Right Care in action

1. Right Care in action Cheryl McKay R.G.N, R.S.C.N, R.H.V, BSc, MBA Head of Programmes, Warrington CCG NHS | Presentation to [XXXX Company] | [Type Date]

2. Transforming Urgent CareThe Right Care Way Warrington CCG

3. What to change

5. Transforming Urgent Care DOWN by 8% EFFICIENCY SAVING M6- £750,000

6. Redesigning Urgent Care Services

7. HOW TO CHANGE

8. Our Vision 2013

9. Our Approach to Levering the Change • Architectural Framework to Support System Change • Engagement of users and carers in the design of services • Devolve planning and implementation to those key to delivery including users • Engagement and commitment of wider primary care colleagues • Devolved leadership of programmes to clinicians and system partners • Programme & change management approach to support system transformation • Monitoring and Evaluation • Health improvement tools, including a PDSA approach to improvement

10. OUR outcomes

11. Warrington Success

12. Overall Reduction in Non-elective Care DOWN by 8% EFFICIENCY SAVING M6 - £750,000

13. Reduction in Non-elective Care

14. Our Other Outcomes • Patient satisfaction surveys- patients report having a positive experience of care (NOF 4) • Effective integrated working • Speaking common language • Mindset & behaviour change • Emergent & innovative thinking • One year in- all partners committed to the emerging vision • Bottom up emergent primary care strategy, to create “the Warrington Brand for Primary Care”

15. Warrington CCG Cheryl McKay Head of Programmes Cheryl.mckay@warringtonccg.nhs.uk

16. 5 KEY INGREDIENTS Clinical Leadership(of the reform agenda) Indicative Data(on where variation exists – focus here to improve) Clinical Engagement(in individual reforms, supported by project managers and teams) Evidential Data (on what, why and how to change) Effective processes (BPE) Delivers Reform

17. Case Study 2 – West Cheshire CCG • Clinical Leadership

18. What is NHS West Cheshire Clinical Commissioning Group 2013? 6,100 Population under 5 Population over 85 • Our Programmes: • Starting well • Prevention and early detection • Supporting self care • Developing primary care • Improving care pathways • Ageing well • End of life 13,465 Our population 263,172 Total population Prospering small towns GP practices ONS Cluster 36 Our membership Total budget £6m Running costs £308m 284 Total number of GPs £129m 55 £1,213 £227m 52 Our clinical leads 40 Countess of Chester NHS Foundation Trust Employed staff and Governing Body members Spend per person hospital and community services 5 GP commissioning leads £43m 19 Governing Body GPs £55m Cheshire and Wirral Partnership NHS Foundation Trust Clinical pathway lead GPs Other providers Your money Making sure you get the healthcare you need

19. Examples of where Right Care principles have delivered in West Cheshire

20. Key learning • Clinical commissioning isn’t just GPs • Maintaining progress, even in the face of opposition. • Led by clinicians, informed by patients, organised by managers • Find the win / win for everybody.

21. Right Care for Populations • The NHS Right Care website offers resources to support CCGs in adopting this approach: • online videos and ‘how to’ guides • casebooks with learning from previous pilots • tried and tested process templates to support taking the approach forward • advice on how to produce “deep dive” packs locally to support later phases, within the CCG or working with local intelligence services • access to a practitioner network • Follow Right Care online • Subscribe to get a weekly digest of our blog alerts in your inbox, • Receive occasional eBulletins • Follow us on Twitter @qipprightcare Find the full series at: www.rightcare.nhs.uk/resourcecentre