The Future of ERIC and the Estates and Facilities Dashboard · 2018-12-07 · 4 Efficiency Metrics...

22
1 The Future of ERIC and the Estates and Facilities Dashboard 5 September 2016 DH – Leading the nation’s health and care

Transcript of The Future of ERIC and the Estates and Facilities Dashboard · 2018-12-07 · 4 Efficiency Metrics...

Page 1: The Future of ERIC and the Estates and Facilities Dashboard · 2018-12-07 · 4 Efficiency Metrics & Dashboards • 2014-15 Trust Dashboards have been provided to all Lord Carter

1

Th

e F

utu

re o

f E

RIC

an

d t

he

Esta

tes a

nd

Fa

cili

tie

s D

ash

bo

ard

5 S

ep

tem

be

r 2

01

6D

H –

Le

ad

ing

th

e n

ati

on

’s h

ea

lth

an

d c

are

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2

Ag

en

da

1.

Cart

er

Imple

menta

tion P

rogra

mm

e (

CIP

)

2.

Eff

icie

ncy M

etr

ics a

nd D

ashboard

s

3.

Model H

ospital &

CIP

Monitoring

4.

Esta

tes R

etu

rn I

nfo

rmation C

olle

ction (

ER

IC)

Issues

5.

National P

ropert

y p

rogra

mm

e

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3

Ca

rte

r Im

ple

me

nta

tio

n P

rog

ram

me

1.

Vis

its t

o 2

7 P

riority

Tru

sts

alm

ost

com

ple

te;

2.

Analy

sis

of T

rust fe

edback c

urr

ently u

nderw

ay;

3.

Report

on p

rogre

ss b

ein

g m

ade t

o L

ord

Cart

er

in late

2016;

4.

Lin

ks t

o S

ir R

obert

Naylo

r’s r

eport

to b

e c

onsid

ere

d;

5.

2017-1

8 W

ork

pro

gra

mm

e b

ein

g d

evelo

ped;

6.

Tra

nsfe

r of re

sponsib

ility

to N

HS

Im

pro

vem

ent has

been c

onfirm

ed.

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4

Eff

icie

ncy M

etr

ics &

Dash

bo

ard

s

•2

01

4-1

5 T

rust

Da

sh

bo

ard

s h

ave

be

en

pro

vid

ed

to

all

Lo

rd

Ca

rte

r C

oh

ort

tru

sts

;

•2

01

4-1

5 S

ite

Da

sh

bo

ard

s h

ave

be

en

de

ve

lop

ed

an

d a

re

be

ing

dis

cu

sse

d w

ith

th

e 2

7 P

rio

rity

tru

sts

;

•D

eve

lop

me

nt

of

an

on

line

syste

m t

o d

eliv

er

all

Da

sh

bo

ard

s

is b

ein

g lo

oke

d in

to a

s p

art

of

NH

SI

syste

ms;

•D

ash

bo

ard

fo

rma

t to

be

re

vie

we

d f

or

20

15

-16

to

use

ne

w

da

ta a

nd

in

re

sp

on

se

to

co

mm

en

ts r

ece

ive

d.

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5

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6

Da

shb

oa

rd c

ha

ng

es

•S

ep

ara

te m

etr

ics/d

ash

bo

ard

on

PF

I sch

em

es b

ein

g c

on

sid

ere

d;

•D

ata

so

urc

ing

sh

ee

t b

ein

g d

eve

lop

ed

to

exp

lain

sp

ecific

da

ta u

se

d

for

ea

ch

tru

st;

•P

ote

ntia

l n

ew

me

tric

s b

ein

g c

on

sid

ere

d:

oX

XX

XX

XX

XX

XX

XX

XX

XX

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7

No

n-A

cute

Co

ho

rt T

rust

s

Specia

list

Acute

, M

enta

l H

ealth,

Com

munity,

Am

bula

nce

and C

are

Tru

sts

•D

raft

Dashboard

s t

o b

e d

evelo

ped u

sin

g 2

014-1

5 d

ata

;

•M

etr

ics a

mended t

o b

est re

flect T

rust T

ypes w

ith

availa

ble

data

;

•D

raft

s to b

e d

iscussed w

ith T

rusts

;

•P

roduction v

ers

ion t

o b

e d

evelo

ped u

sin

g 2

015-1

6 d

ata

when a

vaila

ble

–N

ovem

ber

at th

e e

arlie

st.

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8

Mo

del H

osp

ital &

CIP

Mo

nit

ori

ng

Fro

m L

ord

Ca

rte

r re

po

rt:

“Hig

hlig

htin

g v

ari

atio

n r

eq

uir

es t

he

rig

ht

me

tric

s w

ith

de

taile

d

gu

ida

nce

on

wh

at

go

od

lo

oks lik

e. T

he

ad

juste

d t

rea

tme

nt

co

st

(AT

C)

is o

ne

wa

y f

or

tru

sts

to

se

e h

ow

th

ey v

ary

in

th

eir

co

sts

for

a g

ive

n o

utp

ut.

Th

e w

eig

hte

d a

ctivity u

nit (

WA

U)

ca

n a

lso

be

use

d t

o c

om

pa

re p

erf

orm

an

ce

an

d p

rod

uctivity a

cro

ss tru

sts

.

Th

ese

me

tric

s s

ho

uld

be

use

d t

o c

rea

te a

mo

de

l h

osp

ita

l, w

hic

h

with

asso

cia

ted

be

st

pra

ctice

gu

ida

nce

will

giv

e tru

sts

a s

ing

le

ve

rsio

n o

f th

e t

ruth

on

wh

at

go

od

lo

oks lik

e fro

m b

oa

rd t

o w

ard

,

to h

elp

tru

sts

un

de

rsta

nd

wh

at

go

od

lo

oks lik

e. N

HS

Imp

rove

me

nt

sh

ou

ld c

on

tin

ue

to

de

ve

lop

th

e m

od

el h

osp

ita

l

an

d its

un

de

rlyin

g m

etr

ics,

so

th

at

the

re is o

ne

so

urc

e o

f d

ata

,

be

nch

ma

rks a

nd

go

od

pra

ctice

.”

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9

Mo

del H

osp

ital

•O

nlin

e s

yste

m d

eve

lop

ed

to

pro

vid

e m

etr

ics t

o T

rust

Bo

ard

s,

no

w in

clu

de

s a

co

mp

art

me

nt

for

Esta

tes &

Fa

cili

tie

s;

•E

sta

tes &

Fa

cili

tie

s a

n e

arl

y c

on

trib

uto

r, u

sin

g a

su

bse

t o

f

me

tric

s f

rom

th

e D

ash

bo

ard

s;

•O

nly

diffe

ren

ce

is u

se

of

We

igh

ted

Activity U

nit in

ste

ad

of

AT

C/A

TI

–T

o b

e u

se

d in

20

15

-16

Da

sb

oa

rd m

etr

ics;

•U

pd

ate

d w

ith

20

15

-16

da

ta a

s s

oo

n a

s p

ossib

le;

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10

Ad

jus

ted

Tre

atm

en

t In

de

x (

AT

C/A

TI)

To

tal esta

tes

an

d f

acil

itie

s

run

nin

g

co

sts

/AT

C

=

To

tal esta

tes

an

d f

acil

itie

s

run

nin

g c

osts

Co

st

Weig

hte

d

Ou

tpu

t (C

WO

)

x x

Op

era

tio

nal

Exp

en

dit

ure

A

dju

stm

en

t F

acto

r (O

AF

)

Mark

et

Fo

rces

Facto

r (M

FF

)

HE

S A

ctivity

data

fle

xed t

o

reflect

com

ple

xity

Bala

nces C

WO

as it

exclu

des

som

e a

ctivity

e.g

. T

rain

ing &

R&

D

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11

We

igh

ted

Ac

tiv

ity

Un

its

(W

AU

s)

Esta

tes a

nd

F

acil

itie

s C

ost

per

WA

U=

To

tal esta

tes

an

d f

acil

itie

s

run

nin

g c

osts

Co

st

Weig

hte

d

Ou

tpu

t (C

WO

)

x

On

e W

eig

hte

d

Acti

vit

y U

nit

(W

AU

)

One W

AU

is e

quiv

ale

nt

to t

he a

vera

ge c

ost

of an e

lective inpatient

adm

issio

n

(£3,5

17.4

5 f

or

2014-1

5)

Inte

rpre

tation:

•T

he W

AU

calc

ula

tion d

oes n

ot

inclu

de t

he O

AF

or

MF

F fro

m t

he A

TC

metr

ics. T

here

fore

, it is n

ational and n

ot

regio

nal m

etr

ic,

whic

h d

oes n

ot

account

for

non-c

linic

al activity;

•T

he low

er

the W

AU

calc

ula

tion r

ela

tively

, th

e m

ore

effic

ient

or

pro

ductive

the a

rea c

overe

d b

y t

he m

etr

ic;

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12

Mo

del H

osp

ital

Wh

at

sh

ou

ld b

e c

ove

red

by t

he

“m

od

el h

osp

ita

l”?

•C

ase

stu

die

s?

•B

est

pra

ctice

?

•C

ostin

g g

uid

an

ce

?

•S

pa

ce

da

ta?

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13

CIP

Mo

nit

ori

ng

•C

IP t

ea

m n

ee

d t

o m

on

ito

r p

rog

ress t

ow

ard

s d

eliv

ery

of

Lo

rd

Ca

rte

r R

eco

mm

en

da

tio

ns;

•A

syste

m is b

ein

g d

eve

lop

ed

to

ob

tain

up

da

tes o

n a

mo

nth

ly/q

ua

rte

rly b

asis

as a

pp

rop

ria

te;

•B

ein

g t

este

d w

ith

th

e 2

7 P

rio

rity

tru

sts

;

•S

yste

m in

te

nd

ed

to

go

liv

e f

or

all

13

6 L

ord

Ca

rte

r co

ho

rt

tru

sts

la

ter

this

ye

ar.

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14

CIP

Mo

nit

ori

ng

Re

com

me

nd

ati

on

IDP

rog

ress

Re

spo

nse

Re

po

rtin

g F

req

ue

ncy

(Mo

nth

ly /

Qu

art

erl

y /

An

nu

ally

)

6-1

-P-1

Do

yo

u h

av

e a

str

ate

gic

Est

ate

s a

nd

Fa

cili

tie

s M

an

ag

em

en

t p

lan

in

pla

ce?

(Y/N

)M

6-1

-P-2

Do

es

the

str

ate

gic

Est

ate

s a

nd

Fa

cili

tie

s p

lan

in

clu

de

a s

ho

rt t

erm

co

st

red

uct

ion

pla

n f

or

20

16

-17

? (

Y/N

)M

6-1

-P-3

Do

es

the

str

ate

gic

Est

ate

s a

nd

Fa

cili

tie

s p

lan

in

clu

de

a l

on

g t

erm

, 2

01

7

on

wa

rds,

co

st r

ed

uct

ion

pla

n i

ncl

ud

ing

an

y s

erv

ice

re

con

fig

ura

tio

n

req

uir

em

en

ts?

(Y

/N)

Q

6-1

-P-4

Wh

at

are

yo

ur

sho

rt t

erm

(2

01

6-1

7)

sav

ing

s to

da

te?

)M

6-1

-P-5

Wh

at

are

yo

ur

fore

cast

sa

vin

gs

for

the

lo

ng

te

rm (

20

17

-20

)? (

£)

Q

En

suri

ng

ev

ery

tru

st h

as

a s

tra

teg

ic e

sta

tes

an

d f

aci

liti

es

pla

n i

n p

lace

, in

clu

din

g i

n t

he

sho

rt t

erm

, a

co

st r

ed

uct

ion

pla

n f

or

20

16

-17

ba

sed

on

th

e b

en

chm

ark

s, a

nd

in

th

e l

on

ge

r

term

(b

y A

pri

l 2

01

7),

a p

lan

fo

r in

ve

stm

en

t

an

d r

eco

nfi

gu

rati

on

wh

ere

ap

pro

pri

ate

fo

r

the

ir w

ho

le e

sta

te,

tak

ing

in

to a

cco

un

t th

e

tru

st’s

fu

ture

se

rvic

e r

eq

uir

em

en

ts

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15

Oth

er

issu

es

•P

ag

e 5

: “W

e s

ho

uld

als

o n

ot lo

se

sig

ht o

f th

e n

on

-acu

te s

ecto

r a

nd

p

rim

ary

ca

re. I h

ave

be

en

co

nta

cte

d b

y m

an

y m

en

tal h

ea

lth

an

d

co

mm

un

ity tru

sts

exp

ressin

g th

eir

wis

h to

be

in

vo

lve

d in

a s

imila

r a

pp

roa

ch

. I b

elie

ve

th

e m

eth

od

olo

gy a

nd

to

ols

we

ha

ve

de

ve

lop

ed

a

re tra

nsfe

rable

to

th

ese

se

cto

rs, so

I s

ee

no

re

aso

n w

hy th

e s

am

e

ap

pro

ach

sh

ou

ld n

ot b

e ta

ke

n.”

•R

eco

mm

en

da

tio

n 1

2: “h

) e

nsu

rin

g th

e m

od

el h

osp

ita

l a

nd

u

nd

erl

yin

g m

etr

ics a

re e

xp

an

de

d to

co

ve

r n

on

-acu

te tru

sts

by A

pri

l 2

01

7.”

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16

Esta

tes R

etu

rn In

form

ati

on

Co

llecti

on

(E

RIC

) Is

su

es

•2

01

5-1

6 E

RIC

co

llectio

n e

nd

ed

on

th

e 3

0 J

un

e 2

01

6

•D

ata

cu

rre

ntly b

ein

g v

alid

ate

d a

nd

re

vie

we

d b

y H

SC

IC

•T

o b

e p

ub

lish

ed

11

Octo

be

r 2

01

6

•D

H s

tart

ing

a r

evie

w o

f th

e 2

01

5-1

6 E

RIC

co

llectio

n to

info

rm r

evis

ion

s f

or

the

20

16

-17

co

llectio

n:

1.

Str

uctu

ral ch

an

ge

s;

2.

Da

ta ite

m c

ha

ng

es,

an

d;

3.

De

fin

itio

n c

ha

ng

es.

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17

1. S

tru

ctu

ral C

han

ges

Sig

nific

an

t ch

an

ge

s t

o E

RIC

th

at

po

ten

tia

lly a

ffe

ct

the

wh

ole

co

llectio

n, in

clu

din

g:

•O

rga

nis

atio

ns c

ove

red

by E

RIC

;

•E

sta

te o

wn

ers

hip

an

d r

ep

ort

ing

;

•T

em

po

rary

usa

ge

of

facili

tie

s;

•M

inim

um

site

siz

e a

nd

use

of

ag

gre

ga

te s

ite

s;

•In

co

me

off

se

ttin

g;

•T

rust

an

d s

ite

typ

e c

lassific

atio

n;

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18

2. D

ata

ite

m c

han

ges

Inclu

din

g r

em

ova

ls,

ad

ditio

ns a

nd

sig

nific

an

t ch

an

ge

s to

da

ta

ite

ms,

inclu

din

g:

•In

co

me

re

ce

ive

d b

y t

he

NH

S;

•W

aste

cla

ssific

atio

n;

•L

an

d o

wn

ed

by T

rusts

;

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19

3. D

efi

nit

ion

ch

an

ges

Da

ta ite

ms d

o n

ot

ch

an

ge

, b

ut

de

fin

itio

ns n

ee

d im

pro

ve

me

nt

to

en

su

re c

on

sis

ten

t re

po

rtin

g a

cro

ss th

e N

HS

:

•C

linic

al vs.

No

n-C

linic

al;

•F

loo

r a

rea

s;

•C

lea

nin

g a

rea

s a

nd

ris

ks;

•C

on

tra

cte

d o

ut

se

rvic

es;

•F

un

ctio

na

l S

uita

bili

ty &

Sp

ace

Utilis

atio

n;

•F

ina

ncin

g c

osts

–P

FI

an

d N

on

-PF

I;

Page 20: The Future of ERIC and the Estates and Facilities Dashboard · 2018-12-07 · 4 Efficiency Metrics & Dashboards • 2014-15 Trust Dashboards have been provided to all Lord Carter

20

Sp

ecif

ic q

ueri

es

•N

HS

Pro

pe

rty S

erv

ice

s L

td –

Ho

w t

o o

bta

in c

om

ple

te a

nd

accu

rate

da

ta f

or

the

se

site

s?

•E

lectr

o-B

iom

ed

ica

l E

qu

ipm

en

t (E

BM

E)

–Is

th

is a

ctu

ally

pa

rt

of

“Esta

tes a

nd

Fa

cili

tie

s s

erv

ice

s”?

•F

als

e A

larm

re

co

rdin

g –

Sp

lit b

etw

ee

n w

he

re d

ea

lt w

ith

by

tru

st

an

d w

he

re a

tte

nd

ed

by f

ire

se

rvic

es.

Page 21: The Future of ERIC and the Estates and Facilities Dashboard · 2018-12-07 · 4 Efficiency Metrics & Dashboards • 2014-15 Trust Dashboards have been provided to all Lord Carter

21

Nati

on

al P

rop

ert

y P

rog

ram

me

•S

ir R

ob

ert

Na

ylo

r a

pp

oin

ted

na

tio

na

l a

dvis

er

on

NH

S

pro

pe

rty a

nd

esta

tes;

•D

eve

lop

ing

a n

atio

na

l str

ate

gy f

or

the

use

of

NH

S p

rop

ert

y;

•L

oo

kin

g a

t d

eve

lop

me

nt

of

NH

S la

nd

an

d d

eliv

ery

of

inco

me

fro

m la

nd

sa

les;

•P

rim

ari

ly c

on

ce

rne

d w

ith

esta

tes a

nd

no

t fa

cili

tie

s s

erv

ice

s;

•R

ep

ort

exp

ecte

d t

o b

e p

ub

lish

ed

in

Octo

be

r 2

01

6;

•L

ike

ly t

o a

dd

ress c

olle

ctio

n o

f d

ata

on

th

e N

HS

esta

te;

Page 22: The Future of ERIC and the Estates and Facilities Dashboard · 2018-12-07 · 4 Efficiency Metrics & Dashboards • 2014-15 Trust Dashboards have been provided to all Lord Carter

22

mik

e.b

ella

s@

dh

.gs

i.g

ov

.uk

efm

eff

icie

nc

yte

am

@d

h.g

si.g

ov

.uk

Co

nta

ct

De

tails

: