Right Care in action
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NHS | Presentation to [XXXX Company] | [Type Date] 1 Right Care in action Cheryl McKay R.G.N, R.S.C.N, R.H.V, BSc, MBA Head of Programmes, Warrington CCG
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Right Care in action. Cheryl McKay R.G.N, R.S.C.N, R.H.V, BSc, MBA Head of Programmes, Warrington CCG. Transforming Urgent Care The Right Care Way. Warrington CCG. What to change. Transforming Urgent Care. DOWN by 8% EFFICIENCY SAVING M6- £750,000. Redesigning Urgent Care Services. - PowerPoint PPT Presentation
Transcript of Right Care in action
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
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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
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