CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22 nd 2010 Roger Richards, Mark

1. CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston CCM Demonstrators Overview of research and evaluation May 2010 Mark Kingston, Principal Researcher

2. Nat Steering Group/WAG National Team (NLIAH) 3 Demonstrator Sites Advanced Learning/Testing of elements of CCM Model & Framework CCM Demonstrator Programme ----- ----- ----- ----- ----- ----- ----- ----- Service Improvement Info Mgt & Technology Sharing & Mainstreaming Workforce Re-design Citizen and Patient Engagement ----- ----- ----- ----- Service Dev Directives Outputs evidence CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston

3. Deliverables Communications Evidence CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston • Electronic e-bulletin • Events profile • Highly developed work plan listing all activities, deliverables, purpose and use for others – on website • Project based evaluation – increase autumn 2009 • Findings communicated - eval. papers/reports etc • National studies e.g. cost effectiveness of Demonstrators,; overarching evaluation • Project outputs… • Job descriptions, protocols, ToRs, ways of working • Publications, learning papers, reports

4. CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston CCM Demonstrator Website www.ccmdemonstrators.com Average of 3000 hits per month since January Still relatively new – please send any comments to help improve site to darren.davies@nliah.wales.nhs.uk

5. Deliverables on the CCM Demonstrator Website – Activity, Deliverables, Progress to Date and Learning Impact for others CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston

6. CARDIFF

7. DIABETES Evaluation of provision of Diabetes intermediate care clinics in GP practices (Eastern Cardiff)

8. CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston Full list available at www.ccmdemonstrators.com

9. CARMS

10. Patient Stories

11. N WALES

12. Community Health Guardian Evaluation of Community Volunteer Health Guardian Project

13. PP Learning Papers. Evaluation Papers and Reports – see website

14. Learning Papers • 1: Communicating the CCM Core Model • 2: Information Management Technology Requirements for CCM • 3: The role of research and evaluation in demonstrating learning • 4: CCM Locality Care Co-ordination • 5a: The Development of ACNPs supporting CCM • 5b: Governance Principles to Support Integrated Working • 6: What are the National CCM Demonstrators? • 7: Frequently Asked Questions (FAQs) • 8-12: Twelve month report learning papers • Progress and achievements in the first 12 months • Partnership and Building the Consensus • Locality Working,Clinical Leadership and a Whole System Approach • Deliverables, benefits and anticipated outcomes • Emerging Outcomes and Evidence of Progress with Partners • 13: Piloting of a virtual clinic for diabetes services • 14: Better Breathing In Carmarthenshire • 15: The Use of Mapping Tools in the Development of Locality Working

15. Evaluation Papers EP1 Designed for Pain - Management of Chronic Non-Malignant Pain EP2 Community Health Guardian Project - North Wales CCM Demonstrator EP3 Evaluating service user and clinical perspectives to develop a model patient advisory group for arthritis and musculoskeletal (MSK) services EP4 Patient Stories EP5 Diabetes Intermediate Care Clinics

16. Main areas of work • Overarching evaluation • Communications • Engagement with CCM community • including needs analysis (what do they need) • Research bulletins – from June 2010 • Preparation for conference November 2010 • Second annual report July 2010

17. Overarching Evaluation To evaluate the development, delivery and outcomes of the chronic conditions management demonstrator programme (2008-2011) CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston Aims To describe and assess the programme purpose and design To compare and contrast the differing approaches employed by the three demonstrator sites To assess effectiveness of the administrativeframeworkof the Programme To assess the impact of the demonstrators through specific outputs and outcomes To evaluate the awareness and delivery of the programme including the active participation of partners (including service users) in implementation. To determine the extent to which learning from the demonstrators has informed and supported CCM developments across Wales To identify individual and collective learning and best practice and to make recommendations based on this analysis for achieving efficient and effective use of resources

18. Needs Analysis • Exercise that looks at the take up of guidance, information and learning from the three CCM Demonstrators sites. Incorporating two/three survey periods between 2010 and 2012, this work will contribute to an understanding of the impact of the CCM Demonstrator programme re providing advanced learning to other areas of Wales. • To assess awareness of the work of the CCM Demonstrators • To clarify areas of particular interest within health board’s/communities • Communications preferences of CCM community • To inform potential CCM Demonstrator roadshows and other events • To determine take up of learning from the CCM Demonstrators • To provide case studies of how learning has been used to inform CCM work • Sample • Directors of Community Primary Care • CCM Leads, LSB? • All Wales CCM community CCM Demonstrators – Deliverables, Evidence and Mainstreaming National CCM Cop April 22nd 2010 Roger Richards, Mark Kingston