The Leeds whole system approach

1. The Leeds whole
system approach
Tim Straughan
Leeds CCGs /Leeds City Council
t.straughan@nhs.net
@timstraughan
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2. 2
The Leeds Landscape
• Demographics –
 552 sq km
 800,000 population
• 7 Statutory health and care
organisations
 3 CCGs
 3 NHS Trusts
 1 Local Authority including
Health and Wellbeing Board

3. 3
The Grandest Grand Départ
Achieving a
shared
ambition
through
strong
partnerships

4. Between:
– Primary and specialist care
– Commissioners and Providers
– Health and Social Care
– Physical and Mental Health
– Adults and Children
– Public and Private
– Academic and Third Sectors
– Local and National
– Communities and Neighbourhood
– Patients and Citizens
Whole System Partnership Working
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5. A ‘BEST CITY’ approach to Health and
Care services,
which enables us to:
• tell the same story across
organisations
• be clear about our values
• start the process of acting as ‘one
organisation’
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The Leeds approach to Partnership Working

6. 6
Integration, Integration, Integration
Single Currency
Leeds £
Common
language and
narrative
Shared
infrastructure

7. 7
A sustainable, high
quality health and
social care system
Behaving like one organisation – with a common ambition

8. Examples of one system in operation
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9. Monthy variation (95%)
Annualized Diff. to Trend
Age-sexcorr.admissionsper1,000patientspermonth
Apr-10
Jul-10
Oct-10
Jan-11
Apr-11
Jul-11
Oct-11
Jan-12
Apr-12
Jul-12
Oct-12
Jan-13
Apr-13
Jul-13
Oct-13
Jan-14
Apr-14
Jul-14
Oct-14
Jan-15
Apr-15
Jul-15
Oct-15
Jan-16
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00 Apr-09
Jul-09
Oct-09
Jan-10
Apr-10
Jul-10
Oct-10
Jan-11
Apr-11
Jul-11
Oct-11
Jan-12
Apr-12
Jul-12
Oct-12
Jan-13
Apr-13
Jul-13
Oct-13
Jan-14
Apr-14
Jul-14
Oct-14
Jan-15
Apr-15
Jul-15
Oct-15
Jan-16
Apr-12: First three IH&SC teams go live
Projected ‘do nothing’
baseline
Leeds total
First three IH&SC
teams
Apr-13:All teams operational
Assessing the impact of integration: Emergency
admissions to hospital for Leeds-registered
patients aged 65 year and over
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10. Whole system approach to ‘one source of truth’
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11. Leeds Care Record - Take Up
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12. ‘virtual wards’ and patient lists
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13. Caroline Lockie, Community Matron
“I have 9 case managed patients who are
registered at an EMIS practice. LCR access
lets me see what is happening with these
patients so I’m no longer going blind”
Emma Seabourne, Occupational Therapist
“Being able to see an EDAN so easily
saves time in wards photocopying documents.”
Gary Schofield, Social Worker
“ This is REALLY good! Enables
me to see information in other
systems so I aren’t going in blind”
Chris Woods, District Nurse
“ I was able to use this whilst working on
a weekend when I couldn’t call the GP”
Angela Kier, NT Co-ordinator
“This will save me time phoning round
wards and chasing GPs for summaries”
Kiera Pagdin, Staff Nurse
“It enabled me to see what had happened to a
patient who had been hospitalised, meaning I
didn’t make a wasted journey to see them”
And what do users think?
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14. Leeds approach to Communications and Patient Engagement
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15. The Ripple effect
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OpenInnovateCollaborate

16. Leeds Academic Health Partnership
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Pioneering approach to health and wealth

18. “Nowhere else has the potential of Leeds to lead the world in the use of data to
drive health and wellbeing outcomes”
Sir Alan Langlands and Sir Alex Markham
Leeds – Data City
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Jönköping
Aravind
Eye Care
So what will Leeds be known for?