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Transforming Community Services

Transforming Community Services Commissioning Information for Community Services Stakeholder Workshop 14 October 2009 Coleen Milligan – Project Manager. Transforming Community Services. Aim of the Presentation Welcome

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Transforming Community Services

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  1. Transforming Community Services Commissioning Information for Community Services Stakeholder Workshop 14 October 2009 Coleen Milligan – Project Manager

  2. Transforming Community Services Aim of the Presentation Welcome Provide an overview of the Transforming Community Services Programme Outline the Community Information project

  3. Transforming Community Services is important because… Transforming Community Services is important because… • They provide essential care to many, often vulnerable, people, families and communities along the full spectrum from health promotion to end of life care • This is on a large scale - community services represent 10% of NHS spend and 250,000 staff • They are essential for delivering major strategic change and efficiency improvements in other sectors e.g. hospital utilisation

  4. The case for change The case for change • Services do not have capacity and capability to meet the challenges facing health and care • £10bn annual spend with largely unmeasured outcomes • Lack of robust data, tariffs and currencies • Large variation in quality, care pathways, productivity, costs and activity • Infrastructure outdated - technology, buildings, workforce • Confusing referral routes, lack of awareness of what’s available • Variable focus, limited innovation • Facing rising demands • 57% of those over 85 are in contact with a district nurse • 31% increase in people over the age of 85 in the next ten years • 15 million people with chronic long term conditions and increasing • Rising obesity rates amongst children storing up longer terms problems • In a financially difficult climate, with hospital and social care systems also under pressure and growing consumer expectations!

  5. The potential benefits of transformation are substantial Potential for substantial benefits • Increased quality of life, health and well being for many • Reduction in variations in quality and access • More equal access • Promotion of equality • More efficient use of hospital and social care sectors • Better productivity (potentially 10-20%) and value for money

  6. Transforming Community Services – Phase 1 • Transformational Guides in 6 areas • Quality Framework Community Services • Productive Community Services NHSII • Publishing the evidence of what works Improving Services • 6 Transformational Attributes • Workforce and organisational development • Innovation and Leadership fund Developing People • ‘Enabling new patterns of provision’ • Approaches to Currency and Pricing • National community services contract • Community information models and datasets • Improving commissioning Reforming Systems

  7. Transforming Community Services – Phase 2 Quality Innovation Productivity Prevention Developing People • Innovation • Embedding TCS Guides • Adoption of proven methodologies • Leadership and ‘TCS Attributes’ • Workforce and curriculum • Provider development Improving Services • Commissioning support and development • Quality Framework and indicators • Whole System Pathfinders • Service user engagement • Equality and diversity • Reforming Systems • Currency and Pricing • National Contract • Community information • Investment/asset strategy • Impact measurement PVP • AHP offer data collection Linked and ‘hosted’ programmes

  8. Transforming Community Services Community Information Project Community Information Model Community Information Dataset AHP – Referral to Treatment Data Reporting Mobile Solutions

  9. Transforming Community Services Community Information Model Developed with 35 PCT pilot sites Provides the foundation stone for the Community Information Project Assists providers and commissioners to develop their local plans to further improve community information collection and reporting So what is the model?

  10. Transforming Community Services

  11. Transforming Community Services

  12. Transforming Community Services Community Information Dataset A national dataset to support the efficiency of service planning, management and commissioning of community services. Therefore supporting Quality, Innovation, Productivity and Prevention gains to deliver consistently higher quality care in the community setting

  13. Transforming Community Services Multi Agency Project Roles Community information dataset development- NHS Information Centre Infrastructure to ensure recording and reporting – NHS Connecting For Health Approval of developed dataset – Information Standards Board Approval of project controls – OGC Gateway team

  14. Transforming Community Services AHP Referral to Treatment Data Reporting Developed to deliver the mandate of ‘Framing the contribution of allied Health Professionals (2008) - mandates the collection of RTT from 2010 Pilot sites being established to test the current definitions and processes used by some organisations 18 week RTT definitions Expert Reference panel

  15. Transforming Community Services • Mobile Solutions • Significant evidence is available which demonstrates the benefits to be secured through the adoption of mobile solutions • Some evidence of excellent local adoption but not widespread • Further support required to accelerate learning and adoption of mobile solutions

  16. Transforming Community Services • Mobile Solutions • Undertake a costs and benefits analysis of mobile technology in supporting community services to demonstrate the role of mobile solutions in delivering QIPP and Improving Working Lives • Review evaluation of mobile solutions already deployed • Produce State of Readiness Guidance • Establish a number of adoption sites • Support the wide scale adoption of mobile solutions

  17. Transforming Community Services Community Information Project Supporting QIPP Quality Enhanced patient experienced due to the availability of the clinical record at the point of care. Having the clinical record available at the point of care reduces the necessity to repeat questions and makes test results, which are available, accessible. Innovation Monitor improvements in health outcomes and identify contributory factors by capturing accurate, comparable data

  18. Transforming Community Services Community Information Project Supporting QIPP Productivity Allows measurement of clinical activity and benchmarking against other services / organisations Reducing travel time to and from bases to input clinical activity into desktop computer. Increase in the number of home visits per day due to the reduction in travel time to base Prevention Analysis of impact of lifestyle and other risk factors, e.g. smoking, on clinical outcomes in order to plan early intervention

  19. Transforming Community Services Thank you

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