Measuring Efficiency,Effectiveness and Performance of the Public Sector
D. Brian Marson
APO International Advisor
Colombo, June 2015
Nicholas Oughtibridge (Principle Author of the Code of Practice for Confidential Information - HSCIC) spoke at the recent "Commissioning in Healthcare show (CiH 2015)".
Areas covered include:
· The role of the code of practice
· What is covered by the Code of Practice on Confidential Information?
· The seven steps in the life of a data collection
· Sharing confidential information with other people to meet legitimate needs
· Plans for revising the Code of Practice on Confidential Information
Policy evaluation in the Netherlands -- Birgit ten Cate - NetherlandsOECD Governance
Presentation by Birgit ten Cate, Netherlands, at the 11th annual meeting of the OECD Senior Budget Officials Performance and Results network, OECD, 26-27 November 2015.
2014 will be a year to remember for self-funded health plans. On top of current responsibilities, add complying with the Affordable Care Act (ACA or “Obamacare”). 2014 is the one-year ACA “extension.” By the end of 2014, group health plans must be compliant with the full range of ACA requirements and be ready to stay compliant until at least 2017 and probably beyond.
This webinar is the first in a series of monthly webinars on ACA compliance that Health Decisions is offering in 2014. We present an approach to ACA compliance that uses and complements current plan management responsibilities. Each month will cover an ACA compliance topic relevant to that time of year.
This webinar provides an overview of 2014 and the topics we will cover each month. It offers an ACA Plan for 2014 that attendees can adopt or adapt.
ACA compliance has its challenges:
• How to pass compliance tests and avoid penalties?
• How to combine employment facts with plan enrollment data for new IRS reporting?
• How to defuse the ticking time bomb of cost sharing changes?
Having an ACA Plan makes these challenges manageable.
ACA compliance also creates opportunities. Having an ACA Plan makes it possible to comply while: minimizing liabilities, maximizing savings, enhancing plan control, and improving employee relations.
Please visit www.healthdecisions.com to register for upcoming webinars and to view past webinars (in Si's Library).
New institutions, updates and evaluations - Phil Bowen, AustraliaOECD Governance
This presentation was made by Phil Bowen, Australia, at the 9th Annual Meeting of the OECD network of Parliamentary Budget Officials and Independent Fiscal Institutions held in Edinburgh, Scotland, on 6-7 April 2017.
Backlog, Deferred Maintenance and its use in PlanningSightlines
Gina Matsoukas presents on putting a process in place that will help you turn granular details of your backlog of needs into a strategic action plan for your campus.
Improving access to seven day services - Taunton 4th March 2015
The first of the regional events for the south took place in Taunton on 4 March. Over 100 delegates from local health and social care organisations came together with patient, public and voluntary sector representatives to hear about the expectations, opportunities and challenges of delivering seven day services and to review and further develop plans for their local communities.
Interactions between the delegates in their local health and social care communities, supported by the NHS Improving Quality team, made this a vibrant event with everyone contributing to the table discussions during the day.
Key themes emerging during the day included:
• The need for system resilience group members to fully understand the skills and “offer” that each of them can bring to the table to improve health and social care seven days a week. This was highlighted in discussions around clinical standard 9, which many groups focussed on as their top priority.
• The need to have an effective system of information sharing between all parts of the health and social care system.
• The huge role that patients and public groups have to play in planning services.
Complex Agile Backlog Management
ד"ר רונן בר נהור, Amdocs - Product Division Quality Director
אחד היתרונות העיקריים של פיתוח ב- Agile, הוא הגמישות בהגדרת התכולה והיכולת הגבוהה לענות לצרכי השוק. רבים מתרגמים יכולת זאת כאישור להעדר תכנון ודרך.
בהרצאה מציג ד"ר בר נהור את האתגר בפיתוח מספר מוצרים ע"י מספר קבוצות בשיטת Agile, מהן רמות התכנון השונות שמיושמות ע"י אמדוקס וכיצד ניתן לשלב גמישות אופטימית עם תכנון ובקרה.
מוצג מודל של מבנה backlog התומך מרמת האסטרטגיה דרך הפרויקטים ועד רמת ה-user story ותהליך התכנון ופרוק של כל שלב.
The main recommendation is an accessible (and inexpensive) overview of the topic from the Harvard Business Essentials line of brief paperbacks; the alternative, a multidimensional case on mentoring.
Isms Implementer Course Module 1 Introduction To Information Securityanilchip
This is the Module 1 of ISMS implementation course - is a 3 days hands-on course with case studies. This sample module also has an audio attached to the presentation so while running the file please ensure your audio is switched to ON.
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
This presentation is for those who are very new to Powerpoints and want to learn the art of making effective PPT's. Also the idea behind making a module, per say, is important and this PPT describes the parameters on which a Basic Training Module can be built. These parameters will help the new comers to get an Idea of how to prepare Training Modules
Population Level Commissioning for the Future
Wednesday 3 December 2014, 1pm – 1.45pm
Dr Abraham George
Assistant Director/Consultant in Public Health
Kent County Council
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
Disabled Facilities Grant and Other Adaptations: External Review 2018Foundations
Sheila Mackintosh from the University of West England presents some of the key recommendations from the DFG Review at the DFG Champions Roadshows 2018.
Midlands and East GP Forward View update event May 2017NHS England
A presentation from the GP Forward View update event in May 2017 for Midlands and East, giving the latest information on what the Forward View is delivering.
Commissioning for outcomes,
Wednesday 21 January 2015 - 13.00 to 13.45
Hosted by Bob Ricketts CBE, Director of Commissioning Support Services and Market Development for NHS England.
3.4 Measuring access - Mitchell Briggs, Louise Harvey, Brian NivenNHS England
Measuring access. Measuring access in general practice. Focusing on the GP Access Fund national evaluation, the bi-annual data collection and the general practice workload tool. Mitchell Briggs, Programme Lead, Improving Access to General Practice, NHS England; Louise Harvey, Stakeholder Engagement Lead, Improving Access to General Practice, NHS England, Brian Niven, Technical Director, Mott Macdonald.
This slideset outlines a package of materials developed by NHS England to support commissioners to develop strong, robust and ambitious five year plans to secure the continuity of sustainable high quality care for all.
Making Seven Day Services a reality, pop up uni, 2 pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Similar to LTC yoc commissioning eis workshop 020215 (20)
Stopping over-medication of People with Learning Disabilities
(STOMPLD) 2016.
Reducing Inappropriate Psychotropic Drugs in People with a Learning Disability in General Practice and Hospitals in 2016.
Presentation slides Frailty: building understanding, empathy and the skills t...NHS Improving Quality
Frailty: building understanding, empathy and the skills to support self-care
Guest speaker:Dr Dawn Moody, Director - Fusion48
An opportunity to learn about some innovative approaches to making the health and care workforce 'Fit for Frailty'* (*British Geriatrics Society 2015).
Learning outcomes:
To explore the Frailty Fulcrum as a tool for holistic assessment and management of frailty
To hear how Virtual Reality is being used to build empathy for older people living with frailty
To learn about the impact of a county-wide, multi-agency, multi-professional training an toolkit for care professionals working with older people
Resources:www.fusion48.net
Self-management in the community and on the Internet - Presentation 22nd Marc...NHS Improving Quality
LTC Lunch & Learn webinar:- 22nd March 2016
Presenter:- Pete Moore, Educator, Author & Pain Toolkit Trainer
As pain is the most daily health problem reported to a GP-
Developing a national pain strategy- reviews from around the world
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
Fire service as an asset: providing telecare support in the community Webinar...NHS Improving Quality
Guest speaker: Steve Vincent - West Midlands Fire Service & Simon Brake from Coventry Council
Hosted by: Bev Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:-
To better understand the role that the Fire and Rescue service can provide as a community asset to support health needs Enhancing the quality of life for people by supporting them to stay in their own home, even in a crisis
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.
The speakers and Anya de Longh and Jim Phillips.
The final poll for the person centred care images captured at the LTC Midlands and East learning event in November 2015. Which captures person centred care the most to you? Access to records or quality for everyone?
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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
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
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?
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:
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
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
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…..
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