NHSPathways@wmas.nhs.uk

1. NHS Pathways & CMS DOS Working in Partnership NHSPathways@wmas.nhs.uk

2. NHS Pathways & CMS DOS Vision Delivering the right patient care, in the right place, at the right time, through a skilled and committed workforce, in partnership with local health economies • Values • World Class Service • Patient Centred • Dignity and Respect for All • Skilled Workforce • Teamwork • Effective Communication Strategic Objectives Establish market position as an Emergency Healthcare Provider Accurately assess patient need and direct resources appropriately Achieve Quality and Excellence Work in Partnership Service Delivery Objectives Deliver Service Improvement Increase Efficiency Develop our Workforce Transform our Technology Infrastructure

3. NHS Pathways & CMS DOS WMAS Ambulance Responses - Projected 5 Year Activity 2010/2011

4. Triage Process R1,R2 NHS Pathways & CMS DOS The Previous Position Within WMAS 999 G1,G2 G3,G4 CSD NHSD 4% 96% Response 68% To Hospital

5. NHS Pathways & CMS DOS How Did We Change This?....NHS Pathways & CMS DOS

6. NHS Pathways & CMS DOS CMS DOS (Multiple Presentations Shown) https://nww.pathwaysdos.nhs.uk DOS via NHS Pathways (999)

7. Pathways Red Flag NHS Pathways & CMS DOS The Pathways Solution Within WMAS 999 CSD Further Assessment DOS HCRT/REFS MIU DN A&E Immediate GP in hrs GP OOH WiC Midwife Pharmacy NHS Direct Other services 72 Hours

8. Pathways Modules CSD NHS Pathways & CMS DOS Time Capacity Clinical Need CMS Directory of Services (DOS) Module collects Clinical markers (Algorithms) based on ‘ruling out’ DOS

9. NHS Pathways & CMS DOS The Importance of an Integrated NHS Pathways & CMS DOS • Key System Benefits: • Patients go to the ‘Right Place, First Time, All of the Time’ • Improved patient journey and experience • Better use of available services • Cost base for assessment and referral to care much reduced • Inappropriate ambulance journeys avoided • Reduction in 999 conveyances and A&E attendances • Gives commissioners world class data on what services are needed

10. NHS Pathways & CMS DOS Clinical Safety & Clinical Support • Extensive piloting – over 1.3 million patient calls safely assessed across 4 different sites– No adverse incidents • Academic evaluation by 3 universities – ‘safe and appropriate’ • Ministerial license for use granted February 2009 • BMA and Royal Colleges – overt support • National Clinical Governance Group chaired by RCGP

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20. NHS Pathways & CMS DOS WMAS CMS DOS User Guide

21. NHS Pathways & CMS DOS WMAS CMS DOS Health Economy Leaflet

22. NHS Pathways & CMS DOS Staffordshire, Coventry & Warwickshire Experience – July 2011 (11 weeks)

23. NHS Pathways & CMS DOS Birmingham, Black Country & West Mercia Experience – September 2011 (1 week)

24. NHS Pathways & CMS DOS Any Questions ?