NHS | Presentation to [XXXX Company] | [Type Date]1

Right Care in actionCheryl McKay R.G.N, R.S.C.N, R.H.V, BSc, MBAHead of Programmes, Warrington CCG

Copyright 2011 Right Care

Transforming Urgent CareThe Right Care Way

Warrington CCG

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WHAT TO CHANGE

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Transforming Urgent Care

DOWN by 8%EFFICIENCY SAVING M6- £750,000

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Redesigning Urgent Care Services

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HOW TO CHANGE

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Our Vision 2013

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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

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OUR OUTCOMES

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Warrington Success

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Overall Reduction in Non-elective Care

DOWN by 8%EFFICIENCY SAVING M6 - £750,000

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Reduction in Non-elective Care0 LOS Unscheduled Care Admissions (NOF 2.3i/ 2.3ii/ 3a)

DOWN by 8.9%

1 LOS Unscheduled Care Admissions (NOF 2.3i/ 2.3ii/ 3a)

DOWN by 12.8%

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• 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”

Our Other Outcomes

Copyright 2011 Right Care

Warrington CCG

Cheryl McKayHead of ProgrammesCheryl.mckay@warringtonccg.nhs.uk

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5 KEY INGREDIENTS

1. Clinical Leadership (of the reform agenda)2. Indicative Data (on where variation exists –

focus here to improve)3. Clinical Engagement (in individual reforms,

supported by project managers and teams)4. Evidential Data (on what, why and how to

change)5. Effective processes (BPE)

Delivers Reform

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Case Study 2 – West Cheshire CCG

Clinical Leadership

Making sure you get the healthcare you need

What is NHS West Cheshire Clinical Commissioning Group 2013?

Our Programmes: Starting well Prevention and early detection Supporting self care Developing primary care Improving care pathways Ageing well End of life

£308m

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Employed staff and Governing Body members

£55m

£43m

£227m

hospital and community services

£6mRunning costs

263,172Total population

Population over 856,100

Prospering small

towns ONS Cluster

Total budget

Countess of Chester NHS Foundation Trust

Cheshire and Wirral Partnership NHS Foundation Trust

£1,213

Spend per person

52

36

GP practices

Our clinical leads

5

Governing Body GPs19

Clinical pathway lead GPs

284Total number of GPs

40

GP commissioning leads

Our membership

Our population 13,465

Population under 5

£129m

Other providers Your money

Examples of where Right Care principles have delivered in West Cheshire

• Shift the monitoring of low grade conditions into primary care

Haematology

• Enhance use of existing community service to improve outcomes and reduce waiting time pressures

Pain management

• Develop a community service to improve outcomes and reduce variation

Urology

Key learning1. Clinical commissioning isn’t just GPs

2. Maintaining progress, even in the face of

opposition.

3. Led by clinicians, informed by patients,

organised by managers

4. Find the win / win for everybody.

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Right Care for Populations

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Find the full series at:www.rightcare.nhs.uk/resourcecentre

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