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Supporting Whole System Delivery. Out of Hospital Standards Testing the principles. Paul Maubach , Chief Accountable Officer Dudley Clinical Commissioning Group . Setting the scene. We know that there is variation in the out of hospital service provision
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Out of Hospital StandardsTesting the principles Paul Maubach, Chief Accountable Officer Dudley Clinical Commissioning Group
Setting the scene • We know that there is variation in the out of hospital service provision • Out of hospital standards can be seen as an enabler to support the implementation of seven day services across the NHS to improve patient experience and outcomes • Started in Dudley to standardise out of hospital community service provision • Being an ‘Early Adopter’ site we wanted to test the principles with the wider system • This is the ‘START’ of wider engagement and consultation across the health and social care system – ‘A truly bottom-up approach’
Developing Out of Hospital Standards to support patient care seven days a week • Patient experience • Timely access, assessment and review by General Practice settings for vulnerable people • Timely access, assessment and review by integrated community services for vulnerable people or with acute conditions • Timely access to mental health community services to avoid crisis • Proactive integrated case management of people with complex or on-going needs • Integrated electronic clinical systems for sharing information and effective communication • Diagnostics • Quality Improvement
Table Top Discussion Questions for discussion • Do you agree in principle with the standard statement? (Scope, terminology, definition, are they measurable?) If no, please specify why • What amendments/adaptations would you make? • Are there any additional standards required? Getting started • Discuss the content of the Individual standard on your table for 20 minutes • Nominate someone to scribe and feedback
Feedback • Do you agree with standard? If not, why? • What amendments would you make? • What other standards are required?
Next steps – issues for consideration • What is the scope of out of hospital care • Are the standards for a system or for an organisation, or commissioning? • Should they be called Out of Hospital Standards or Community based care standards? • What is it about community based care that we need standards for? • Do we really know what good looks like – are the standards supporting good practice – what does good look like? • What problem are we trying to fix with standards?
